Handbook for health care ethics committees
Preface -- Introduction : The nature and functioning of ethics committees -- Curriculum for ethics committees -- Ethical foundations of clinical practice -- The role of ethics in clinical medicine -- Ethics committees in the health care setting -- Fundamental ethical principles -- The role of culture, race, and ethnicity in health care -- Conflicting obligations and ethical dilemmas -- Decision making and decisional capacity in adults -- Health care decisions and decision making -- Decision-making capacity -- Assessment and determination of capacity -- Deciding for patients without capacity -- Informed consent and refusal -- Evolution of the doctrine of informed consent -- Elements of informed consent and refusal -- The nature of informed consent -- Exceptions to the consent requirement -- Truth telling : disclosure and confidentiality -- Justifications -- Disclosure -- Disclosure of adverse outcomes and medical error -- Confidentiality.
Special decision-making concerns of minors -- Decisional capacity and minors -- Consent for minors -- Confidentiality and disclosure -- Special problems of the adolescent alone -- End-of-life issues -- Decision making at the end of life -- Defining death -- Advance health care planning -- Goals of care at the end of life -- Forgoing life-sustaining treatment -- Protecting patients from treatment -- Rejection of recommended treatment and requests to "do everything" -- Medical futility -- Palliation -- From caring to curing and back again -- The experience of and response to pain -- The moral imperative to relieve pain -- Physician-assisted suicide -- Justice, access to care, and organizational ethics -- Access to health care in the United States -- A right to health care? -- Theories of justice -- Rationing -- Health care organization ethics -- Clinical ethics consultation -- Approaches to ethics consultation / Three models of ethics consultation -- Critical success factors for ethics consultation services -- Policy -- Two approaches to clinical ethics consultation -- Sample clinical cases -- Advance directives -- Autonomy in tension with best interest -- Confidentiality -- Decisional capacity -- Disclosure and truth telling -- End-of-life care -- Forgoing life-sustaining treatment -- Goals of care -- Informed consent and refusal -- Medical futility -- Parental decision making -- Surrogate decision making.
White papers, memoranda, guidelines, and protocols -- Allocating critical care resources : keeping the teeth in ICU triage / Justice and access to unreimbursed therapies -- Guidelines for transferring patients between services -- Decision-making protocol for the patient alone -- Sample policies and procedures -- Access to bioethics consultation -- Advance directives -- Determination of brain death -- Do-not-resuscitate (DNR) orders -- Forgoing life-extending treatment -- Institutional code of ethics -- Key legal cases in bioethics -- Informed consent -- Health care decision making -- State action to protect public health -- Confidentiality -- Medical decision making for minors -- Reproductive rights -- Health care reimbursement -- An ethics committee meeting -- Index.
Post, Linda Farber.
Blustein, Jeffrey.
Dubler, Nancy N.
Kenneth A. Berkowitz Nancy Neveloff Dubler --
Jack Kilcullen --
Linda Farber Post, Jeffrey Blustein, Nancy Neveloff Dubler.
