John La Puma - Ethics Consultation: A Practical Guide

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title	:	Ethics Consultation : A Practical Guide
author	:	La Puma, John.; Schiedermayer, David L.
publisher	:	Jones & Bartlett Publishers, Inc.
isbn10 | asin	:	0867207973
print isbn13	:	9780867207972
ebook isbn13	:	9780585213439
language	:	English
subject	Medical ethics--Practice, Medical consultation, Ethics, Medical, Consultants, Referral and Consultation.
publication date	:	1994
lcc	:	R725.5.L36 1994eb
ddc	:	174/.2
subject	:	Medical ethics--Practice, Medical consultation, Ethics, Medical, Consultants, Referral and Consultation.

Page iii Ethics Consultation A Practical Guide John La Puma, MD Consultant in Clinical Ethics Department of Internal Medicine Lutheran General Hospital Park Ridge, Illinois David Schiedermayer, MD Department of Medicine Medical College of Wisconsin Milwaukee, Wisconsin JONES AND BARTLETT PUBLISHERS Boston London

Page iv Editorial, Sales, and Customer Service Offices Jones and Bartlett Publishers One Exeter Plaza Boston, MA 02116 1-800-832-0034 1-617-859-3900 Jones and Bartlett Publishers International PO Box 1498 London W6 7RS England Copyright 1994 by Jones and Bartlett Publisher, Inc. All rights reserved. No part of the material protected by this copyright notice may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner. Library of Congress Cataloging-in-Publication Data La Puma, John. Ethics consultation : a practical guide / John La Puma, David Schiedermayer. p. cm. Includes bibliographical references and index. ISBN 0-86720-797-3 1. Medical ethics Practice. 2. Medical consultation. I. Schiedermayer, David. II. Title. [DNLM: 1. Ethics, Medical. 2. Consultants. 3. Referral and Consultation. W 50 L317e 1994] R725.5.L36 1994 174'.2 dc20 DNLM/DLC for Library of Congress 93-28098 CIP Photo credits: p. 65: Courtesy of Larrie Sarff, Associate Professor of Pediatrics, Children's Hospital of Wisconsin; pp. 37, 99, 140, 146, 187: Courtesy of John Easton, Director of Public Affairs, The University of Chicago; p. 1: Courtesy of Peggy DeVita, Boulder, Colorado; pp. 132, 168: Courtesy of Jim King, Director of Public Relations, Froedtert Memorial Lutheran Hospital; p. 156: Courtesy of Children's Hospital, Boston. Printed in the United States of America 97 96 95 94 93 10 9 8 7 6 5 4 3 2 1

Page v To our patients and their families

Page vii Contents Preface xi Acknowledgments xii Chapter 1 Case Consultation 1 The Request for Consultation 3 Beginning the Consultation 6 Preparing to See the Patient 8 Seeing the Patient 11 Calling Family Meetings 17 Preparing an Ethical Analysis 20 Talking With the Requesting Physician 24 Writing a Report 25 Effecting Ethical Outcomes 28 Following Up 32 Case Close 33 Illustrative Cases 34 Summary

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