Ethics for International Medicine: A Practical Guide for Aid Workers in Developing Countries by Anji E. WallEthics for International Medicine: A Practical Guide for Aid Workers in Developing Countries by Anji E. Wall

Ethics for International Medicine: A Practical Guide for Aid Workers in Developing Countries

byAnji E. Wall

Paperback | June 12, 2012

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In recent years, international medicine has become a growth industry. International aid organizations, religious organizations, and medical schools all provide opportunities for health care workers to travel to developing countries to provide needed medical care to the world’s poorest citizens.

Ethics for International Medicine explores the many challenges faced by these medical aid workers from the West: They serve in settings with limited medical supplies, facilities, and personnel. Their patients speak different languages, have different cultures, and may even have different interpretations of disease. With limited time in which to provide medical care to hundreds of people or more, ethical dilemmas abound, and many health care practitioners, both novice and expert, are unprepared to manage them.

This volume uses a series of cases studies to provide medical aid workers with a method for identifying, analyzing, and resolving ethical issues within the context of international medicine. It is an invaluable tool for individuals and health organizations seeking to serve in developing countries throughout the world.
ANJI E. WALL, MD, PhD, is a resident in general surgery at Vanderbilt University. She earned her PhD in health care ethics at St. Louis University, with a focus on clinical ethics and international medicine. She has participated in international medical experiences in Guatemala and Jamaica.
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Title:Ethics for International Medicine: A Practical Guide for Aid Workers in Developing CountriesFormat:PaperbackDimensions:190 pages, 9 × 6.01 × 0.52 inPublished:June 12, 2012Publisher:Dartmouth College PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:161168210X

ISBN - 13:9781611682106

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Table of Contents

Acknowledgments
INTRODUCTION: Approaching Ethical Issues in International Medicine
International Medicine
The Context of International Medicine
What Is an Ethical Issue?
Approaching Ethical Issues
Applying the Approach
MEDICAL FACTS
Different Medical Conditions
Case 1.1: Vesico-Vaginal Fistula Repair Surgery - Language Differences
Case 1.2: Informed Consent for Tubal Ligation Surgery - Communication Barriers
Case 1.3: Fall from a Mango Tree - Different Medical Beliefs
Case 1.4: Sorcery and Tuberculosis -Traditional Healers
Case 1.5: Bush Thoracotomies
GOALS AND VALUES
Different Goals
Case 2.1: Aggressive Neonatal Resuscitation - Different Organizational Goals
Case 2.2: Research Participation - Conflicting Values among Stakeholders
Case 2.3: An Infant with Cholera - Conflicting Individual Values
Case 2.4: Evacuating a Dangerous Area - Competing Cultural Values
Case 2.5: Providing Supplies for Female Genital Mutilation
NORMS, Disagreements about Bioethical Norms
Case 3.1: Veracity and the Dying Patient - The Challenge of Justice
Case 3.2: A Young Boy with AIDS - Competing Professional Norms
Case 3.3: Medical Student Involvement - Different Professional Norms
Case
3.4: Rural Outreach Clinics - Different Legal Norms
Case 3.5: Amputation for Sharia Law
LIMITATIONS
Limited Resources
Case 4.1: Chronic Hypertension - Limited Access to Health Care
Case 4.2: Treating Tuberculosis - Limited Medical Personnel
Case 4.3: Protracted and Obstructed Labor - Limited Time
Case 4.4: Ear Camp - Multiple Limitations
Case 4.5:Postoperative Care for Cleft Lip and Palate Surgery
EPILOGUE
The Complexity of International Medicine
Practical Use of Case Methodology
Preparation and Reflection
A Note on Organizational Structure
The Promise of International Medicine
Notes
Bibliography
Index

Editorial Reviews

“Dr. Wall has given us an eminently readable, practical, and relevant guide to thinking ethically about international medical missions.”—Family Medicine