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Albert R. Jonsen - Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine

Here you can read online Albert R. Jonsen - Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine full text of the book (entire story) in english for free. Download pdf and epub, get meaning, cover and reviews about this ebook. year: 2015, publisher: McGraw Hill, genre: Romance novel. Description of the work, (preface) as well as reviews are available. Best literature library LitArk.com created for fans of good reading and offers a wide selection of genres:

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Trust the proven Four Box method to formulate ethically appropriate recommendations for patient careA Doodys Core Title for 2020!Clinical Ethics teaches healthcare providers how to effectively identify, evaluate, and resolve ethical issues in clinical medicine. Using the author acclaimed Four Box Method and numerous illustrative case examples, this book enables practitioners to gain a better understanding of the complexities involved in ethical cases and demonstrates how to reach resolution to ethical problems.Clinical Ethics goes beyond theory to offer a decision-making strategy applicable to real-world practice. Readers will learn an easy-to-apply system based on simple questions about medical indications, patient preferences, quality of life, and contextual features that clearly explain clinical ethics and help them formulate a sound diagnosis and treatment strategy. The case examples have been selected to demonstrate how principles apply to real-world everyday practice.The co-authors, a bioethicist, a physician and a lawyer/ psychoanalyst /philosopher, draw on more than forty years respectively of clinical experience to select exemplary cases of ethical problems and to reflect on how moral principles and concepts can guide clinicians in formulating ethically appropriate recommendations for patient care.A unique chapter organization:Each chapter of the book begins with some general considerations about the topic, and the ethical principle relevant to that topic. The clinical situations that generate ethical problems are then described and illustrated by clinically realistic medical cases. A short distillation of current opinion from the bioethical literature is provided, followed by an analysis of the cases.. The authors conclude with recommendations that the three authors have formulated from their extensive experience as bioethics consultants.

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Notice Medicine is an ever-changing science As new research and clinical - photo 1
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Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.
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Copyright 2015 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a data base or retrieval system, without the prior written permission of the publisher.
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Contents
Introduction
T his book is about the ethical issues that clinicians encounter as they care for patients. In order to practice excellent clinical care in modern medicine, clinicians must understand ethical issues such as informed consent, decisional capacity, surrogate decision making, truth telling, confidentiality, privacy, the distinction between research and clinical care, and end-of-life care. Clinicians must apply this knowledge each day in their practices. By clinicians we mean not only physicians but also nurses, social workers, psychologists, clinical ethicists, medical technicians, chaplains, and others responsible for the welfare of patients. We include, as well, students who are preparing to enter these professions. It is our hope that this book will be particularly helpful to those who serve on hospital ethics committees as they deliberate about appropriate action in difficult ethical cases.
Ethical issues are embedded in every clinical encounter between patients and clinicians. The technical and moral aspects of patient care are inseparable. The central feature of the clinical encounter is the therapeutic relationship between clinicians and patientsa relationship that is permeated with ethical responsibilities. Physicians enter the doctor-patient relationship with a professional identity that obliges them to give priority to the patients interests, to devote themselves to the competent care of the patient, to preserve confidentiality, and to communicate honestly and compassionately. Physicians must aim, in the words of Hippocrates, to help and do no harm, an admonition that is not as simple as it seems within the complexities of contemporary medical science and practice.
In the usual course of a therapeutic relationship, clinical care and ethical imperatives run smoothly together. The reason for this is that generally the patient and clinician share the same goal, namely, to resolve the medical problems and needs of the patient. For example, a patient presents with a distressing cough and wheezing and wants relief; a physician responds to the patient and utilizes the correct means to diagnose and treat. In this situation, the treatment for, say, a mild asthma attack, is effective and the patient is satisfied. In other cases, this simple scene becomes complicated. The patients wheezing may be caused by a tumor obstructing the airway. This disease may be life threatening; the treatment may be complex and may prove unsuccessful. On other occasions, the smooth course of the doctor-patient relationship may be interrupted by what we call an ethical question: a doubt about the right action when ethical responsibilities conflict or when their meaning is uncertain or confused. For example, the physicians duty to cure is countered by a patients refusal of indicated treatment, or the patients need for treatment cannot be met because of inability to pay. The principles that usually bring the clinician and the patient into a therapeutic relationship seem to collide. This collision blocks the process of deciding and acting required for clinical care. Sometimes, confusion and conflict can become extreme and distressing for all parties. This book aims to elucidate the ethical dimensions of clinical care when doubt about right action blocks decisions. In such cases, we attempt to formulate recommendations about how that doubt might be resolved.
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