Complex Ethics Consultations :Cases that Haunt Us

Publication subTitle :Cases that Haunt Us

Author: Paul J. Ford; Denise M. Dudzinski  

Publisher: Cambridge University Press‎

Publication year: 2008

E-ISBN: 9780511411007

P-ISBN(Paperback): 9780521697156

Subject: R-052 Medical Ethics

Keyword: 医药、卫生

Language: ENG

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Complex Ethics Consultations

Description

Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. The cases inform any reader who has a keen interest in the choices made in real-life medical dilemmas as well as the emotional cost to those who work to improve the situations. On a more advanced level, this book should be read by ethics committee members who participate in ethics consultations, individual ethics consultants, clinicians who seek education about complex clinical ethics cases, and bioethics students.

Chapter

Final reflections and observations

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Part I Starting at the beginning: prenataland neonatal issues

1 Quality of life – and of ethics consultation –in the NICU

Case narrative

Professional reflections/lessons

Outcome

Discussion questions

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2 When a baby dies in pain

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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3 But how can we choose?

Case narrative

Haunting aspects

Professional reflections

Outcome

Discussion questions

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4 Maternal–fetal surgery and the “profoundestquestion in ethics”

Narrative

Haunting aspects

Professional reflections

Outcome

Discussion questions

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Part II The most vulnerable of us:pediatrics

5 She was the life of the party

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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6 The sound of chains

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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7 Susie’s voice

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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8 Access to an infant’s family

Narrative backstory

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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Part III Diversity of desires and limits ofliberty: psychiatric andpsychological issues

9 Helping staff help a “hateful” patient:the case of TJ

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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10 Ulysses contract

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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11 Misjudging needs: a messy spiralof complexity

Case narrative

Haunting aspects

Professional reflections

Outcome

iscussion questions

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12 When the patient refuses to eat

Case narrative

Haunting aspects

Professional reflections

Outcome

Questions

REFERENCE

Part IV Withholding therapy with a twist

13 Listening to the husband

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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14 You’re the ethicist; I’m just the surgeon

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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15 Haunted by a good outcome:the case of Sister Jane

Case narrative

Professional reflections

Haunting aspects

Discussion questions

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16 Is a broken jaw a terminal condition?

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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Part V The unspeakable/unassailable:religious and cultural beliefs

17 Adolescent pregnancy, confidentiality,and culture

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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18 “Tanya, the one with Jonathan’s kidney”:a living unrelated donor case ofchurch associates

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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19 Futility, Islam, and death

Case narrative

Haunting aspects

Professional reflections

Outcome

Discussion questions

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20 Suffering as God’s will

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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Part VI Human guinea pigs and miracles:clinical innovations andunorthodox treatment

21 Amputate my arm, please. I don’twant it anymore

Case narrative

Haunting aspects

Professional reflections

Outcome

Discussion questions

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22 Feuding surrogates, herbal therapies,and a dying patient

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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23 One way out: destination therapy by default

Case narrative

Professional reflections

Haunting aspects

Outcome

Discussion questions

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24 Altruistic organ donation:Credible? Acceptable?

Case narrative

Haunting aspects

Professional reflections

Outcome

Discussion questions

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Part VII The big picture:organizational issues

25 It’s not my responsibility

Case narrative

Haunting aspects

Professional reflections

Outcome

Discussion questions

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26 Intra-operative exposure to sporadicCreutzfeldt-Jakob disease: to disclose

Case narrative

Haunting aspects

Professional reflections

Outcome

Discussion questions

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27 Why do we have to discharge this patient?

Case narrative

Haunting aspects

Professional reflections

Outcome

Discussion questions

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28 Who’s that sleeping in my bed?An institutional response to anorganizational ethics problem

Case narrative

Professional reflections

Haunting aspects

Outcomes

Discussion questions

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Conclusions, educational activities,and references

Concluding comments

Educational activities overview

Focused study by theme

Cross-references by section

Questions and educational activities for self-study andgroup activities

Ethics retreats and seminar activities

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Index

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