Clinical ethics Book

	Introduction	1
	The Four Topics: Case Analysis in Clinical Ethics	1
	References	11
	The Four Topics Chart	12
Ch. 1	Indications for Medical Intervention	13
1.1	Inappropriate Interventions	21
1.2	Orders not to Attempt Resuscitation	33
1.3	Care of the Dying Patient	41
1.4	Legal Implications of Forgoing Treatment	41
1.5	Determination of Death	42
Ch. 2	Preferences of Patients	47
2.1	Informed Consent	50
2.2	Decisional Capacity	55
2.3	Beliefs due to Religious and Cultural Diversity	60
2.4	Truthful Communication	62
2.5	Competent Refusal of Treatment	69
2.6	Advance Planning	78
2.7	Decision-Making for the Mentally Incapacitated Patient	83
2.8	The Limits of Patient Preferences	93
2.9	Failure to Cooperate with Medical Recommendations	95
2.10	Alternative Medicine	101
Ch. 3	Quality of Life	105
3.1	Enhancing Quality of Life	117
3.2	Objective Criteria for Quality of Life	124
3.3	Euthanasia and Assisted Suicide	137
3.4	Suicide	144
Ch. 4	Contextual Features	147
4.1	Role of Interested Parties	152
4.2	Physician Confidentiality	158
4.3	The Economics of Health Care	163
4.4	Allocation of Scarce Health Resources	173
4.5	Religion	180
4.6	The Role of the Law in Clinical Ethics	181
4.7	Clinical Research	183
4.8	Clinical Teaching	191
4.9	Occupational Medicine	194
4.10	Public Health	195
4.11	Ethics Committees	196
4.12	Ethics Consultation	197
	Locator	199