Naujausi A B C D E F G H I J K L M N O P R S T V W Y Z
Autoriai: MARK H. WAYMACK, PH. D. AND GEORGE A TYLER, M. D.
Metai:
ISBN: 0-944496-01-6
Brūkšninis kodas: 4202173
Ieškoti VUB kataloge
Anotacija:
Readers of this volume will benefit from learning the complexities of decision making with patients and families, the principles of ethical reasoning, and the modern communication goals of doctor-patient relationships. In today's practice, learning about the patient's choices of care and treatment has a new importance alongside the traditional focus of the clinical method on getting information for accurate diagnosis. Besides eliciting complaints of bodily and emotional distress for diagnosis, medicine's discourse with patients must increasingly communicate about treatment in effect, about the values patients hold about dying, suffering, and wanting to know (or not) their hidden risks for disease. This volume takes the reader in these important directions.
Foreword vii
Preface xi
INTRODUCTION XIII
PART I. PATIENT-PROVIDER RELATIONSHIPS 1
1. The physician’s responsibilities in ethical decision making 3
2. The patient 22
A. Competence
B. Incompetence
C. Marginal competence
D. Non-compliance versus non-adherence
3. The family 52
4. The Health Care team 64
5. The institutional ethics committee 75
6. Research and the elderly 86
PART II. DECISION MAKING CONCERNING LEVELS OF INTERVENTION 99
7. Diagnostic intervention and compromise 101
8. Levels of treatment 113
9. The withholding of withdrawing of nutrition and hydration 130
10. Resuscitation 143
11. Suicide and euthanasia 156
PART III. DETERMINING THE APPROPRIATE LOCUS OF PATIENT CARE 169
12. The hospital 171
13. The long-term care facility 183
14. The home 194
PART IV. THE IMPACT OF REIMBURSEMENT POLICIES OF MEDICAL DECISION MAKING 207
15. ethics, reimbursement and decision making 209
GLOSSARY OF ETHICAL TERMS 225
Appendix I
The living will and durable power of attorney 231
Appendix II
Formulating limited treatment plans 243
Index 249
