Naujausi A B C D E F G H I J K L M N O P R S T V W Y Z
Pavadinimas: ETHICS OF WITHDRAWAL OF LIFE-SUPPORT SYSTEMS CASE STUDIES ON DECISION MAKING IN INTENSIVE CARE
Autoriai: DOUGLAS N. WALTON
Metai:
ISBN: 0-275-92710-5
Brūkšninis kodas: 4036676
Ieškoti VUB kataloge
Anotacija:
Acknowledgments xi
Preface xiii
1. Ethical theories 3
Pluralism of ethical theories 5
Utilitarianism 7
Utilitarianism and justice 11
Problems with applying utilitarianism 13
The good will: Kant 16
Problems with applying kantianism 17
Natural law: Aquinas 18
Decisions and actions 21
Ethical dialogues 26
2. Site of the decision: The ICU 31
What is an intensive care unit? 33
Admission and discharge practices 34
Decisions to stop treatment: Are they necessary? 38
3. Review of recent cases 43
The Quinlan case 43
The Saikewicz case 45
The Fox case 48
Persistent vegetative states 51
The storar case 54
A case of family conflict 55
The Watkins case 59
4. Brain death and vegetative states 68
Medical criteria for brain death 70
How safe are these criteria? 72
Legislative proposals 76
The apallic syndrome 79
Tutioristic epistemology 81
Conclusions on brain death 84
The Dimitru case 85
The Kydon case 88
The Rosovsky case 92
Neocortical death 100
Persistent vegetative states reassailed 103
5. Patient decision making 107
Background to autonomy: Kant and Mill 108
Analysis of autonomy 111
Competence and resoluteness 113
The Devereau case 116
The Uemura csae 124
The Urban case 130
The Adams case 134
Autonomous decision making 141
6. Family decision making 144
Autonomy and proxy decisions 145
Family as decision makers 147
The Martin case 150
The Lewis case 156
The Eberle case 161
The Bruner case 167
Conclusion 172
7. Physician decision making 174
Cooperative decision making 175
Paternalism 177
Cases of neither family nor patient input 178
Judgment of irreversibility 180
The Atkins case 182
The Fletcher case 189
The Ostergaard case 192
The Kelly case 195
Basis of physician decision making 200
8. The decision-making process 203
Who should decide what? 203
Facts and values 206
Policy guidelines 208
The decision process as a game 211
9. Ethical principles and problems 216
Six arguments reviewed 216
Medical judgment 218
Extraordinary treatment 222
Stopping therapy and causing death 228
Active and passive 233
Conclusions 237
Appendix
General medical terms 243
Bibliography 245
Index 253
Autoriai: DOUGLAS N. WALTON
Metai:
ISBN: 0-275-92710-5
Brūkšninis kodas: 4036676
Ieškoti VUB kataloge
Anotacija:
An excelent exposition of a topic that is vital to clinicians, administrators, and planners who deal with the enormous ethical burdens of the allocation of scarse medical resources. Medical students and physicians are encouraged to read this book.
Acknowledgments xi
Preface xiii
1. Ethical theories 3
Pluralism of ethical theories 5
Utilitarianism 7
Utilitarianism and justice 11
Problems with applying utilitarianism 13
The good will: Kant 16
Problems with applying kantianism 17
Natural law: Aquinas 18
Decisions and actions 21
Ethical dialogues 26
2. Site of the decision: The ICU 31
What is an intensive care unit? 33
Admission and discharge practices 34
Decisions to stop treatment: Are they necessary? 38
3. Review of recent cases 43
The Quinlan case 43
The Saikewicz case 45
The Fox case 48
Persistent vegetative states 51
The storar case 54
A case of family conflict 55
The Watkins case 59
4. Brain death and vegetative states 68
Medical criteria for brain death 70
How safe are these criteria? 72
Legislative proposals 76
The apallic syndrome 79
Tutioristic epistemology 81
Conclusions on brain death 84
The Dimitru case 85
The Kydon case 88
The Rosovsky case 92
Neocortical death 100
Persistent vegetative states reassailed 103
5. Patient decision making 107
Background to autonomy: Kant and Mill 108
Analysis of autonomy 111
Competence and resoluteness 113
The Devereau case 116
The Uemura csae 124
The Urban case 130
The Adams case 134
Autonomous decision making 141
6. Family decision making 144
Autonomy and proxy decisions 145
Family as decision makers 147
The Martin case 150
The Lewis case 156
The Eberle case 161
The Bruner case 167
Conclusion 172
7. Physician decision making 174
Cooperative decision making 175
Paternalism 177
Cases of neither family nor patient input 178
Judgment of irreversibility 180
The Atkins case 182
The Fletcher case 189
The Ostergaard case 192
The Kelly case 195
Basis of physician decision making 200
8. The decision-making process 203
Who should decide what? 203
Facts and values 206
Policy guidelines 208
The decision process as a game 211
9. Ethical principles and problems 216
Six arguments reviewed 216
Medical judgment 218
Extraordinary treatment 222
Stopping therapy and causing death 228
Active and passive 233
Conclusions 237
Appendix
General medical terms 243
Bibliography 245
Index 253
