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| A Note to the Reader | ||
| Ch. 1 | Maggie | 3 |
| Summary: A retirement home resident suffers cardiac arrest. Should she be resuscitated? | ||
| Issues: Do-not-resuscitate orders - should they always be followed? Legal liability and medical decisions, patient control, advance directives | ||
| Ch. 2 | Jill | 11 |
| Summary: A patient with disseminated breast cancer approaches a physician for help in her dying | ||
| Issues: Physician-assisted suicide, autonomy, the social role of physicians | ||
| Ch. 3 | Ed Martinez | 17 |
| Summary: A patient suffers cardiac arrest during routine surgery. How aggressively should his care be managed, especially as the prognosis worsens? | ||
| Issues: Killing vs letting die: when, how, and why may support be withdrawn? May a respirator be removed? May feeding be discontinued? Organ transplantation, Euthanasia | ||
| Ch. 4 | Leon | 33 |
| Summary: Worsening headaches and confused speech lead Leon's doctor to recommend a brain biopsy. Should Leon and his wife consent? | ||
| Issues: Informed consent and rational decision making | ||
| Ch. 5 | Ms. Williams | 43 |
| Summary: A patient chooses the characteristics she wants in her physician | ||
| Issues: Paternalism, honesty, and the art of medicine | ||
| Ch. 6 | Wanda | 49 |
| Summary: A woman with HIV infection is unable and unwilling to control her sexual behavior, posing a threat to the health of many in the community | ||
| Issues: Confidentiality, rights of the handicapped, and the politics of disease | ||
| Ch. 7 | The Maxistop Study | 59 |
| Summary: An Institutional Review Board examines a proposal and consent form for human subjects research | ||
| Issues: Risks and benefits of research. Incentives for subjects and investigators. Informed consent. Ethics of placebo trials | ||
| Ch. 8 | Joey, Jessica, Roger, Tom, and Marti | 69 |
| Summary: A group of children in a crowded intensive care unit. Space is needed for new patients | ||
| Issues: Rights, responsibilities, obligations, and social utility. Conflicts and their interaction with varying medical disorders and prognoses | ||
| Ch. 9 | Marti Revisited | 87 |
| Summary: Staff on rounds discuss long-term plans for Marti, a quadriplegic 12-year-old, and consider her request to discontinue the respirator | ||
| Issues: Autonomy and the depressed adolescent. Rational suicide | ||
| Ch. 10 | Tom Revisited | 93 |
| Summary: Staff discuss long-range plans for Tom, a child with multiple chronic medical and developmental problems | ||
| Issues: Informed consent and fair vs. manipulative presentation of facts. Parental rights and reasonable decision making | ||
| Ch. 11 | Billy | 101 |
| Summary: An elderly physician schedules a tonsillectomy for a young patient. The treatment may not be needed and the physician has not done the procedure in several years | ||
| Issues: Adequate information for patients and families. Physician competence | ||
| Ch. 12 | The Castelli Baby | 107 |
| Summary: A baby is born with a number of serious problems. As her condition deteriorates, is there a point at which aggressive therapy should be stopped? | ||
| Issues: Informed consent for parents, "Baby Doe" regulations, and the character of the good doctor | ||
| Ch. 13 | Christie | 123 |
| Summary: A newborn with spina bifida. Given her handicaps, should an operation be performed that would prevent infection and probable death? Outcome at three months and three years | ||
| Issues: Informed consent and the presentation of information. Quality of life, parental conflict of interest, medical outcomes, and moral decisions | ||
| Ch. 14 | The Harrisons' Plans | 149 |
| Summary: A couple chooses a surrogate mother for their child, but finds she is unwilling to undergo a cesarean section when the baby's life is at risk | ||
| Issues: Surrogacy - obligations of parties in surrogacy arrangements. Coerced surgery | ||
| Ch. 15 | The Smyth Saga | 155 |
| Summary: A couple, one of whom has a family history of Huntington's disease, contemplates a pregnancy | ||
| Issues: Confidentiality - family, employers, insurers; genetic testing, honesty | ||
| Ch. 16 | The Perfect Rexford | 163 |
| Summary: A couple debates what they want for their child and the genetic devices available for producing offspring | ||
| Issues: Genetic manipulation, choosing for others, parental control | ||
| Ch. 17 | Affordable Health Care | 173 |
| Summary: Advisors review a presidential candidate's speech on health care reform | ||
| Issues: Social justice, social welfare, and individual responsibility. Fairness int he social structure of American health care | ||
| Ch. 18 | Ethical Theory and Medical Ethics | 185 |
| A brief presentation of the major theories of medical ethics | ||
| Ch. 19 | Making Moral Decisions: A Process Approach | 213 |
| Price | Condition | Delivery | Seller | Action |
| $99.99 | Digital |
| WonderClub |
Anna Woody
reviewed Tough Decisions: Cases in Medical Ethics on July 22, 2014
Tough Decisions
My favorite line in the book, "That brings me back to a question that came up in the first chapter to which I said I would return later, namely, why do people from other countries come here for health care? Doesn't that prove that it is the best health system in the world? My answer is that they do so to get around the "queue," that is, the waiting line. In most countries, the doctors decide whose case is most urgent and should be dealt with first. In this country, there are always ways to get ahead of the line. Individuals, including for- eigners, can and do get the services they want, if they are willing to pay for that privilege. What do you think? What are the pros and cons of making excellent and expedient health care services available to foreigners as well as fellow Americans who are in a better position to pay for those services? Would you say that this might have the effect of pushing some Americans to the end of the line or out of the line entirely?"
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Add Tough Decisions: Cases in Medical Ethics, Life is full of tough decisions that must be made ethically and under the pressures of time. This book places readers in realistic situation where they experience the difficulties of making tough medical decisions. The cases are composites of actual cases, Tough Decisions: Cases in Medical Ethics to the inventory that you are selling on WonderClubX
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Add Tough Decisions: Cases in Medical Ethics, Life is full of tough decisions that must be made ethically and under the pressures of time. This book places readers in realistic situation where they experience the difficulties of making tough medical decisions. The cases are composites of actual cases, Tough Decisions: Cases in Medical Ethics to your collection on WonderClub |