Medical ethics and professional conduct Books

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Book SynopsisWritten by a leading proponent of the philosophy and ethics of healthcare, this volume is filled with thought-provoking and frequently controversial ideas and arguments. Accessibly written, it provides readers with a timely contribution to the current literature on medical ethics, in which the concept of subjectivity is a key issue characterizing current medical humanities.Examining the critical assumption that scientifically-demonstrable facts will remove all uncertainty, the author argues that ethical dimensions of clinical practice do not always arise from undisputed facts, but that they are sometimes to be found at the level of the determinations of the facts themselves.Firmly placing the patient back on centre stage, without underestimating the crucial role which science plays in modern medicine, this volume is an excellent account of ethics and science in healthcare and their proper place in assessing and meeting people's health needs.Table of Contents1. What are we really doing to patients? 2. Radical disagreement and cultural dissonance 3. Mystery in Sugery 4. Equitable Health Care 5. Is infertility a health need? 6. The child's interests in assisted reproduction 7. Qualifying as a person 8. Are animals our equals? 9. Patients and research 10. Ethics, nanotechnologies and health 11. Imagination and medical education

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Book SynopsisThe pressing and universally relevant issue of euthanasia is debated in this volume.Trade ReviewAn extraordinary contribution in this area, providing insight into the many dilemmas faced by individuals, families and professionals. This work offers not only the opportunity to understand such debates but also provides numerous landmark case studies that will be useful for teachers and students alike. -- Wendy Moyle, PhD, RN Assoc Professor of Nursing and Chair of Griffith University Human Research Ethics Committee, Brisbane, Australia A great book, easy to read and well-thought-through ! Well worth reading.Table of ContentsSeries Preface; Contents; PART ONE; 1. Choice and Death; 2. Stark Choices; PART TWO; 3. Death and Dying in America; 4. Legal Disputes over Death in England; 5. Legalising Euthanasia in The Netherlands; 6. A Legislative Experiment in Australia; Conclusion; List of References; Further Reading; Index.

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Book SynopsisTrade Review"'An extraordinary contribution in this area, providing insight into the many dilemmas faced by individuals, families and professionals.' Wendy Moyle, Assoc Professor of Nursing and Chair of Griffith University Human Research Ethics Committee, Australia"

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Book SynopsisMedicine has recently discovered spectacular tools for human enhancement. Yet to date, it has failed to use them well, in part because of ethical objections. Meanwhile, covert attempts flourish to enhance with steroids, mind-enhancing drugs, and cosmetic surgeryall largely unstudied scientifically. The little success to date has been sporadic and financed privately. In How to Build a Better Human, prominent bioethicist Gregory E. Pence argues that people, if we are careful and ethical, can use genetics, biotechnology, and medicine to improve ourselves, and that we should publicly study what people are doing covertly. Pence believes that we need to transcend the two common frame stories of bioethics: bioconservative alarmism and uncritical enthusiasm, and that bioethics should become part of the solutionnot the problemin making better humans.Trade ReviewHuman enhancement is an important topic. However, too many authors dwell on improbable scenarios, such as genetic engineering of super-babies. By contrast, this book tackles the real ethical dilemmas that our society faces today. Is it wrong for healthy college students to boost academic performance with Ritalin and similar drugs? Is increased longevity a bane or a boon? How can simple interventions like good nutrition and vaccinations produce children who are not only healthier but smarter? Professor Gregory Pence uses science, logic, and ethics to analyze these and many other topics. Along the way, he explains why we need not fear designer babies and other Brave New World scenarios. Legislators and other policymakers should read this timely and fascinating book so that they will know what to regulate—and what to leave alone -- Kerry Lynn Macintosh, Santa Clara UniversityFrom Frankenstein to GATTACA innovative biomedical technologies have been portrayed as bogeymen and dystopias. Bringing commonsense to bear on subjects often misrepresented by enthusiasts and alarmists, bioethics professor Gregory Pence, author of Whose Afraid of Human Cloning, clarifies the science and dispels the hype and paranoia surrounding the bioethics of everyday life. He offered reasonable answers to such questions as: Should I use life extending medical or mind enhancing drugs? Is there anything wrong with extending peoples' lives? Should I vaccinate my children? Is it OK to take anti-depressants? Is there something to fear from the new genetics or from stem cell research? How to Build a Better Human provides astute and invaluable advice on these issues and is without a doubt the best "How To" book ever published in bioethics. -- Robert Baker, Union Graduate College, FiT PublishingGregory E. Pence has managed to wed nuance, rigor and wit in the service of one of the thorniest issues in bioethics. The debate over human enhancement is too often shaped by ideologues and zealots – and too infrequently informed by the kind of thoughtful and enjoyable analysis found in How to Build a Better Human. -- Kenneth W. Goodman, University of MiamiTable of ContentsPreface Part I—Competent Adults Chapter 1: What if Your Virtual Life Surpasses Your Real Life? Chapter 2: Lessons from Bioethics’ History Chapter 3: Expanding the Mind with Drugs Chapter 4: Building Better Female Bodies Chapter 5: Building Better Male Bodies Chapter 6: Is it Moral to Feel Better than Well? Chapter 7: Practical Ways to Build a Longer Life Chapter 8: Is It Wrong to Live to a Hundred? Chapter 9: Personalized Genomics: Caveat Emptor! Part II—Choosing Better, Future Children Chapter 10: Choosing a Better Embryo Chapter 11: Eugenic Abortions? Chapter 12: Building Better Fetuses in Utero Chapter 13: Building Better Kids at Birth: Vaccinations Chapter 14: Building Better Minds of Children: Ritalin and Adderal Part III—Changing Human Nature? Chapter 15: How Not to think about Genetic Enhancement Chapter 16: Human Enhancement; Six Psychosocial Objections Chapter 17: Overview: Cloning, Primordial Cells & Enhancement Chapter 18: Conclusions and Six Practical Proposals Acknowledgments

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Book Synopsis“An original, compelling, and provocative exploration of ethical issues in our society, with thoughtful and balanced commentary. I have not seen anything like it.” —Alan Lightman, author of Einstein’s Dreams Drawing upon the author’s two decades teaching medical ethics, as well as his work as a practicing psychiatrist, this profound and addictive little book offers up challenging ethical dilemmas and asks readers, What would you do? ·A daughter gets tested to see if she’s a match to donate a kidney to her father. The test reveals that she is not the man’s biological daughter. Should the doctor tell the father? Or the daughter? ·A deaf couple prefers a deaf baby. Should they be allowed to use medical technology to ensure they have a child who can’t hear? ·Who should get custody of an embryo created through IVF when a couple divorces? ·Or, when you or a loved one is on life support, Who says you’re dead?In short, engaging scenarios, Dr. Appel takes on hot-button issues that many of us will confront: genetic screening, sexuality, privacy, doctor-patient confidentiality. He unpacks each hypothetical with a brief reflection drawing from science, philosophy, and history, explaining how others have approached these controversies in real-world cases. Who Says You’re Dead? is designed to defy easy answers and to stimulate thought and even debate among professionals and armchair ethicists alike.

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Book SynopsisAn intimate investigation of assisted dying in America and what it means to determine the end of our lives.In this groundbreaking book, award-winning cultural anthropologist Anita Hannig brings us into the lives of ordinary Americans going to extraordinary lengths to set the terms of their own deaths. Faced with a terminal diagnosis and unbearable suffering, they decide to seek medical assistance in dying-a legal option now available to one in five Americans.Drawing on five years of research on the frontlines of assisted dying, Hannig unearths the uniquely personal narratives masked by a polarized national debate. Among them are Ken, an irreverent ninety-year-old blues musician who invites his family to his death, dons his best clothes, and goes out singing; Derianna, a retired nurse and midwife who treks through Oregon and Washington to guide dying patients across life's threshold; and Bruce, a scrappy activist with Parkinson's who fights to expand access to the law, not knowing he would soon, in an unexpected twist of fate, become eligible himself.Lyrical and lucid, sensitive but never sentimental, The Day I Die tackles one of the most urgent social issues of our time: how to restore dignity and meaning to the dying process in the age of high-tech medicine. Meticulously researched and compassionately rendered, the book exposes the tight legal restrictions, frustrating barriers to access, and corrosive cultural stigma that can undermine someone's quest for an assisted death-and why they persist in achieving the departure they desire.The Day I Die will transform the way we think about agency and closure in the face of death. Its colorful characters remind us what we all stand to gain when we confront the hard-and yet ultimately liberating-truth of our mortality.

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Book SynopsisHealthcare chaplains working as part of interdisciplinary teams are frequently involved in contributing to discussions on all aspects of patients' wellbeing. This insightful collection of case studies shows how chaplains can effectively support patients and their families in making decisions regarding medical care, as well as for their spiritual needs.Reflecting the reality of medical decision-making, each case study follows a format where a chaplain and a non-chaplain (e.g. a doctor or a social worker) gives their response to the example considered, helping the reader to understand the chaplain's role in the decision making and how they can contribute constructively to the process. Adding another layer to the multifaceted role of the chaplain, this is essential reading for any chaplain in healthcare.Trade ReviewThis book provides wonderful case studies that will help practicing chaplains reflect on their work and those in training learn from some of the best. It should be read by spiritual care providers and chaplains no matter where and with whom they work. -- Wendy Cadge, Professor of Sociology, Brandeis UniversityTable of ContentsForeword - George Fitchett, Rush University, USA; Introduction - M. Jeanne Wirpsa and Karen Pugliese, Northwestern Memorial Hospital, Chicago; PART I - STORY MATTERS: PATIENT AS PERSON Karen Pugliese; 1. 'It was an easy choice. I'm not ready to die.' -- Keith, a 59-year-old living with Stage IV bladder cancer, Paul Galchutt, University of Minnesota Health Fairview, USA; 2.'Glen's Mission' - a 72-year-old man, living until his sense of purpose was fulfilled, Jim Hogg, Memorial Hermann Hospital -Texas, USA; 3. 'I don't want to put them through anything more. They've already done enough for me' - Bob, a middle-aged husband and father as he faces treatment decisions for his second life-threatening cancer, M. Jeanne Wirpsa; 4. Critical Response to Story Matters: Patient as Person Case Studies,A Chaplain's Perspective, Anne Windholz, AMITA Health Alexian Brothers Medical Center, USA; 5. Critical Response to Story Matters: Patient as Person Case Studies, A Palliative Care Physician's Perspective, Nora Segar, Jesse Brown VA Medical Center, USA; PART II - EMOTIONS AND FAMILY DYNAMICS THAT IMPACT MEDICAL DECISION-MAKING, Karen Pugliese and M. Jeanne Wirpsa; 6. 'She has fed all of us. How can we not feed her?' - Ray, the grandson of family matriarch, Rita, Keith W. Goheen, Beebe Healthcare, USA; 7. 'Take this trach out; I don't want to live this way'- Mark, a middle-aged man with acute respiratory disease, Melanie Swofford, Cape Fear Valley Health System, USA; 8. 'I don't want to give up on him, but I don't want to hurt him either.' - Aaron's family as they struggle to do right by this 45-year-old who suffered a sudden life-threatening injury, Teresamarie T. Vilagos, Carolinas Rehabilitation, USA; 9. Critical Response to Emotions and Family Dynamics Case Studies, A Chaplain's Perspective, Linda F. Piotrowski, National Association of Catholic Chaplains, USA; 10. Critical Response to Emotions and Family Dynamics Case Studies, A Psychologist's Perspective, Debjani Mukherjee, Northwestern University, USA; PART III - NEGOTIATING RELIGIOUS AND CULTURAL DIFFERENCES, M. Jeanne Wirpsa; 11. 'If G-d feels Sara should experience a recovery, it will be a great gift. However, if G-d doesn't, my belief system will never change.' - Leah, an Orthodox Jew, speaking about G-d's role in her daughter's devastating illness, Abraham Axelrud, The Wagner School of New York University, USA; 12. 'She's dying from a broken heart' - Mary telling the story of her sister Alma's death, Michelle Kirby, VA San Diego Healthcare System and Naval Medical Center, USA; 13. 'Allah Will Decide' - Ayesah, a 50-year-old Palestinian Muslim woman dying in the ICU, Emily Rosencrans, Northwestern Lake Forest Hospital, USA; 14. Critical Response to Religious and Cultural Differences Case Studies, A Chaplain's Perspective, Karen Lieberman; 15. Critical Response to Religious and Cultural Differences Case Studies, A Family Medicine Physician's Response,Christopher Smyre, Northwestern McGaw Family Medicine Residency, USA; Afterword, Martin Walton, Protestant Theological University, The Netherlands

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Book SynopsisIn recent years, the human values at the heart of the nursing profession seem to have become side-lined by an increased focus on managerialist approaches to health care provision. Nursing's values are in danger of becoming marginalised further precisely because that which nursing does best - providing care and helping individuals through the human trauma of illness - is difficult to measure, and therefore plays little, if any, part in official accounts of outcome measures. Derek Sellman sets out the case for re-establishing the primacy of the virtues that underpin the practice of nursing in order to address the question: what makes a good nurse? He provides those in the caring professions with both a rationale and a practical understanding of the importance that particular character traits, including justice, courage, honesty, trustworthiness and open-mindedness, play in the practice of nursing, and explains why and how nurses should strive to cultivate these virtues, as well as the implications of this for practice. This original and thought-provoking book will be essential reading for nurses and nursing students, care workers, care commissioners, and many others who work in the caring professions.Trade ReviewAs a nurse educator, I approached Sellman's work from my perspective of working with undergraduate students at the beginning of their nursing program - a critical point for teachers to consider what Sellman asks of us - What makes a good nurse? And why are the virtues important for nurses? As a teacher, not only was I looking for a comprehensive philosophical analysis of the virtues themselves, but also some thoughtful suggestions for how to approach the learning of, and teaching for virtue development, and how to help students value virtues as critically important attributes for nurses. In this, Sellman did not disappoint as I found myself immersed in philosophical complexity, compelling arguments, and renewed conviction about the importance of virtues for nurses and the educational endeavor as the appropriate space in which to locate them. -- Nurse Education TodayThis is a stimulating, engaging text covering a wide terrain... I recommend that this book as a stimulating text for undergraduates, postgraduates and their lecturers; where the purpose will be to initiate discussion on distinctions between the ideal and the real. In this respect the book has value, as a catalyst, where these important matters will benefit from further debate. -- Nursing PhilosophyThis book is published at a time in which it seems that virtue ethics is having a revival in applied medical ethics, and this also accounts for nursing ethics. The picture of what makes a good nurse as drawn by Derek Sellman should be debated, to see what nurses should or need not aim for. Especially nursing students will be interested in discussing virtues ethics and how to cope with difficult circumstances in order to realize the virtues into practice. -- Medicine, Health Care & PhilosophyHe presents persuasive arguments and I commend him for drawing attention to the importance of these virtues in nursing. He presents values that all nurses should consider for their own practice and for the education of future generations. -- Nursing StandardsThe theoretical domain within which nursing seeks to fulfil its social mandate demands not only shared ideals but also systems and structures to enact them. Sellman has jumped headfirst into this treacherous intellectual and ethical minefield, and offered us an enticing new direction. -- Prof. Sally Thorne, University of British Columbia School of Nursing, Vancouver, CanadaTaking up the conundrum of what constitutes the "good nurse", Derek Sellman invites us into a lively and intelligent dialogue between science, morality, and applied practice. He guides us underneath our taken-for-granted understandings of such notions as courage, trustworthiness and open mindedness so that we encounter these professional virtues not as fossilized attributes to be known or possessed, but rather as intricately complex, delicately situated, and constantly evolving expressions of human practices within the conditions that shape them. Teasing apart the ideals these virtues represent, he challenges our usual approaches to thinking about the nature of nursing, encouraging us to reframe the manner in which we educate those who seek to learn the mysteries of its practice. -- Prof. Sally Thorne, University of British Columbia School of Nursing, Vancouver, CanadaThis is perhaps the most thorough and outstanding coverage of the philosophical basis for nursing practice and nursing education that exists to date. What is nursing? What sort of people nurses should be? Derek makes this difficult but important area of nursing inquiry much, much easier. Powerful and elegant from start to finish, this book should be on the desk of every nurse. -- Prof. Diana Lee, Chair Professor of Nursing and Director, The Nethersole School of Nursing, The Chinese University of Hong KongDerek Sellman's text is both a timely and highly absorbing journey deep into the heart of nursing. It reveals a timeless and essential set of key virtues that should be a major part of the moral compass of every nurse. Subsequently, it should be read by all nurses - and most certainly by all nurse educators - who are interested in maintaining and promoting the vital moral characteristics of nursing now and in the future. -- Dr. Martin Woods, Senior Lecturer, School of Health and Social Services, Massey University, New ZealandNursing, according to Derek Sellman, is a MacIntyrian practice which can only flourish when it is not prevented from pursuing the completion of independent ideas. In What Makes a Good Nurse, being vulnerable, trustworthy and open-minded are central virtues studied critically to offer future perspectives. Situated in the realities of the nursing profession today, Sellman draws back on his rich experiences as a teacher of nursing and his deep reflections as a philosopher. This is what makes the book so authentic and easy to stroll through the realms of philosophy. Readers will certainly feel encouraged to engage in a fruitful conversation on moral understandings of contemporary professional nursing. -- Dr. Helen Kohlen, Sociologist, Junior Professor of Care Policy and Ethics, Faculty of Nursing, University of Vallendar, GermanyThis is a very careful ethical discussion that will not be for every reader, but is a valuable contribution to the current crisis of confidence, both in the NHS and society, about how we define the common good and moral responsibilities and wisdom. -- The SignTable of ContentsForeword by Alan Cribb. Acknowledgements. Preface. Introduction. 1. Professional Nursing. 2. Human Vulnerability. 3. Practices and the Practice of Nursing. 4. Trust and Trustworthiness. 5. Open-mindedness. 6. The Place of the Virtues in the Education of Nurses. Conclusion. References.

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Book SynopsisProfessional values in healthcare are in a state of constant and increasingly rapid change. While all professions now emphasise teamwork and collegiality in practice, fewer are inclined to consider shared or differing values across professions.This interdisciplinary volume explains how health care professions and their values have changed over the last forty years, charting where they have come from, where they are now, and how they might develop in the future. There is coverage of a wide range of different professions within healthcare, from GPs, mental health nurses, adult nurses and pharmacists, to NHS managers and chaplains. Chapters are followed by critical responses from senior healthcare practitioners. This original and insightful book will be a valuable resource for academics, researchers, senior healthcare professionals and healthcare managers.Trade ReviewThere are twelve chapters in all including introductory and final concluding chapters by the editors which "top and tail" the collection of contributions nicely. The majority of these chapters have selected discussants'' responses which in the main are refreshingly critical. The chapters cover a range of disciplines and health service specialism (medicine, genetic counselling, pharmacy, management, nursing) some of which have been much neglected in academic writing. -- Sociology of Health & Illness...this book will be valuable to nurses who are interested in professional ethics, particularly those who work in the UK NHS. -- Nursing EthicsTable of ContentsPreface. Introduction. 1. Changing Health Care, Changing Professions, Roisin Pill, Professor Emeritus of Sociology, Cardiff University and Ben Hannigan, Senior Lecturer in Nursing Studies, Cardiff University. 2. Why Do Changes in Society and Institutions Matter for Professional Values? Andrew Edgar, Senior Lecturer in Philosophy, Cardiff University. 3. Contesting Narratives: Medical Professional Identity Formation Amidst Changing Values, Lynn V. Monrouxe, Division of Medical Education, School of Medicine, Cardiff University and Kieran Sweeney, Peninsula College of Medicine and Dentistry, Universities of Exeter and Plymouth. Response, Brian Hurwitz. 4. General Practitioners and their Values in a Late Modern World, Roisin Pill. Response. Paquita de Zulueta, General Practitioner and Honorary Senior Clinical Lecturer, University College London. 5. Values and Mental Health Nursing, Ben Hannigan. Response, Bronwen Davies, Mental Health Nurse. 6. Values and Adult General Nursing, Derek Sellman, Principal Lecturer in Nursing, University of the West of England, Bristol. Response, Christine Hockley, Senior Lecturer, Faculty of Health and Life Science, University of the West of England, Bristol. 7. The Profession of Pharmacy in the United Kingdom: Changing Values? David Badcott, Honorary Research Fellow, Centre for Applied Ethics, Cardiff University. Response, Alan Nathan, Department of Pharmacy, King's College London. 8. Professional Values in Interaction: Non-Directiveness, Client-Centredness and Other-Orientation in Genetic Counselling, Srikant Sarangi, Professor of Language and Communication and Director, Health Communication Research Centre, Cardiff University. Response, Heather Skirton. 9. The Chaplain's Dilemma, Paul Ballard, Professor Emeritus, School of Religious and Theological Studies, Cardiff University. Response, Chris Swift, Head of Chaplaincy, Leeds Teaching Hospitals NHS Trust. 10. What are the Values of NHS Managers, and How Have They Changed Since 1983?, Stephen Pattison and Julia McKeown, Company Director, Fulcrum JRC Limited. Response, Moira Dumma, Chief Executive, South Birmingham Primary Care Trust. 11. Health Care Professions and their Changing Values: Pulling Professions Together, Huw Thomas, School of City and Regional Planning, Cardiff University and Stephen Pattison. List of Contributors. Subject Index. Author Index.

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Book SynopsisAdvances in medical science and technology are saving the lives of more children worldwide than ever. Some survive and live out a normal life expectancy, others have a life-limiting/life-threatening diagnosis where death may come early, and still others will live on well past projected life trajectories into adulthood. With so many different care pathways, children, parents and communities often find themselves facing challenges for which neither they nor their healthcare systems are prepared. This book opens a global discussion of these issues. Extending Rita Pfund's text Palliative Care Nursing of Children and Young People, it invites paediatric palliative care professionals, parents and children from around the globe to share their knowledge and experience. This book is of vital interest to palliative care professionals, parents, policy makers and academics. It is an important move towards ensuring that all children and their families, regardless of geographical location, gender, ethnicity or socio-economic class have equal and guaranteed access to comprehensive paediatric palliative care services.Table of ContentsSection 1: A Global overview. Section 2: Focusing on families — hearing the evidence. Section 3: Minimizing Crisis Points in Paediatric Palliative Care. Section 4: Supporting transitions. Section 5: Evidence / knowledge transfer into practice.

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Book Synopsis'Healthcare professionals spend much of their time listening to stories of sickness related by patients and their families. It thus seems appropriate that drama, which is primarily concerned with exploring narratives, change and crises and relies, like the clinical situation, on communication, is an ideal medium for healthcare professionals to gain new insights into care.' From the Introduction Good communication forms the heart of patient-centred care and is the cornerstone of a trusting relationship. Enhancing Compassion in End-of-Life Care Through Drama explores a broad range of plays from Greek tragedy to the present day and investigates how particular theatrical dynamics help to understand complexities in the setting of end-of-life care. It examines fresh ways to interpret the action and subtext represented on the stage and finds symmetries in a clinical context. It is ideal for use in a range of educational contexts, with practical ideas for workshops and summaries of key concepts in each chapter. This book will motivate all members of the multidisciplinary palliative care team including palliative care professionals, doctors, nurses, psychologists, spiritual advisers and social workers. Although based in the setting of palliative care, the learning points are relevant to all areas of clinical practice.Table of ContentsForeword. Introduction. Communication: King Lear. Care : The Caretaker. Connection: Journey's End. Choice: Antigone. Change: Little Eyolf. Concealment: All my Sons. Crises: Blasted. Complexity: Cloud9. Culture: Behzti. Cooperation: Drama and healthcare education. Combination: Virtue ethics: The Good Doctor. Acknowledgements.

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Book SynopsisIs there a place for palliative care within mental health? This inspirational book offers an excellent foundation for integrating best-practice specialist palliative care into serious and enduring mental health service delivery. The shared practice values and vision between these two disciplines provide an optimistic starting point from which to address the lack of palliative care service delivery in mental health practice. Focusing on the similarity in philosophy between palliative care and mental health practice, it incorporates: . person-centred practice . relationship-based connectedness . a belief in compassionate care . respect for autonomy and choice . quality-of-life issues. The book addresses the practice skills needed in preparation for competent intervention and treatment. Each chapter develops a theoretical framework which is supported by practical application. Both professionals and students of palliative care will find the interactive text and practical case studies especially valuable, as will the professional working in substance use. Its userfriendly approach will appeal to a wide range of readers in various related disciplines. 'While it could be assumed that mental health has a lot to offer palliative care, we both [feel] that palliative care could offer more to mental health practice...It is a neglected area. There is little or no literature related to palliative care within serious mental health practice, and that which does exist relates to care of the dying in terms of cancer.' From the PrefaceTrade Review'Overall this is an impressive book that has the potential to be immensely helpful to generalists as well as specialist practitioners in both fields. It will serve to open up the debate and clarify the reality surrounding the consistent misunderstandings that still exist in both areas of practice, and as such it deserves to be widely read.' Robert Becker, Independent lecturer and author in palliative care, International Journal of Palliative NursingTable of ContentsPreface. About the editors. List of contributors. Terminology. Cautionary note. Other books by the editors. Acknowledgements. Dedication. Embracing palliative care-mental health. The Tidal Model. Application of transcultural theory to practice: the Purnell Model. Ethics. Psychological impact of serious and enduring mental health. Caring relationships. Hope and coping. Spirituality. All of me: embracing sexuality as a dimension of care. Assessment. Pain management. Managing restlessness and agitation at the end-of-life. End-of-life. Living with loss. Serious substance use problems and palliative care. Looking after yourself and colleagues. Index.

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Book SynopsisThis thought provoking and highly practical book is not just about caring for the dying within mental health, but also applying the quality care and practice of palliative care within mental health practice. Multidisciplinary in its approach, it focuses on intervention, treatment, care and practice, and the similarities in practice between palliative care and mental health. This common ground is an excellent foundation for integrating palliative care into mental health care, practice and service delivery, succinctly covering all aspects of psychological, physical, social, spiritual, sexual and emotional health. Featuring authoritative contributions from international experts, each chapter develops a theoretical framework before broadening its scope to include application in practice - addressing what, when, where and why with a definite focus on implementation in practice. Self-assessment exercises, advice for further reading, ideas for reflective practice and summaries of key points are also included, aiming above all else to improve the relationships, responses, care and practice necessary to be effective in interventions and treatment with those experiencing mental health concerns and dilemmas. Ideal for all health, social, psychological, legal and spiritual care students and professionals wanting sound theoretical and practical guidance, this book is highly recommended for General Practitioners and General Practice Registrars, healthcare assistants studying NVQ and health visitors. Educationalists, managers and service developers in health and social care will also appreciate its solution-focused, practical approach.Trade Review"…a useful read for all adult and mental health nurses…"—Nursing TimesTable of ContentsPreface. About the editors. List of contributors. Terminology. Cautionary note. Other books by the editors. Acknowledgements. Dedication. Palliative care within mental health: the need. Compassion, respect and dignity. Overcoming ethical dilemmas. Overcoming cultural dilemmas. The family. End-of-life. Assessment. Pain management. The young person and suicide. Long-term mental health. Dementia, Alzheimer's and confusion. Creutzfeldt-Jakob Disease and palliative care. Euthanasia, assisted suicide and mental health. Palliative care and substance use: special considerations. The heart of care and caring. Index.

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Book SynopsisProviding a bridge between research in healthcare and spirituality and practitioner perspectives, these essays on chaplaincy in healthcare continue dialogue around constructing, negotiating and researching spiritual care and discuss the critical issues in chaplaincy work, including assisted suicide and care in children's hospices. Each section of the book is introduced by an academic theologian, giving the book a strong theoretical base, before serving healthcare chaplains offer their perspectives and experiences with material drawn from practice in a broad spectrum of healthcare contexts. The integration of theory and practical application in these essays will be of interest to chaplains, healthcare practitioners, and students of theology and healthcare.Trade ReviewThe development of meaning and practice in spiritual and pastoral care in hospital chaplaincy has applications both to the healthcare system and beyond. This book makes a great contribution to that development. Three eminent thinkers in this area provide the context and connections, and several practitioners provide the reflection on practice - bridging the gaps between theory, values and practice; theological reflection and reflective practice; and spirituality and the practice of healthcare. Don't just view this book as relevant to the profession of hospital chaplaincy (significant though its contribution to that is), view it as a major contribution to the profession of care in any context. -- Simon Robinson, FRSA, Professor of Applied and Professional Ethics, Leeds Beckett UniversityThis is one of the most comprehensive and practical books on healthcare chaplaincy I've read. Like the act of chaplaincy itself, it takes the reader to a place of deep questioning and embodies the theology it espouses: relational, panentheistic, apophatic and humble. Its value reaches far beyond the healthcare context into what spirituality can offer the public square more generally. Highly recommended. -- Claire Foster-Gilbert, Director, Westminster Abbey InstituteThough we live in a secular time, we are still confronted with questions about meaning and purpose, particularly when we become ill or are confronted with a terminal condition. Spiritual care tries to support patients, carers and staff to find an answer to such questions in a dialogical and compassionate way. This book presents excellent contributions to spiritual care from a multi-disciplinary perspective and will certainly help to develop spiritual care as a professional practice. This is very much needed in view of the economisation of health care and the marginalization of the care for the spiritual needs of patients and their carers. -- Ruud ter Meulen, Professor of Ethics in Medicine, University of Bristol, UKFor those involved in providing spiritual care within the NHS in the UK, this is an invaluable book - clear, well written and structured, and with impeccable bibliography and further resources to aid study. -- Ministry Today UKTable of ContentsPreface. Part 1. Constructing Spiritual Care. 1.1. The narrative of spiritual care: Locating models of spiritual care within contemporary healthcare education and practice. Jonathan H. Pye. 1.2. Discourses of Spiritual Health Care. Hamish Ferguson-Stuart. 1.3. Making Use of Models of Healthcare Chaplaincy. Stephen Flatt. 1.4. Biblical texts, chaplaincy and mental health service users. Anne McCormick. Part 2. Negotiating Spiritual Care in Public. 2.1. The value of spiritual care: Negotiating spaces and practices for spiritual care in the public domain. Andrew Todd. 2.2. Legal and policy frameworks for spiritual care. Layla Welford. 2.3. From atheist to Zoroastrians: What are the implications for professional healthcare chaplaincy of the requirement to provide spiritual care to people of all faiths and none? Mirabai Galashan. 2.4. Developing a Model of Chaplaincy through the Translation of Nursing Theory. Debbie Hodge. Part 3. Researching Spiritual Care. 3.1. Making spiritual care visible: The developing agenda and methodologies for research in spiritual care. Steve Nolan. 3.2. Researching spiritual care in a mental health context. Julian Raffay. 3.3. How secular is the NHS? The significance of volunteers and their beliefs. Karen MacKinnon. 3.4. Observing, recording and analysing spiritual care in an acute setting. Rodney Baxendale. Part 4. Critical Issues in Spiritual Care. 4.1. The practice of spiritual care in the context of suffering: Questions for the self as a 'spiritual being'. Peter Sedgwick. 4.2. Assisted suicide: A dignified end to severe and enduring mental illness? Charles Thody. 4.3. Insights into spiritual need and care arising out of the experience of those living with Mild Cognitive Impairment (MCI). Richard Wharton. 4.4. 'A hidden wholeness': Spiritual care in a children's hospice. Mark Clayton. Bibliography.

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Book SynopsisA Long Walk Home is Rachel Clark’s evocative and moving account of her treatment and experiences with health professionals in Britain and Australia while she was living with, and dying from, cancer. It includes an Epilogue by her twin sister Naomi Jefferies, and learning points for health professionals by John Hasler and David Pendleton.Table of ContentsIntroduction: orienteering and oncology. Inside out and upside down – diagnosis. Ice magic – chemotherapy. Pick 'n' mix - alternative therapies and options. Roots and roses - origins and image. All the King's horses – surgery. Tattoos and technology – radiotherapy. England's pastures green - coming home. A panoramic view - the background picture. The messages for health professionals. Epilogue.

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Book Synopsis1. Medical Ethics and Its Evolution in Surgical Practice.- 2. Autonomy and Ethical Principles in Surgical Practice.- 3. Confidentiality, Informed Consent, and Patient Autonomy in Surgery.- 4. Autonomy and Beneficence in Assisted Reproductive technology (ART).- 5. Autonomy, Beneficence, Non-maleficence in Organ transplantation.- 6. Autonomy and Beneficence in Genetic Manipulation.- 7. Autonomy and Ethical Dilemmas in Extreme End-of-Life Care.- 8. Justice in Surgical Ethics: Navigating Equity, Accessibility, and Social Responsibility in Surgical Practice.- 9. The Evolution of Surgical Training.- 10. Ethical and Legal Accountability in Surgical and Forensic Medicine: A Medico-Legal and Jurist Perspective.- 11. Ethical Challenges in the Rise of Artificial Intelligence.- 12. Ethical Challenges in Crisis and Epidemic Response.- 13. Personalized Medicine, Data Use, and Ethical Considerations in Surgical Decision-Making.- 14. Ethics in Disability, and Vulnerable Patients.- 15. The Ethics of Medical Research and Experimentation in Surgery.- 16. The Surgical Ethics of Numbers.- 17. Navigating Ethical Codes and Conflicts of Interest in Surgery.- 18. Conclusions.- 19. Opening the Door to Reflection.

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Book Synopsis

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Book Synopsis

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Book Synopsis

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Book Synopsis

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Book Synopsis

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Book SynopsisThis book reveals the numerous ways in which moral, ethical and legal principles are being violated by those who provide, recommend or sell ‘complementary and alternative medicine’ (CAM). The book analyses both academic literature and internet sources that promote CAM. Additionally the book presents a number of brief scenarios, both hypothetical and real-life, about individuals who use CAM or who fall prey to ethically dubious CAM practitioners. The events and conundrums described in these scenarios could happen to almost anyone. Professor emeritus of complementary medicine Edzard Ernst together with bioethicist Kevin Smith provide a thorough and authoritative ethical analysis of a range of CAM modalities, including acupuncture, chiropractic, herbalism, and homeopathy. This book could and should interest all medical professionals who have contact to complementary medicine and will be an invaluable reference for patients deliberating which course of treatment to adopt.Table of ContentsMedical ethics.- Competence.- Research.- Education.- Informed Consent.- Truth.- Exploitation.- Conclusions.- Glossary with short explanations of the main alternative therapies.

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Book SynopsisVideoanalyse im Licht der Wissenschaftstheorie.- Was ist eine Videoanalyse?.- Wie stellen sterbende Menschen sich, ihre Weltsicht und ihre Situation in einem Gespräch mit einem jungen Menschen dar?.- Videoanalyse eine kommentierte Literaturliste.

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Book SynopsisRapid advances in modern medicine and diagnostic techniques have revolutionized the way we think about death and the processes of dying. Where once death was defined as the absence of respiration or heartbeat, today patients can be kept alive for months or even years hooked up to a respirator and feeding tube. Ivan and Melrose carefully explain the various medical processes involved in death and dying. In so doing they also face the many ethical, moral and legal dilemmas that confront doctors today, as well as the decisions that may have to be taken by relatives. What, they ask, is the meaning of "life" when large areas of a person's brain have suffered irreversible damage? And what of the economic quandary when valuable hospital beds are occupied by people in a persistent vegetative state with no hope of recovery?Table of ContentsHistory of the definitions of death Coma Persistent vegetative state The "Do not resuscitate" order Brain death Harvesting and transplanting organs Dying with dignity and palliative care The living will The right to die Euthanasia and assisted suicide Near-death experiences Life after death? Body, Mind and Soul

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Book SynopsisSince its third edition in 1980, the Diagnostic and Statistical Manual of Mental Disorders (DSM) of the American Psychiatric Association has acquired a hegemonic role in the health care professions and has had a broad impact on the lay public. The publication in May 2013 of its fifth edition, the DSM-5, marked the latest milestone in the history of the DSM and of American psychiatry. In The DSM-5 in Perspective: Philosophical Reflections on the Psychiatric Babel, experts in the philosophy of psychiatry propose original essays that explore the main issues related to the DSM-5, such as the still weak validity and reliability of the classification, the scientific status of its revision process, the several cultural, gender and sexist biases that are apparent in the criteria, the comorbidity issue and the categorical vs. dimensional debate. For several decades the DSM has been nicknamed “The Psychiatric Bible.” This volume would like to suggest another biblical metaphor: the Tower of Babel. Altogether, the essays in this volume describe the DSM as an imperfect and unachievable monument – a monument that was originally built to celebrate the new unity of clinical psychiatric discourse, but that ended up creating, as a result of its hubris, ever more profound practical divisions and theoretical difficulties.Trade Review“The essays in Demazeux’s and Singy’s volume are all about the DSM-5, but they also address many distinct aspects of human life, from research design to moral values, to sexuality, to grief. … the volume–and the intensity of the criticisms it contains–eloquently demonstrates the importance of the DSM to modern life. This in turn proves the importance of the collection, which contributes to our understanding of both the DSM and ourselves.” (Brent M. Kious, Metascience, Vol. 25, 2016)“The present volume of philosophical commentary on this ambitious project offers a range of contributions to the debate about psychiatric nosology, a few of which are truly outstanding. … this volume is recommended reading for specialists and non-specialists alike interested in the problems inherent in constructing any useful taxonomy of mental conditions and particularly for insight into the science, history, and politics that have shaped the current DSM-5.” (Mark J. Sedler, Notre Dame Philosophical Reviews, ndpr.nd.edu, August, 2015)“This is a collection of essays from different authors exploring the main problems of the DSM-5. … The purpose is to review and discuss the methodological and philosophical weaknesses, as well cultural bias, in the DSM-5. … one definitely worth checking out if you deal with the DSM at all.” (Brett C. Plyler, Doody's Book Reviews, July, 2015)Table of ContentsIntroduction; Steeves Demazeux and Patrick Singy.- Part I. General issues.- Chapter 1. The Ideal of Scientific Progress and the DSM; Steeves Demazeux.- Chapter 2. DSM-5 and Research Concerning Mental Illness; Jeffrey Poland.- Chapter 3. DSM-5 and Psychiatry’s Second Revolution: Descriptive vs. Theoretical Approaches to Psychiatric Classification; Jonathan Tsou.- Chapter 4. DSM-5: The Delayed Demise of Descriptive Diagnosis; Stuart A. Kirk, David Cohen, Tomi Gomory.- Chapter 5. Must Disorders Cause Harm? The Changing Stance of the DSM; Rachel Cooper.- Chapter 6.‘Deviant Deviance’: Cultural Diversity in DSM-5; Dominic Murphy.- Part II. Specific issues.- Chapter 7. Danger and Difference: The Stakes of Hebephilia; Patrick Singy.- Chapter 8. Sexual Dysfunctions and Asexuality in DSM-5; Andrew Hinderliter.- Chapter 9. The Crippling Legacy of Monomanias in DSM-5; John Z. Sadler.- Chapter 10. The Loss of Grief: Science and Pseudoscience in the Debate Over DSM-5’s Elimination of the Bereavement Exclusion; Jerome Wakefield.- Chapter 11. Against Hyponarrating Grief: Incompatible Research and Treatment Interests in the DSM-5; Şerife Tekin.- Chapter 12. RDoC: Thinking Outside the DSM Box without Falling into a Reductionist Trap; Luc Faucher and Simon Goyer.- Chapter 13. DSM-5 and the Reconceptualization of Obsessive-Compulsive Disorder: An Anthropological Perspective from the Neuroscience Laboratory; Baptiste Moutaud.

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Book SynopsisThe authors of this book address all individuals approaching the study of nanomedicine for the first time ever, as well as those already profitably working in the field either as scientists, doctors, lawyers, or entrepreneurs. Teeming with accurate, up-to-date, and enjoyable content, the book describes some enlightening facts and figures pertaining to the growing field of nanomedicine. Open problems and potentialities are identified and discussed, offering a series of forecasts regarding its global impact on healthcare systems in the coming two decades. This introduction is followed by three different sections: (a) one purely scientific, which delves deep into areas as diverse as proteomics or delivery systems for nanodrugs, demonstrating how nanotechnology is reshaping the way diagnosis and treatment of diseases are made; (b) one focused on the ethical challenges that governments and companies are facing or will have to face in order to protect patients’ rights; and (c) one entirely dedicated to the legal and entrepreneurial issues that are driving this entire medical revolution. In the pages of this lucidly written book, scientists and managers will certainly find the need-to-have tool on their desk to thrive and succeed in the commercialization of nanomedicine.Table of ContentsSection I Nanomedicine. Section II Nanoethics. Section III IP and Commercialization.

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Book SynopsisUnder the swastika, German scientists descended into the moral abyss, perpetrating heinous medical crimes at Auschwitz and at euthanasia hospitals. But why did biomedical researchers accept such a bargain? This title offers an account of the myriad ways human heredity and Nazi politics reinforced each other before and during the Third Reich.Trade Review"This well-written study helps elucidate the relationship between science and politics in the Third Reich and has enough details to satisfy scholars. At the same time, it provides an insightful narrative that a lay audience will find accessible and that will serve as a useful learning aid for students." (German Studies Review)"

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Book SynopsisHow has bioethics evolved into a legitimate specialty? When is such expertise necessary? How do bioethicists make their decisions? And whose interests do they serve? This book addresses these questions while reflecting on the ethical dilemmas that the author's ethnographic research among surgeons and genetic counselors has provoked.Trade Review"Bosk provides in these pages a rich and rigorous account of the ways in which medical ethics, ethnography, and social science illuminate the human condition. He is the finest ethnographer of his generation, and he offers to future generations a standard of ethnographic practice and reflection that is unrivaled in its appreciation of the nuances and complexities of making sense of people's lives." - Jonathan B. Imber, Wellesley College"

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Book SynopsisIntuition is central to discussions about the nature of scientific and philosophical reasoning and what it means to be human. In this book, the author marshals his dual training as a physician and philosopher to examine the place of intuition in medicine.Trade Review"Hillel D. Braude's book is brilliant. There's nothing like it - this is a true, deep, scholarly, philosophical, historical work with real staying power." (Kathryn Montgomery, Northwestern University Feinberg School of Medicine)"

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Book SynopsisDrawing on observations and interviews with families, doctors, and policy actors, this book presents an ethnographic study of how parents and geneticists resolve the many uncertainties in screening newborns. It is suitable for scholars of medicine, public health, and public policy.

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Book SynopsisAlthough the subject of federally mandated Institutional Review Boards (IRBs) has been extensively debated, we actually do not know much about what takes place when they convene. This book melds observations of IRB meetings with the history of how rules for the treatment of human subjects were formalized in the United States.Trade Review"Behind Closed Doors is a novel and important addition to the literature on the governance of experimentation on human subjects. It will appeal to academic scholars in the history of science and medicine, sociology, bioethics, and postwar American history." (Gerald Kutcher, author of Contested Medicine: Cancer Research and the Military)"

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Book SynopsisAlthough the subject of federally mandated Institutional Review Boards (IRBs) has been extensively debated, we actually do not know much about what takes place when they convene. This book melds observations of IRB meetings with the history of how rules for the treatment of human subjects were formalized in the United States.Trade Review"Behind Closed Doors is a novel and important addition to the literature on the governance of experimentation on human subjects. It will appeal to academic scholars in the history of science and medicine, sociology, bioethics, and postwar American history." (Gerald Kutcher, author of Contested Medicine: Cancer Research and the Military)"

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Book SynopsisTrade Review"In Ethics by Committee: A History of Reasoning Together about Medicine, Science, Society, and the State the historian Noortje Jacobs charts the Dutch contribution to the emergence of our contemporary international regime of ethical regulation in which governmental committees have tried and often failed to regulate and implement ethical research reviews . . . Jacobs’s skill as a writer is clear in her ability to guide the reader through the administrative labyrinth of late twentieth-century Dutch science governance while always relating this back to national debates in the medical and popular press." * Isis *"Jacobs’ history of the Dutch research ethics committees is an impressive, conceptually aware discussion of policy debates, a socio-political analysis with focus on institutions, committees and public discourses..." * Low Countries Historical Review *"An important new contribution to the history of bioethics and research ethics. Jacobs does more than simply fill a historiographical gap: the focus on the Netherlands allows her to convincingly argue that bioethics and research ethics do not have a singular history, and that we need to examine the historically specific interplay between medicine, society, and the state if we want to explain developments in specific times and places. Her insights and conclusions significantly add to our understanding of the mechanisms and schools of thought in medicine, philosophy, and politics that caused research ethics and bioethics more broadly to become global phenomena in recent decades." -- Duncan Wilson, University of ManchesterTable of ContentsList of Abbreviations Note on Translations Introduction Part I: Internal Control Chapter 1. A Moral Obligation to Medical Progress Chapter 2. A Moral Need for Epistemic Filters Part II: External Control Chapter 3. Medical Ethics in a Modern Society Chapter 4. Experimenting with Humans Part III: Public Accountability Chapter 5. The Contested Rise of the Ethical Expert Chapter 6. Public Governance in a Pluralistic Society Conclusion Acknowledgments Notes Bibliography Index

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