Medical ethics and professional conduct Books

Book Synopsis Ben Goldacre’s wise and witty bestseller, shortlisted for the Samuel Johnson Prize, lifts the lid on quack doctors, flaky statistics, scaremongering journalists and evil pharmaceutical corporations. Trade Review‘From an expert with a mail-order PhD to debunking the myths of homeopathy, Ben Goldacre talking the reader through some notable cases and shows how to you don’t need a science degree to spot “bad science” yourself.’ Independent (Book of the Year) ‘His book aims to teach us better, in the hope that one day we write less nonsense.’ Daily Telegraph (Book of the Year) ‘For sheer savagery, the illusion-destroying, joyous attack on the self-regarding, know-nothing orthodoxies of the modern middle classes, “Bad Science” can not be beaten. You’ll laugh your head off, then throw all those expensive health foods in the bin.’ Trevor Philips, Observer (Book of the Year) ‘Unmissable…laying about himself in a froth of entirely justified indignation, Goldacre slams the mountebanks and bullshitters who misuse science. Few escape: drug companies, self-styled nutritionists, deluded researchers and journalists all get thoroughly duffed up. It is enormously enjoyable.’ The Times (Book of the Year)

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Book SynopsisTrade ReviewMalignant is punchy and persuasive, and the author is clearly in command of his subject matter. Prasad offers valuable advice on how to keep up with research as well as the appropriate way to analyse clinical trial reports.—Talha K Burki, The Lancet HematologyAimed at general readers (including patients), oncology trainees and experts in health-care policy, it informs and disturbs throughout.—Andrew Robinson, NaturePatients should ask their oncologist how good the cure is: do I really live longer and better than doing "nothing"? Let them start by asking whether their doctor has read Prasad's book.—Zurich Weekly News Review[Malignant is] so applicable to the issues of the pandemic . . . Because what we're seeing is a research infrastructure that is not set up to do rapid evaluation, and to be resilient and to respond to a health crisis.—Marty Makary, MD, MPH, MedPage TodayTable of ContentsAcknowledgmentsIntroductionPart I. Cancer Drugs: The Outcomes They Improve and at What PriceChapter 1. The Basics of Cancer Drugs: Cost, Benefit, Value Chapter 2. Surrogate Endpoints in Cancer: What Are They and Where Are They Used? Chapter 3. The Use and Misuse of Surrogate Endpoints for Drug Approvals Chapter 4. How High Prices Harm Patients and SocietyPart II. Societal Forces That Distort Cancer MedicineChapter 5. Hype, Spin, and the Unbridled Enthusiasm That Distorts Cancer MedicineChapter 6. Financial Conflict of InterestChapter 7. The Harms of Financial Conflicts and How to Rehabilitate MedicineChapter 8. Will Precision Oncology Save Us?Part III. How to Interpret Cancer Evidence and TrialsChapter 9. Study Design 201Chapter 10. Principles of Oncology PracticeChapter 11. Important Trials in OncologyChapter 12. Global OncologyPart IV. SolutionsChapter 13. How Should Cancer Drug Development Proceed?Chapter 14. What Can Three Federal Agencies Do Tomorrow? Chapter 15. What Can People with Cancer Do?Chapter 16. What Can Students, Residents, and Fellows Do?Epilogue: The Hallmarks of Successful Cancer PolicyGlossary ReferencesIndex

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Book SynopsisAn explosive, deeply reported exposé of Johnson & Johnson, one of America?s oldest and most trusted pharmaceutical companies?from an award-winning investigative journalist?A page-turning drama that raises life-or-death questions about the world?s largest healthcare conglomerate.??Jonathan Eig, Pulitzer Prize?winning author of King: A LifeOne day in 2004, Gardiner Harris, a pharmaceutical reporter for The New York Times, was early for a flight and sat down at an airport bar. He struck up a conversation with the woman on the barstool next to him, who happened to be a drug sales rep for Johnson & Johnson. Her horrific story about unethical sales practices and the devastating impact they?d had on her family fundamentally changed the nature of how Harris would cover the company?and the entire pharmaceutical industry?for the Times. His subsequent investigations and ongoing research since that very first conversation led to this book?a blistering exposé of a trusted American institution and the largest healthcare conglomerate in the world.Harris takes us light-years away from the company?s image as the child-friendly ?baby company? as he uncovers reams of evidence showing decades of deceitful and dangerous corporate practices that have threatened the lives of millions. He covers multiple disasters: lies and cover-ups regarding the link of Johnson?s Baby Powder to cancer, the surprising dangers of Tylenol, a criminal campaign to sell antipsychotics that have cost countless lives, a popular drug used to support cancer patients that actually increases the risk that cancer tumors will grow, and deceptive marketing that accelerated opioid addictions through their product Duragesic (fentanyl) that rival even those of the Sacklers and Purdue Pharma.Filled with shocking and infuriating but utterly necessary revelations, No More Tears is a landmark work of investigative journalism that lays bare the deeply rooted corruption behind the image of babies bathing with a smile.

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Book SynopsisChildhood Onset Severe Neurological Impairment confronts the uncertain decisions resulting from the intersection between what is intended and what is possible, to achieve the best certainty that lessens decisional regret. Evidence-based and hypothesis-driven strategies are offered to improve health, while a framework covers when and how to reflect with parents and guardians, utilizing an iterative process.Specific circumstances include intractable symptoms, feeding intolerance, intestinal failure, and use of technology. Communication is a cornerstone of this book, with strategies offered throughout and for each specific problem. This book will reinforce and expand skills, while promoting resiliency for individuals and teams. It provides innovative tools from a combination of evidence and the author''s 27 years of experience. The content will inform research and quality improvement projects, advancing the quality of our care for children with severe neurological impairment and their families.

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Book SynopsisTrade ReviewEvery doctor should read this book.—JAMA Internal Medicine[A]n excellent and realistic discussion of some of the horror stories that occur in medical practice . . . The examples are quite interesting and certainly educational for all readers. Highly recommended.—ChoiceEnding Medical Reversal goes far in teaching medical students and practicing physicians alike how to learn on our own.—The LancetThis has to be on the reading list for medical and nursing students.—Nursing TimesEnding Medical Reversal presents persuasive evidence that many current standard-of-care treatments are probably ineffective or harmful, thoroughly explains how such treatments came to be accepted, and proposes a number of ways to address the general problem (only some of which involve avaricious companies and mercenary physicians) and minimize its impact on a specific patient.—Journal of Clinical Research Best PracticesDr. Prasad and Dr. Cifu offer a five-step plan, including pointers for determining if a given treatment is really able to do what you want it to do, and advice on finding a like-minded doctor who won't object to a certain amount of back-seat driving.—The New York TimesWhen I describe Ending Medical Reversal as revolutionary, I don't use the term lightly. Go out and read it—right now.—Common Sense Family DoctorShould be considered for undergraduate reading lists. Keep a copy in the pharmacy or your briefcase as a great icebreaker or discussion point with other local healthcare professionals.—The Pharmaceutical JournalTable of ContentsIntroductionPart IExamples, Frequency, and Consequences1. What Is Medical Reversal?2. Subjective OutcomesWhy Feeling Better Is Often Misleading3. Surrogate Outcomes4. Screening Tests5. Systems Failure6. Finding Flawed Therapies on Our Own7. The Frequency of Medical Reversal8. The Harms of Medical ReversalToday's Patients, Tomorrow's Patients, and the Health-Care FieldPart II9. A Primer on Evidence-Based MedicineWhat Is Evidence in Medicine?10. What Really Made You BetterWhen Evidence Gets ComplicatedPart III11. Scientific Progress, Revolution, and Medical Reversal12. Sources of Flawed Data13. Why Are We So Attracted to Flawed Therapies?Part IV14. Medical EducationA Very Good Place to Start15. Academic Medicine16. Reforming the SystemThe Burden of Proof and Nudging Our Way Past Reversal17. How Not to Become a Victim of Reversal18. Beyond DogmaWhen Randomized Trials Are UnnecessaryAcknowledgmentsAppendixReferencesIndex

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Book SynopsisGabriel Weston was born in 1970. She went to Edinburgh University to read English and from there to medical school in London. She graduated as a doctor in 2000 and became a Member of the Royal College of Surgeons in 2003. She now works as a part-time ENT surgeon. She lives in London with her husband and two children.Trade ReviewHard to imagine a better book, or a more original one...writes at least as well as many good novelists...funny, and honest, and beautifully done -- Claire TomalinHer wisdom, empathy, morality and self-awareness are very revealing... Her writing is as incisive, precise and clean as keyhole surgery * The Times *A beautiful, haunting and upsetting book. Weston's prose is cool and elegant * Sunday Telegraph *Direct Red is Gabriel Weston's memoir of the years she spent pursuing a surgical career... She examines these with an honesty that is both brave and uncomfortable * Guardian *What a terrific book. Gabriel Weston's voice is so seductive; her wisdom so fresh and earned, and unimpaired by sentimentality, and yet you sense her empathy - and scintillating honesty - behind every well-turned sentence. She leaves you feeling that if push came to shove you'd want to be operated on by her -- Nicholas Shakespeare * Daily Telegraph *

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Book SynopsisIn this book the basics of clinical leadership are provided with a practical approach on how to be an effective clinical leader and manager.Trade Review...doctors in training and early career GPs see leadership as crucial - not an "add on", but a necessity in their daily lives. It's great to see a handbook to support doctors with their learning and development on this topic. * The Big GP Consultation *...refreshing to see such a strong focus on equitable, compassionate and person-centred care. The need to recalibrate our healthcare system to ensure it delivers care that is convenient for patients, rather than providers is a key takeaway. * Rammina, Medical Doctor, Senior Lecturer in Clinical Leadership, Sheffield Hallam University *This book is relevant to clinicians at every level within health and social care. Whilst there are some aspects that are specific to doctors (job planning etc), many of the key learnings are relevant for all healthcare professionals. * Rammina, Medical Doctor, Senior Lecturer in Clinical Leadership, Sheffield Hallam University *For many of us our leadership skills have been shaped by hands on experience. This handbook helps to guide those emerging leaders with insights from those who have been through their own leadership journeys. * Qasim Malik, Junior Doctor, Clinical Education Fellow, University of Warwick *This book is a great introduction for aspiring medical leaders at all career stages and I commend it to you. * Dr Paul Evans, Medical Director, Faculty of Medical Leadership & Management (FMLM) *Table of Contents1: Introduction to leadership in healthcare 2: Management principles for clinical leadership 3: Leading for quality and safety 4: Leadership for improving outcomes 5: Leadership for person centred care 6: Methods and tools to implement change 7: Leadership for clinical education

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Book SynopsisThe essays inHow Not to Be a Doctorcombine erudition with humour, candour, and the human touch. They show how, in medicine, you cannot separate personal experiences from professional ones, in short stories and reflections that will inform and entertain readers on both ends of the stethoscope.Trade Review‘An all-round excellent book, which would appeal to a wide range of healthcare professionals and students… a light-hearted way of looking at serious subjects’ BMA Panel of Judges'Witty and wise. Shows how important it is that doctors are allowed to be human' Kit Wharton, author of Emergency Admissions: Memoirs of an Ambulance Driver'I raced through this book, laughing, nodding, highlighting and then read some favourite bits again. Every chapter has a gem of wisdom as well as being so very elegantly written and entertaining. I shall be recommending it to my fellow coaches as virtually all of it applies to us as much as to clinicians' Jenny Rogers, Co-Author of Coaching for Health‘This collection is warm, wise, generous, thoughtful and thought-provoking… imbued with a moving humanity which offers inspiration and reassurance in equal measure. The reflections and questions posed in these essays are infused with curiosity, rigour and compassion’ Dr. Deborah Bowman, MBE, BBC Broadcaster and Professor of Medical Ethics and Law‘Launer uses his voracious curiosity to sift wisdom from the ordinary events of a doctor’s life. Bursting with wonder and wisdom, this seductively readable book imparts courage and joy in equal measure’ Dr. Iona Heath, CBE. Former President, Royal College of General Practitioners and author of The Mystery of General Practice‘Genuine, patient-centred care in a world of evidence, guidelines, policy and directives can seem anything but straightforward: these essays show how it is possible. It should be top of the reading list for senior students and all doctors – and indeed for patients too. An essential read… It is a gem’ Dr. Fiona Moss, CBE, Dean of the Royal Society of Medicine‘Gets to the heart and soul of current medical practice. Written by a doctor, but incorporates life experience and wisdom, making it an easy, thought provoking read. A worthwhile resource for anyone currently in medical practice, or contemplating a career as a doctor’ Professor Jane Dacre, President of the Royal College of Physicians

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Book SynopsisAlongside practical advice on managing clinical and legal situations, the handbook provides concise examples, summaries of relevant legislation, and introductions to different ethical approaches and clinical observations. Uniquely focusing on the interface between psychiatry and law, this title is essential reading for the forensic psychiatrist.Trade ReviewReview from previous edition A careful reading of [Forensic Psychiatry's] content will enable the practitioner to progress unscathed through this minefield of conflicting paradigms and constructs. Encyclopaedic in its scope, thorough and fair-minded in its analysis, it sets the standard against which other texts in its field will be judged in the future. * Connor Duggan, Emeritus Professor of Forensic Mental Health, University of Nottingham *This is a wonderful book ... I wish it had been available when I started my training in forensic psychiatry ... every forensic psychiatry trainee (and many others besides) should own a copy. * Clare Oakley, Institute of Psychiatry, King’s College London, review in The Psychiatrist *This book is well-written, organized, informative, and was created for efficient use as a pocket guide. Although some of the information is limited to the UK and Ireland, there is plenty of knowledge for readers outside of these locations to learn about the field of forensic psychiatry. The book does this well without cluttering; it is easy to efficiently find and summarize information. The book is too large to fit truly in a pocket but small enough to easily carry around. * Andre Lars Lorenz, DO, St. Mary Mercy Hospital *Table of ContentsPart I: Introduction to the handbook 1: Introduction to the handbook Part II: Clinical forensic psychiatry 2: Clinical and social aspects of crime 3: Mental disorders in forensic psychiatry 4: Assessment in forensic psychiatry 5: Risk assessment 6: Treatment 7: Risk management 8: Forensic psychiatric services Part III: The ethics of forensic psychiatry 9: Ethical decision making 10: Professional duties and personal integrity 11: Conflicting ethical values 12: Clinical matters raising ethical issues Part IV: Law relevant to psychiatry 13: The interface between psychiatry and law 14: Legal systems 15: Criminal law 16: Mental health and mental capacity law 17: Civil law Part V: Psychiatry within the legal system 18: The criminal justice system 19: Legal tests relevant to psychiatry 20: The psychiatrist in court 21: Applied ethics and testimony 22: Providing reports 23: Giving evidence Part VI: Appendices A: Appendices

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Book Synopsisaeo Gadamer is one of the leading philosophers of the 20th Century. aeo This book brings together his reflections on health, illness and the art of healing.Trade Review"The Enigma of Health is a thoroughly wise book and should be compulsory reading for anyone with a direct or passing, professional or lay, interest in medicine and health-care. It is also an excellent introduction to the intricacies and subtleties of Gadamer's thought." Milltown Studies "Anyone interested in Gadamer, and anyone seeking quotable quotes from a famous and influential philosopher who is sceptical of the claims of modernism in medicine, would do well to peruse this book." Medical History "There is much of interest ... Gadamer has written wide-ranging essays which will generate reflection ... thought provoking." HealthTable of ContentsPreface. 1. Theory, Technology, Praxis. 2. Apologia for the Art of Healing. 3. The Problem of Intelligence. 4. The Experience of Death. 5. Bodily Experience and the Limits of Objectificaton. 6. Between Nature and Art. 7. Philosophy and Practical Medicine. 8. On the Enigmatic Character of Health. 9. Authority and Critical Freedom. 10. Treatment and Dialogue. 11. Life and Soul. 12. Anxiety and Anxieties. 13. Hermeneutics and Psychiatry. Index.

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Book SynopsisA dark and compulsive medical thriller written by a doctor who has seen it all, perfect for fans of Don't Wake Up and Tess Gerritsen. 'A suspenseful and frightening thriller' Lynda La PlanteRenowned surgeon Michael Trenchard locks his office door and prepares for a relaxing evening. But what follows is a living nightmare when later he is discovered in a locked-in coma, the victim of an auto-erotic asphyxiation. It is left to Doctor Kash Devan, Trenchard's young protégé, to uncover the truth. And what he discovers is chilling . . . In his ruthless pursuit of wealth and success, Trenchard has left a trail of wrecked lives, and angry people, behind him. Which of Trenchard's victims hated him so much that they wanted to ruin not only his reputation, but his life as well?Not all doctors are heroes . . . Trade ReviewThe end, when it finally comes, is unexpected to say the least and if you think you have sussed out who set-up the good Consultant, or indeed why, then you still won't guess the ending... A good one for Summer holiday reading and whilst also praying that you never, ever get admitted to the hospital where this thriller is set * SHOTS Magazine *This is an immensely engrossing read, yes there's a lot of medical jargon, but it's all explained in layman's terms, the characters are all so well developed thanks to Hugh Montgomery's writing, it has a sense of reality and no small amount of tension. The ending is marvelously shocking and yet understandable...if you like House or Grey's anatomy you are going to love this * Orlando Book Blog *There were lots of characters who had reasons to hate Trenchard and several red-herrings thrown in to keep the reader on their toes and once again, I didn't work out what happened until the reveal. A great medical thriller which I would recommend * Compulsive Readers *But it is a novel with a solid foundation in authenticity and impeccable knowledge. There is an well drawn sense of place and it's setting is vivid in the mind's eye. The addition to detail is apparent from the start and it grounds the events in an uncomfortable reality, which makes its unfolding events even more chilling. With a well paced plot and believable dialogue, this is a snappy and intriguing thriller that will keep you guessing right up to the last sentence. * Book Bound Blog *

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Book SynopsisThis is your source for authoritative and comprehensive guidance from the British Medical Association (BMA) Medical Ethics Department covering both routine and highly contentious medico-legal issues faced by health care professionals. The new edition updates the information from both the legal and ethical perspectives and reflects developments surrounding The Mental Capacity Act, Human Tissue Act, and revision of the Human Fertilisation and Embryology Act.Table of ContentsList of statues and regulations. List of cases. Where to find legal cases online. Medical Ethics Committee. Acknowledgements. Preface to the third edition. Introduction: Bridging the gap between theory and practice: the BMA’s approach to medical ethics. 1: The doctor-patient relationship. 2: Consent, choice and refusal: adults with capacity. 3: Treating adults who lack capacity. 4: Children and young people. 5: Confidentiality. 6: Health records. 7: Contraception, abortion, and birth. 8: Assisted reproduction. 9: Genetics. 10: Caring for patients at the end of life. 11: Euthanasia and physician assisted suicide. 12: Responsibilities after a patient’s death. 13: Prescribing and administering medication. Chapter 14: Research and innovative treatment. 15: Emergency situations. 16: Doctors with dual obligations. 17: Providing treatment and care in detention settings. 18: Education and training. 19: Teamwork, referral, delegation and shared care. 20: Public health dimensions of medical practice. 21: Reducing risk, clinical error, and poor performance. AppendixA: Hippocratic Oath. Appendix B: Declaration of Geneva. Appendix C: Declaration of a new doctor, as devised by Imperial College School of Medicine graduating year of 2001. Index.

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Book SynopsisPresents a balanced examination of ethical and legal principles and issues, which provides information for radiography, ultrasound, nuclear medicine, and radiation professionals. This book aims to provide an approach that leads to a more successful style of personal risk management. It contains learning activities and event discussions.Table of Contents1. Ethical and Legal Foundations 2. Principles of Beneficence and Nonmaleficence 3. Caring and Communication 4. Patient Autonomy and Informed Consent 5. Truthfulness and Confidentiality 6. Death and Dying 7. Health Care Distribution 8. Student and Employee Rights 9. Diversity 10. Overview of Future Challenges Appendix A: Code of Ethics Appendix B: Sample Documentation Forms Answers to Chapter Review Questions Index

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Book Synopsis"The Rebirth of the Clinic" begins with a bold assertion: the doctor-patient relationship is sick. Fortunately, as this engrossing book demonstrates, the damage is not irreparable. Today, patients voice their desires to be seen not just as bodies, but as whole people. Though not willing to give up scientific progress and all it has to offer, they sense the need for more. Patients want a form of medicine that can heal them in body and soul. This movement is reflected in medical school curricula, in which courses in spirituality and health care are taught alongside anatomy and physiology. But how can health care workers translate these concepts into practice? And how can they strike an appropriate balance, integrating and affirming spirituality without abandoning centuries of science or unwittingly adopting pseudoscience? Physician and philosopher Daniel Sulmasy is uniquely qualified to guide readers through this terrain. At the outset of this accessible, engaging volume, he explores the nature of illness and healing, focusing on health care's rich history as a spiritual practice and on the human dignity of the patient. Combining sound theological reflection with doses of healthy skepticism, he goes on to describe empirical research on the effects of spirituality on health, including scientific studies of the healing power of prayer, emphasizing that there are reasons beyond even promising research data to attend to the souls of patients. Finally, Sulmasy devotes special attention and compassion to the care of people at the end of life, incorporating the stories of several of his patients. Throughout, the author never strays from the theme that, for physicians, attending to the spiritual needs of patients should not be a moral option, but a moral obligation. This book is an essential resource for scholars and students of medicine and medical ethics and especially medical students and health care professionals.Trade ReviewAn insightful resource, obviously the product of intensive study, rigorous analysis, personal experience, and prayerful reflection... There is no question that any health care professional would benefit greatly from reading The Rebirth of the Clinic. Health Progress The Rebirth of the Clinic is a highly worthwhile collection ... Sulmasy's book is an eloquent call for medical practice as focused on relationships as one disease, with whole lives as much as isolated symptoms. It is a passionate call to embrace religion and spirituality as more than means to therapeutic ends... This book is vital reading for anyone interested in spirituality, health care, and the continuing presence of the sacred in the midst of the clinic. Sulmasy's work may not transform the American health care system, but it will inspire readers to think carefully about these issues. American Journal of BioethicsTable of ContentsAcknowledgements Introduction Part I. Rebirth in the Clinic 1. Why Surgeons Must be Very Careful 2. Is Health Care a Spiritual Practice? 3. Dignity, Vulnerability, and the Personhood of the Patient 4. The Wisdom of Ben Sira 5. The Dialectic of Healing 6. Taking Physicians' Oaths Seriously Part II. The Book of Numbers: Empirical Research on Spirituality and Healing7. What the Data Cannot Mean 8. A Biopsychosocial-Spiritual Model of Health Care 9. Scientific Studies of the Healing Power of Prayer 10. Is There a Moral Obligation to Address the Spiritual Needs of Patients? Part III. At the Threshold of Death11. On Praying for a Cure 12. Healing the Dying 13. At Wit's End 14. Peg Postscript: Is There Life After the Clinic? Index

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Book SynopsisThe timeless human desire to be more beautiful, intelligent, healthy, athletic, or young has given rise in our time to technologies of human enhancement. Athletes use drugs to increase their strength or stamina; cosmetic surgery is widely used to improve physical appearance; millions of men take drugs like Viagra to enhance sexual performance. And today researchers are exploring technologies such as cell regeneration and implantable devices that interact directly with the brain. Some condemn these developments as a new kind of cheating -- not just in sports but in life itself -- promising rewards without effort and depriving us most of all of what it means to be authentic human beings. "Transhumanists," on the other hand, reject what they see as a rationalizing of human limits, as if being human means being content forever with underachieving bodies and brains. To be human, they insist, is to be restless with possibilities, always eager to transcend biological limits. As the debate grows in urgency, how should theology respond? Christian theologians recognize truth on both sides of the argument, pointing out how the yearnings of the transhumanists -- if not their technological methods -- find deep affinities in Christian belief. In this volume, Ronald Cole-Turner has joined seasoned scholars and younger, emerging voices together to bring fresh insight into the technologies that are already reshaping the future of Christian life and hope.Trade ReviewA deeply engaging and critical guide to competing arguments about being human within the contemporary context. -- Peder Jothen, St. Olaf College Religious Studies Review The diversity and quality of these contributions make the volume useful for those interested in the intersection of theological ethics and transhumanist ideals. Choice This volume is an important call to a mutual dialogue between Christians and transhumanists. Medicine, Health Care and PhilosophyTable of Contents1. Introduction: The Transhumanist ChallengeRonald Cole-Turner 2. Contextualizing a Christian Perspective on Transcendence and Human Enhancement: Francis Bacon, N. F. Fedorov, and Pierre Teilhard de ChardinMichael S. Burdett3. Transformation and the End of Enhancement: Insights from Pierre Teilhard de ChardinDavid Grumett 4. Dignity and Enhancement in the Holy CityKaren Lebacqz 5. Progress and Provolution: Will Transhumanism Leave Sin Behind?Ted Peters6. The Hopeful CyborgStephen Garner7. Artificial Wombs and Cyborg Births: Postgenderism and TheologyJ. Jeanine Thweatt-Bates8. Taking Leave of the Animal? The Theological and Ethical Implications of Transhuman ProjectsCelia Deane-Drummond9. Chasing Methuselah: Transhumanism and Christian Theosis in Critical PerspectiveTodd T. W. Daly10. Human or Vulcan? Theological Consideration of Emotional Control EnhancementMichael L. Spezio11. Whose Salvation? Which Eschatology? Transhumanism and Christianity as Contending Salvific ReligionsBrent Waters12. Transcendence, Technological Enhancement, and Christian TheologyGerald McKenny13. Transhumanism and ChristianityRonald Cole-TurnerContributors Index

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Book SynopsisIntracerebral interventions raise particular ethical issues. For instance, attempts at replacing lost or altered brain cells with the help of stem cells or the therapeutic application of Deep Brain Stimulation would have morally relevant implications. Many medically relevant questions and ethical concerns need to be clarified before these intracerebral interventions can become routine procedure: If the brain is conceived as the carrier of an individual's personality or of the self then operations on the brain can be seen as intrusions upon one's personality. The book addresses historical, philosophical, social and legal implications of these new developments in the neurosciences and aims at resolving some of the dilemmas that go hand in hand with "implanted minds".

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Book Synopsis'Thrilling... The “dizzying” story of heart surgery is every bit as important as that of the nuclear, computer or rocket ages. And now it has been given the history it deserves' James McConnachie, Sunday TimesFor thousands of years the human heart remained the deepest of mysteries; both home to the soul and an organ too complex to touch, let alone operate on. Then, in the late nineteenth century, medics began going where no one had dared go before. In eleven landmark operations, Thomas Morris tells us stories of triumph, reckless bravery, swaggering arrogance, jealousy and rivalry, and incredible ingenuity, from the trail-blazing ‘blue baby’ procedure to the first human heart transplant. The Matter of the Heart gives us a view over the surgeon’s shoulder, showing us the heart’s inner workings and failings. It describes both a human story and a history of risk-taking that has ultimately saved millions of lives.Trade ReviewThrilling ... Significant and often immersive… The “dizzying” story of heart surgery is every bit as important as that of the nuclear, computer or rocket ages. And now it has been given the history it deserves -- James McConnachie * Sunday Times *The research that has gone into this book is simply staggering, and Morris has achieved much more than a history of heart operations… It is a study of human beings driven by Olympian ambition and bottomless curiosity. It is, in the end, a book about wonder. And a wonderful book. -- Frances Wilson * Daily Telegraph, 5 stars ***** *Gripping... The Matter of the Heart details the breathtaking advances that have been made in the past 100 years. -- John Crace * Guardian *Thomas Morris has written not a history of medical ideas about the heart, but a history of heart surgery... The stories come quickly: fluent, wry, admiring ... Morris has made something unique: a history less of people than of procedures, but lively, enthusiastic and brimming with detail ... anything but boring. -- Gavin Francis * New Statesman *I recommend the book to all who are fascinated by the medical world...a thoroughly engaging history. * Wall Street Journal *Fascinating and compelling... There are also remarkable tales of survival against the odds perseverance, ingenuity and awe-inspiring feats... Morris deftly constructs an engaging narrative that covers a vast range of material -- Manjit Kumar * Literary Review *With the cut and thrust of cardiac surgery now demystified, we forget that venturing into the thoracic cavity once seemed as daunting as polar exploration. Or more so: as Thomas Morris reveals in this stirring chronicle, even touching a beating heart was long viewed as impossible… Told through 11 pivotal operations, it's a tale of ingenuity... It's rich, too, in alarming details — not least, the injections of strychnine and whisky that featured in early surgery -- Barbara Kiser * Nature *Thomas Morris does for the history of cardiac surgery what The Right Stuff and Hidden Figures did for the space race... The book is - appropriately - pulse-thumpingly gripping and will be enjoyed by anyone who, in any sense of the phrase, has a heart. -- Mark LawsonTremendous. An exhilarating sweep through ancient history and contemporary practice in surgery of the heart. It’s rich in extraordinary detail and stories that will amaze you. A wonderful book. -- Melvyn BraggStanding outside this precious and pressured world, Morris provides an even-handed and honest survey of the pioneers and their breakthroughs… intelligent -- Wendy Moore * The Times *

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Book SynopsisHow can dedicated health care ethics committees increase their effectiveness and demonstrate their value as essential moral resources for their organizations?Among the most effective and increasingly valued resources in the health care decision-making process is the institutional ethics committee. The Joint Commission (TJC) accredits and certifies more than 19,000 health care organizations in the United States, including hospitals, nursing homes, and home care agencies. As a condition of accreditation, TJC requires health care organizations to have available a standing multidisciplinary ethics committee, composed of physicians, nurses, attorneys, ethicists, administrators, and interested lay citizens. Many of these committees are well meaning but may lack the information, experience, skills, and formal background in bioethics needed to effectively address the range and complexity of the ethical issues that arise in clinical and organizational settings. Handbook for Health Care EthicsTable of ContentsPrefaceAcknowledgmentsPart I. Curriculum for Ethics Committees1. Ethical Foundations of Clinical Practice2. Decision Making and Decisional Capacity in Adults3. Informed Consent and Refusal4. Truth Telling: Disclosure, Privacy, and Confidentiality5. Special Decision-Making Concerns of Minors6. Ethical Issues in Reproduction7. Special Decision-Making Concerns of the Elderly8. Ethical Issues in the Care of Disabled Persons9. End-of-Life Issues10. Palliation11. Justice, Health, and Access to Health Care12. Organizational Ethics13. Ethics Committees and Research, by Julia KolakII. The Creation, Nature, and Functioning of Ethics Committees14. Profile of Ethics Committees15. Clinical Ethics Consultation16. Ethics Education17. Sample Clinical Cases18. Sample Policies and ProceduresIII. Organizational Codes of EthicsIV. Key Legal Cases, Legislation, and State ActionV. An Ethics Committee MeetingEpilogue: Ethics in the Context of a Global PandemicIndex

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Book SynopsisWhen the new HIPAA privacy rules regarding the release of health information took effect, medical historians suddenly faced a raft of new ethical and legal challenges - even in cases where their subjects had died years, or even a century, earlier. In Privacy and the Past, medical historian Susan C. Lawrence explores the impact of these new privacy rules.Trade Review"With sound scholarship, and a clear, accessible writing style, Privacy and the Past serves as a critical analysis, an important piece of advocacy, and a practical field guide." -- Scott Podolsky * director, Center for the History of Medicine, Francis A. Countway Library of Medicine *“'HIPPA' is a word historians have come to hate, and in this timely and provocative book, Susan Lawrence explains why. This book is a must read for anyone interested in promoting a more bottom-up, patient-centered view of the history of medicine, disease, and social welfare." -- Nancy Tomes * SUNY Distinguished Professor of History, Stony Brook University *Table of Contents Acknowledgments1 Introduction: The Historians, the County and the Dead2 Research, Privacy and Federal Regulations3 Historians, the First Amendment and Invasion of Privacy4 Archivists at the Gates5 Managing Privacy: Historians at Work6 Conclusion: Resistance Notes Bibliography Index

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Book SynopsisThe rapid development of reproductive technologies has questioned many essential concepts belonging to our symbolic universe, such as human reproduction, motherhood and fatherhood; the transmission of the biological and cultural inheritance of mankind and the constitution of the psychic subject. These concepts, however, are supported by ideologies and value systems which hide that they are but theoretical constructions; consequently, they are taken as describing the "natural" function of reproduction. In this sense, the technological development takes the form of an increasing medicalization of the human body, of the life, sexuality and desire of people, especially of women. All this requires that we think critically about the conditions of possibility of these technologies and their psychological and ethical implications. In this book the author provides a detailed and rigorous analysis which locates the reproductive technologies in the historical context of the progressive technification of the management of human life, and their relation to the social and medical discourses on femininity, maternity and infertility. From a psychoanalytic point of view, culture and its discontents, violence, domination, are related intimately to the problematic character of sexuality, which includes the uncertainties of our desires. Social, medical, anthropological and literary discourses try to define "maternal desire" in order to control it: the definitions which capture it in their nets are means to dominate desire as an object and to "construct" the desiring subject. But psychoanalysis (through the associations of the subjects in question) shows that we face here an impossible question: one thing is the enunciated "demand", what is said about one's own desire ("I want a child"), and a very different one is the unconscious desire which disturbs the conscious discourse and shows that there can be psychological obstacles that interfere with the accomplishment of conscious wishes, conflicts and contradictions emerging through the women's words. In this book, the circulation of representations between the individual imaginary and collective myths is the basis of a multidisciplinary complex and original point of view, which confronts a variety of discourses arising from psychoanalysis, medicine, journalism, ethnology, mythology and literature.

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Book SynopsisHealth is weird. Health is weird in a way that resists simple explanations or elegant theorizing. This book is a philosophical explanation of that weirdness, and an argument that grappling with the distinctive weirdness of health can give us insight into how we might approach difficult questions about social reality.Table of ContentsForward Introduction 1: Theories of Health 2: Health and Wellbeing 3: Health, Subjectivity, and Capability 4: Health and Disability 5: Ameliorative Skepticism and the Nature of Health 6: Ameliorative Skepticism, Shifting Standards, and the Measure of Health Afterward Bibliography

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Book SynopsisPresuming readers start with no background in philosophy, this enhanced introduction to bioethics first provides balanced, philosophically based coverage of moral reasoning, moral theories, and the law. It then leads the newly equipped reader to explore a range of important ethical issues in health care and biomedical research.Engaging Bioethics, Second Edition is designed for undergraduates throughout the humanities and social sciences as well as for healthcare professionals-in-training, including students in medical school, pre-medicine, nursing, public health, and those studying to assist physicians in various capacities. Along with coverage of standard bioethical issuessuch as vaccination, access to health care, new reproductive technologies, genetics, research on human and animal subjects, abortion, medical confidentiality, and disclosureit now addresses ethical aspects of the Covid-19 pandemic, the US Supreme Court's Dobbs v Jackson decision, use of CRISPRTrade Review"Seay and Nuccetelli have done an admirable job at distilling and making accessible a large body of medical information, complex case law, and philosophical ethics. Their text makes the project of developing competence and understanding in bioethics a lot less daunting, without simplifying the philosophical and scientific issues. The book is organized so that instructors can easily design a course around a subset of the topics covered, and its teaching and learning resources are outstanding. This is the best bioethics textbook I am aware of, for students and teachers alike."Brandon Cooke, Professor & Chair (Philosophy), Minnesota State University, Mankato"This is a concise introduction to bioethics that covers a lot of ground. The chapters are sufficiently self-contained so that the text can be adapted to different course designs, and the boxes and figures throughout are helpful learning aids. Important cases are discussed but don’t dominate the discussion, so the emphasis remains on the philosophical arguments and issues."William A. Bauer, North Carolina State University"Seay and Nuccetelli offer a refreshing and bold approach to bioethics that confronts readers directly, requiring them to intimately wrestle with the most pressing issues through numerous case studies and a nuanced analysis of the core concepts and principles. The authors strike a delicate balance between accessibility and depth, with the results being a text that is eminently readable. This is not easy material, but the authors have created a text open to readers with little or no philosophical background without sacrificing the complexity found in these important discussions. They also offer an expansive and up-to-date sourcebook to find primary sources online in the companion website."Scott O’Leary, University of Saint MaryTable of Contents1. From Vaccination Ethics to Bioethics and Ethics 2. The Tools of Ethical Inquiry 3. Philosophical Accounts of Morality 4. Principle-Oriented and Case-Oriented Bioethics 5. Managing Personal Medical Information 6. Consent with Competence and Without 7. Death and Dying 8. When Life Supports Are Futile or Refused 9. Medically Assisted Death 10. End-of-Life Measures for Severely Compromised Newborns 11. Morality and the Law in the Typical Case of Abortion 12. Morality and the Law in Hard Cases of Abortion 13. New Reproductive Technologies 14. The Genetic Revolution 15. Biomedical Research on Animals 16. Biomedical Research on Humans 17. Justice in Health Care

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Book SynopsisThe history, philosophy, ethics, and science behind the placebo and nocebo effects. Placebos are the most widely used treatments in the history of medicine. Thousands of studies show that they can be effective and make us happier and healthier. Yet confusion about what placebos are and how to measure their effects prevents some doctors from using them to help patients. Meanwhile, damage caused by the nocebo effectthe negative effect of expecting something badis not widely recognized. In The Power of Placebos, Jeremy Howick provides an interdisciplinary perspective on placebos and nocebos based on more than twenty years of research and data from over 300,000 patients. This book, the culmination of that research, offers practical ways for researchers, policymakers, and doctors to put placebo and nocebo research into practice to improve health outcomes. In addition to providing an overview of placebos and nocebos and explaining how belief systems and context can create physiological eTable of ContentsAcknowledgmentsChapter 1. A Manifesto for the Next Revolution in Nocebo and Placebo StudiesPart I. The Troubled Story of Placebos and NocebosChapter 2. Please Me, Please: Placebos and Nocebos in PracticeChapter 3. Placebo Components and Meaningful Contexts: What Makes Inert Things EffectiveChapter 4. It Depends: The Relativity of Placebos and Nocebos in Clinical TrialsPart II. How Big are Placebo and Nocebo Effects?Chapter 5. How (Not) to Measure Nocebo and Placebo EffectsChapter 6. Missing the Forest for the Trees: Incomplete Stories about the Inner Workings of PlacebosChapter 7: Placebo and Nocebo Effects Don't Add UpChapter 8: Blinding: Stopping People from Peeking through MasksPart III. Why Every Doctor Needs to Be a Shaman and Why Placebo Controls Need to be ControlledChapter 9. The Ethical Requirement to Prescribe More Placebos and Avoid Nocebo Effects in PracticeChapter 10. Fewer Placebos and Nocebos in Trials: A Plea to Return to the Original Declaration of HelsinkiChapter 11. Public Health, Surgery, and Alternative Medicine: Special TopicsChapter 12. The Next Placebo Revolution: Helping DadAppendices1. Adolf Grünbaum's Model and a Reply to Its Critics2. Binary Outcomes May Underestimate Placebo Effects3. Additivity versus Interaction: A Formalization4. Balanced Placebo Design5. The Nocebo Effect as a Smokescreen in the Great Statin Debate6. The Many Faces of Blinding: Clarifying the Terminology7. An Open Letter to the World Medical Association8. More on Noninferiority TrialsReferencesIndex

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Book SynopsisBOOK OF THE YEAR IN THE SPECTATOR AND THE TIMES'Fascinating.... Deeply disturbing... Brilliant' Sunday Times'Powerful and moving.' Louis TherouxMeet Adam. He's twenty-seven years old, articulate and attractive. He also wants to die. Should he be helped? And by whom?In The Inevitable, award-winning journalist Katie Engelhart explores one of our most abiding taboos: assisted dying. From Avril, the 80-year-old British woman illegally importing pentobarbital, to the Australian doctor dispensing suicide manuals online, Engelhart travels the world to hear the stories of those on the quest for a 'good death'.At once intensely troubling and profoundly moving, The Inevitable interrogates our most uncomfortable moral questions. Should a young woman facing imminent paralysis be allowed to end her life with a doctor's help? Should we be free to die painlessly before dementia takes our mind? Or to choose death over old age? A deeply reported portrait of everyday people struggling to make impossible decisions, The Inevitable sheds crucial light on what it means to flourish, live and die.Trade ReviewThere's plenty of compassion, plenty of nuance and plenty of complex thought. Engelhart is a skilled storyteller... Her brilliant book should be prescribed to all those who think they have a clear view [on the right to die]. * Sunday Times *Powerful and moving. Engelhart recounts the stories of those she meets with humanity and grace. * Louis Theroux, bestselling author of Gotta Get Theroux This *Deeply researched and beautifully reported... [Engelhart] writes compassionately of her subjects' struggles. * The Economist *A brilliantly sensitive and deeply moving account of assisted dying. * Stephen Westaby, Sunday Times bestselling author of Fragile Lives *Table of Contents0: Introduction 1: Modern Medicine 2: Age 3: Body 4: Memory 5: Mind 6: Freedom 7: The End

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Book SynopsisPocket sized and practical, this handbook is the ideal guide to support frontline staff and trainees, as well as all allied professionals in the name of patient safety. It will aim to demystify what is often seen as a complex topic, helping doctors understand the methods needed to provide safe care.Table of ContentsPart 1 Introduction to science and theory of patient safety 1: Peter Lachman & John Fitzsimons: The Rationale and science of Patient Safety 2: Ahmeda Ali & John Fitzsimons: The Culture and system of Patient Safety 3: Blair L. Sadler & Peter Lachman: Transparent Leadership for safety 4: John Brennan, Eugene Nelson, Sibylle Erdmann & Margaret Murphy: Codesigning for Safety and Patients Leading for Safety 5: James F O'Mahony: The Economics of Patient Safety 6: Patricia O'Connor: Developing a Safe Clinical Team 7: David Crosby & Peter Lachman: Communicating to be Safe 8: Eoin Fitzgerald & Peter Lachman: Situation Awareness and patient safety 9: Thomas Jun & Sue Hignett: Practical Application of Human Factors and ergonomics to Improve Safety 10: Uma Kotagal & Peter Lachman: Reliability Theory and its application in daily work and standardisation 11: Kate Churruca, Robyn Clay-Williams, Janet C Long, Louise A Ellis & Jeffrey Braithwaite: Resilience Theory, Complexity Science and Safety 2 Part 2 Practical application and methodologies of patient safety 12: Jason Leitch & Thomas Lamont: Measuring Patient Safety at a System, Organisation and National Level 13: Jane Runnacles & John Fitzsimons: How to Measure Patient Safety on the Front Line 14: Peter Lachman, Susanne O'Reilly, Michael Marx and John Brennan: Improving to be Safe 15: Adrian Plunkett: Learning from Success to be safer 16: Kevin Stewart & Rachel Pool: Investigating and learning from Adverse Events 17: Mark O'Brien & Pallavi Bradshaw: Open Disclosure 18: Kris Vanhaecht: Caring for the Caregivers - The Second Victim Part 3 Translating theory to clinical practice 19: Christopher Cornue: Safety and information technology 20: Frank Frederico: Enabling Medication Safety 21: James Hoffman & Kristen Hughes: Paediatric medication safety 22: Rob Cunney: Preventing and Decreasing Infections 23: Rob Cunney: Sepsis and Antimicrobial stewardship 24: Anita Jayadev, Karen Britton & Shefal Patel:: Detecting and Limiting Deterioration 25: Tricia Woodhead and Gail Nielsen: Preventing and Limiting Diagnostic Error 26: John Brennan: Safety in Primary Care and General Practice 27: Damian Roland & Jay Banerjee: Safety in the Emergency Department 28: Anita Jayadev & Sean Harding: Safety in Outpatients and Ambulatory Care 29: Rob Bethune: Safety in the operating theatre 30: Jane Runnacles: Safety in Paediatrics and Child Health 31: David Crosby: Safety in Maternity and Women's Health 32: Daniel Hayes: Safety in Mental Health 33: Kevin Rooney & Suying Ong: Safety in Intensive Care 34: Kirstyn James: Safety in Patients with Frailty and Complex Long-Term Conditions 35: Kieran Murray & Michael Marx: Safety in a multi-disciplinary team 36: Kevin O'Hare: Safety in the laboratory 37: Riccardo Trataglia, Micaela La Regina and Peter Lachman: Safety in a pandemic

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Book SynopsisThe definitive guide to the legal and ethical issues around medical and surgical practice. It is written with the busy clinician in mind who requires the key information presented without technical jargon in a handy quick-reference style.Trade Reviewthis book makes an impressive contribution to medical education ... it is easy to read and understand and highly relevant to modern clinical practice * Dr Harry Brown, Glycosmedia *"...such an interesting and useful handbook of medical ethics and law - straightforwardly written and helpfully combining ethical and legal reasoning with advice and at least some legal obligations for clinicians practising under English law - analysis and advice worth considering even by doctors practising elsewhere" * Raanan Gillon, Emeritus Professor of Medical Ethics, Imperial College London; Past President, British Medical Association; Honorary President, Institute of Medical Ethics; Former Editor, Journal of Medical Ethics *Table of ContentsPart 1: Ethics 1: Introduction to Ethics 2: The Virtuous Doctor 3: Consequentialism 4: Deontology 5: The Four Principles 6: Care Ethics 7: Moral Relativism and Subjectivism 8: Critical Reasoning Part 2: Law 9: Introduction to the Legal System 10: Key Articles of Law 11: Court 12: Law within Medical Practice 13: Negligence 14: Other Issues of Liability Part 3: Generic legal and ethical issues 15: Resource allocation 16: Candour and Confidentiality 17: Issues in the Doctor-Patient Relationship 18: Issues in Death and Dying 19: Doctors and the General Medical Council ('GMC') 20: Medical Research 21: Medical Education Part 4: Ethico-legal issues by medical specialism 22: Ethico-legal issues by medical specialism A-M 23: Ethico-legal issues by medical specialism N-V Part 5: Statutory Provisions 24: Abortion Act 1967 25: Female Genital Mutilation Act 2003 26: Gender Recognition Act 2004 27: Human Fertilisation and Embryology Act 1990 28: Human Rights Act 1998 (European Convention on Human Rights) 29: Human Tissue Act 2004 30: Mental Capacity Act 2005 31: Mental Health Act 1983 32: Suicide Act 1961 33: Surrogacy Arrangements Act 1985

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Book SynopsisLonglisted for the Andrew 2024 Carnegie Medal for Non-FictionThe shocking, never-before-told story of America's thalidomide victimsIn Germany on Christmas Day 1956 a baby girl was born without ears. She was the first victim of the notorious thalidomide epidemic. There would be over 10,000 more across 46 countries.For years the world believed the United States had avoided the catastrophe. After Frances Kelsey at the Food and Drug Administration became suspicious of the dangers of thalidomide in 1960, she led a successful fight to block its commercial approval.But now, having probed government and corporate archives and interviewed hundreds of key players, Jennifer Vanderbes reveals a darker truth that lay buried for decades. The toxic sedative ostensibly never sold' in America was widely distributed for over five years under the guise of clinical trials, reaching hundreds of pregnant women. Scores of American babies were, in fact, born with birth defects likely caused by the drug.WonderTrade Review‘Both a first-rate medical thriller and the searing account of a forgotten American tragedy. Drawing on six years of groundbreaking research and guided by a keen eye for the indelible detail and an unwavering moral conviction, Vanderbes has produced a shocking saga of pharmaceutical malpractice.’ Patrick Radden Keefe, author of EMPIRE OF PAIN ‘Narrative nonfiction at its most compelling.’ Margot Lee Shetterly, author of HIDDEN FIGURES ‘Thorough investigative work and lucid prose bring to life a little-known American tragedy … A compelling read.’ Abraham Verghese, author of CUTTING FOR STONE ‘A powerful and deeply reported book – Vanderbes’s dogged investigation has finally exposed the true scale of this public health catastrophe.’ Charles Graeber, author of THE GOOD NURSE and THE BREAKTHROUGH ‘Not only a page-turner, but a much-needed call for accountability and justice – an essential addition to our understanding of medical history.’ Megan O’Rourke, author of THE INVISIBLE KINGDOM ‘A deeply researched and chilling must-read.’ Publishers Weekly ‘Will leave you grateful for strong-minded scientists and epidemiology nerds — people who actually take the time to look at the data — and for dedicated pediatricians, parents who won’t take no for an answer and curious, persistent, investigative journalists like Vanderbes who can follow even long-buried and carefully hidden stories that need to be told.’ Washington Post ‘A significant work … The author weaves the various strands of her riveting tale together with aplomb, and she clearly explains even the most puzzling aspects of it.’Kirkus ‘Exhaustively reported… Vanderbes makes a complex and important story understandable, ending with an epilogue about thalidomide today. This is a medical must-read.’ Booklist ‘Vanderbes, previously a novelist, tells her story with verve, power, and empathy’ Harvard Public Health ‘Deft and thorough’ The Globe and Mail

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Book Synopsis

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Book Synopsis

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Book Synopsis

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Book SynopsisThe book proposes a new relationship between people and their doctors, fostering self-efficacy so that people can be empowered to manage their own health and live happier, healthier lives. It gives practical advice and provides an accessible, challenging, thought-provoking view of how medical practice needs to change to become person focused.Table of Contents1: David Beaumont: Doctor becomes patient 2: David Beaumont: There's something wrong 3: The art of medicine 4: What are 'health and wellbeing'? 5: Disability, chronic pain, and medically unexplained symptoms 6: Why should health and wellbeing matter to doctors? 7: How to reclaim your life 8: Physical health - Te Taha Tinana 9: Psychological health - Te Taha Hinengaro 10: Emotional Health - Te Taha Whanau 11: Existential health - Te Taha Hinengaro

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Book SynopsisPalliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia. Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the ''messiness'' of clinical care, as well as the increasingly complex needs of patients today. As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in

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