Case Studies in Biomedical Ethics: Decision-Making, Principles, and Cases

Paperback | October 29, 2014

byRobert M. Veatch, Amy M. Haddad, Dan C. English

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The most comprehensive and up-to-date collection of its kind, Case Studies in Biomedical Ethics: Decision-Making, Principles, and Cases, Second Edition, explores fundamental ethical questions arising from real situations faced by health professionals, patients, and others.Featuring a wide range of more than 100 case studies drawn from current events, court cases, and physicians' experiences, the book is divided into three parts. Part 1 presents a basic framework for ethical decision-making in healthcare, while Part 2 explains the relevant ethical principles:beneficence and nonmaleficence, justice, respect for autonomy, veracity, fidelity, and avoidance of killing. Parts 1 and 2 provide students with the background to analyze the ethical dilemmas presented in Part 3, which features cases on a broad spectrum of issues including abortion, mental health,experimentation on humans, the right to refuse treatment, and much more. The volume is enhanced by opening text boxes in each chapter that cross-reference relevant cases in other chapters, an appendix of important ethical codes, and a glossary of key terms.

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The most comprehensive and up-to-date collection of its kind, Case Studies in Biomedical Ethics: Decision-Making, Principles, and Cases, Second Edition, explores fundamental ethical questions arising from real situations faced by health professionals, patients, and others.Featuring a wide range of more than 100 case studies drawn from ...

Robert M. Veatch, Ph.D., is Professor of Medical Ethics and a former director at the Kennedy Institute of Ethics, Georgetown University. Amy M. Haddad, Ph.D., is the Director of the Center for Health Policy and Ethics and the Dr. C.C. and Mabel L. Criss Endowed Chair in the Health Sciences at Creighton University. Dan C. English, M.D.,...

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Format:PaperbackDimensions:480 pages, 9.25 × 6.5 × 0.68 inPublished:October 29, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199946566

ISBN - 13:9780199946563

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Table of Contents

*=New to this EditionIntroduction: Four Questions of EthicsWhat Are the Source, Meaning, and Justification of Ethical Claims?- Distinguish between Evaluative Statements and Statements Presenting Non-evaluative Facts- Distinguish between Ethical and Nonethical Evaluations- Determine Who Ought to DecideWhat Kinds of Acts Are Right?- Consequentialism- Deontological or "Duty-Based" Ethics- Other Issues of Normative EthicsHow Do Rules Apply to Specific Situations?What Ought to Be Done in Specific Cases?PART 1: ETHICS AND VALUES IN MEDICAL CASES1. A Model for Ethical Problem-SolvingThe Five-Step ModelApplication of the Model2. Values in Health and IllnessIdentifying Value Judgments in MedicineSeparating Ethical and Other Evaluations3. What Is the Source of Moral Judgments?Grounding Ethics in the Professional CodeGrounding Ethics in the Physician's OrdersGrounding Ethics in Institutional PolicyGrounding Ethics in the Patient's ValuesGrounding Ethics in Religious or Philosophical PerspectivesPART 2: ETHICAL PRINCIPLES IN MEDICAL ETHICS4. Benefiting the Patient and Others: The Duty to Do Good and Avoid HarmBenefiting the Patient- Health in Conflict with Other Goods- Relating Benefits and Harms- Benefits of Rules and Benefits in Specific CasesBenefiting Society and Individuals Who Are Not Patients- Benefits to Society- Benefits to Specific Nonpatients- Benefit to the Profession- Benefit to the Health Professional and the Health Professional's Family5. Justice: The Allocation of Health ResourcesJustice among PatientsJustice between Patients and OthersJustice in Public PolicyJustice and Other Ethical Principles6. AutonomyDetermining Whether a Patient Is AutonomousExternal Constraints on AutonomyOverriding the Choices of Autonomous Persons7. Veracity: Honesty with PatientsThe Condition of DoubtLying in Order to Benefit- Protecting the Patient by Lying- Protecting the Welfare of OthersSpecial Cases of Truth-Telling- Patients Who Do Not Want to Be Told- Family Members Who Insist the Patient Not Be ToldThe Right of Access to Medical Records8. Fidelity: Promise-Keeping, Loyalty to Patients, and Impaired ProfessionalsThe Ethics of Promises: Explicit and ImplicitFidelity and Conflicts of InterestIncompetent and Dishonest Colleagues9. Avoidance of KillingActive Killing versus Letting DieWithholding versus Withdrawing TreatmentDirect versus Indirect KillingJustifiable Omissions: The Problem of Nutrition and HydrationVoluntary and Involuntary KillingKilling as PunishmentPART 3: SPECIAL PROBLEM AREAS10. Abortion, Sterilization, and ContraceptionAbortion- Abortion for Medical Problems of the Fetus- Abortion Following Sexual Assault- Abortion to Save the Life of the Pregnant Woman- Abortion and the Mentally Incapacitated Woman- Abortion for Socioeconomic ReasonsSterilizationContraception11. Genetics, Birth, and the Biological RevolutionGenetic CounselingGenetic ScreeningIn Vitro Fertilization and Surrogate MotherhoodPreimplantation DiagnosisGene Therapy12. Mental Health and Behavior ControlThe Concept of Mental HealthMental Illness and Autonomous BehaviorMental Illness and Third-Party InterestsOther Behavior-Controlling Therapies13. Confidentiality: Ethical Disclosure of Medical InformationBreaking Confidence to Benefit the PatientBreaking Confidence to Benefit OthersBreaking Confidence as Required by Law14. Organ TransplantsProcuring Organs- Donation versus Salvaging- * The Grounds for Pronouncing Death- Diseased and Poor-Quality Organs- Preserving the Organs of the Dying- Socially Directed Organ Donation- Living Donor/Deceased Donor Organ Swaps- Children and Incompetent Persons as Living Organ Sources- * Transplanting Faces and Hands: Vascular Composite AllograftsAllocating Organs- Maximizing Benefits and Distributing Organs Fairly- When Voluntary Risks Cause a Need for Organs- * Age and the Allocation of Organs- Multiple Organs and Special Priority for Special People15. Health Insurance, Health System Planning, and RationingThe Problem of Small, Incremental BenefitsLimits on Unproved TherapiesMarginally Beneficial, Expensive TherapyFunding Care that Patients Have RefusedPharmaceutical Manufacturers versus InsurersInsurance and the Uninsured- * The Affordable Care Act16. Experimentation on Human SubjectsCalculating Risks and BenefitsPrivacy and ConfidentialityEquity in ResearchConflicts of Interest in ResearchInformed Consent in Research17. Consent and the Right to Refuse TreatmentThe Elements of a ConsentThe Standards for ConsentComprehension and Voluntariness18. Death and DyingThe Definition of DeathCompetent and Formerly Competent PatientsNever Competent Patients- Never Competent Persons without Available Family- Never Competent Persons with Available FamilyFutile Care and Limits Based on the Interests of OthersAppendix: Codes of Ethics

Editorial Reviews

"Case Studies in Biomedical Ethics is extremely well written." --Robert V. Doyle, Loyola Marymount University