Medical ethics and professional conduct Books

Book SynopsisThe ethical dimensions of managing healthcare services are often daunting, but the sixth edition of this highly regarded text provides the principles to educate students and guide practitioners as they strive to make the “right” decisions.From historical to contemporary examples, readers learn essential steps to effectively identify and solve ethical problems. More than 75 case studies and vignettes allow opportunities to analyze and apply ethical decision making across a range of care delivery settings and topics, including patient autonomy, end-of-life decisions, consent for treatment, resource allocation, whistle-blowing, confidentiality, and more. An extensive index helps readers locate and explore specific topics.Building upon the core principles of respect for persons, beneficence, nonmaleficence, and justice, as supplemented by virtue ethics, readers learn:•how to understand and shape an organization’s value system•how to develop an apply personal and professional codes of ethics and address conflicts of interest•the manager’s duties to and relationships with patients, staff, community, and profession•means and methods for resolving administrative and biomedical ethical issues•considerations of emerging ethics issues influenced by managed care, resource allocation, and social responsibility•special challenges in end-of-life decisions, including advance medical directives (AMDs), physician-assisted suicide (PAS), euthanasia, and allow natural death (AND)The most comprehensive book on health services ethics, this text is indispensable for education in health services organization and management, strategic planning, finance, marketing, and nursing administration.NEW to the Sixth Edition:•More than a dozen new cases and vignettes reflecting contemporary ethical issues•Enhanced and updated tables, figures, and problem-solving model•Greater focus on health policy and issues of rationing, regulation, and unintended consequences of policy decisions•Instructive new examples of mission and vision statements and their connection to HRM•Enhanced attention to administrative and clinical conflicts of interest•Updated and expanded bibliography

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Book SynopsisThe individual and structural biases that affect the American healthcare system have serious emotional and physical consequences that all too often go unseen. These biases are often rooted in power, class, racial, gender or sexual orientation prejudices, and as a result, the injured parties usually lack the resources needed to protect themselves. In Healthcare and Human Dignity, individual worth, equality, and autonomy emerge as the dominant values at stake in encounters with doctors, nurses, hospitals, and drug companies. Although the public is aware of legal battles over autonomy and dignity in the context of death, the everyday patient’s need for dignity has received scant attention. Thus, in Healthcare, law professor Frank McClellan’s collection of cases and individual experiences bring these stories to life and establish beyond doubt that human dignity is of utmost priority in the everyday process of healthcare decision making.Trade Review"This is an excellent book. The stories are terrific, the analysis pitched just right, and the underlying themes of fair treatment, dignity, and inequality of treatment based on race are well-developed." -- Barry R. Furrow * Director, the Health Law Program, Thomas R. Kline School of Law, Drexel University *"Engaging, conversational, thought-provoking...McClellan's writing blends ethical arguments, a lay person's understandings of dignity, and legal frameworks very well. I felt as I was reading that someone was clearly and carefully walking me through stories about human dignity, medicine, and the law. His is a very humanistic legal gaze." -- Nora L. Jones * Director of Bioethics Education, Center for Bioethics, Urban Health and Policy, Temple University *"McClellan...maintains that violation of the trust between physician and patient may result from conscious or unconscious bias against a specific group of people. Such violations repeat themselves in part due to the short memory of the public. Within this context, McClellan also stresses that the rule of law is central to protecting human dignity when patients are seeking health care. The negative influence on human dignity of racism, limited access, high cost, and power relationships in health care is at the heart of McClellan's argument. Recommended." * Choice *Table of ContentsPART ONE: FIGHTING FOR ACCESS TO CARE Introduction: Human Dignity as a Lived Experience 1 Healthcare and Law: Appreciating the Need to Protect Human Dignity: Law Matters: Law Matters: Introduction to the Powers and Limitations of American Law 2 Philosophical and Legal Conceptions of Dignity: Trusting Your Doctor: Defining Dignity: Law Matters. 3 Emergency Care in America: Law, Morality and Ethics “I’m nobody. Who are you? Are you nobody too?”: Economic vs. Moral Decision-Making: Seeking Help From Strangers: A Pregnant Woman: Reflections on Law, Morality and Ethics: The Wallet Biopsy: Patient Dumping PART TWO: POWER AND TRUST 4 Professional Bias, Class Bias, and Power: Emotional Distress: Abuse of Power, Intentional Torts and Dignitary Harms: Tort Law and Patient Autonomy 5 The Love Doctor: Sex and Gender Bias; Breach of Trust and Abuse of Power: Medical Ethics and Professional Power: Law matters 6 Innovative Therapy and Medical Experimentation: The Maverick Surgeon: Medical Experimentation on Children?: Law Matters: Legal Cases: Lessons Learned: Legal Regulation of Professional Medical Care: Trying a New Approach with a New Device: The Legal Rules Governing Medical Malpractice Claims: Medical Research, Ethics and Law: Lessons Learned PART THREE: RACISM IN HEALTHCARE: PRACITCE, POLICY AND LAW 7 Introduction: Perspectives on Racism: “Black People Just Don’t Understand”– the Botched Hysterectomy: Race, Healthcare, and Human Dignity 8 Healthcare Disparities as a Lived Experience: One Family’s Story: Unequal Community Access 9 Catastrophic Injuries: Protecting and Restoring Human Dignity: The Lawsuit That Lasted Ten Years: Life After A Catastrophic Injury: Reflections on Healthcare, Law and Catastrophic Injuries 10 Orthopedic Health Disparities: Grappling with Socioeconomic Factors that Affect Health and Healthcare: Being Human: Joint and Bone Health: Informed Consent and Shared Decision-Making: Toward Patient-Centered Care: Revisiting Kathy Jones 11 Paying for Healthcare Costs: Lessons From a 50-Year-Old Government Program Called Medicare: Sustainability Issue: Payment Models and Human Dignity: A Personal Story: Lessons from Managed Care: Setting Limits: Medicare for All?: The Fight Over Obamacare: 12 Health Care and Human Dignity in a Diverse and Changing World the Critical Role of Empathy, Compassion and Humility: Humility: Empathy: Conclusion

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Book SynopsisThe individual and structural biases that affect the American healthcare system have serious emotional and physical consequences that all too often go unseen. These biases are often rooted in power, class, racial, gender or sexual orientation prejudices, and as a result, the injured parties usually lack the resources needed to protect themselves. In Healthcare and Human Dignity, individual worth, equality, and autonomy emerge as the dominant values at stake in encounters with doctors, nurses, hospitals, and drug companies. Although the public is aware of legal battles over autonomy and dignity in the context of death, the everyday patient’s need for dignity has received scant attention. Thus, in Healthcare, law professor Frank McClellan’s collection of cases and individual experiences bring these stories to life and establish beyond doubt that human dignity is of utmost priority in the everyday process of healthcare decision making.Trade Review"This is an excellent book. The stories are terrific, the analysis pitched just right, and the underlying themes of fair treatment, dignity, and inequality of treatment based on race are well-developed." -- Barry R. Furrow * Director, the Health Law Program, Thomas R. Kline School of Law, Drexel University *"Engaging, conversational, thought-provoking...McClellan's writing blends ethical arguments, a lay person's understandings of dignity, and legal frameworks very well. I felt as I was reading that someone was clearly and carefully walking me through stories about human dignity, medicine, and the law. His is a very humanistic legal gaze." -- Nora L. Jones * Director of Bioethics Education, Center for Bioethics, Urban Health and Policy, Temple University *"McClellan...maintains that violation of the trust between physician and patient may result from conscious or unconscious bias against a specific group of people. Such violations repeat themselves in part due to the short memory of the public. Within this context, McClellan also stresses that the rule of law is central to protecting human dignity when patients are seeking health care. The negative influence on human dignity of racism, limited access, high cost, and power relationships in health care is at the heart of McClellan's argument. Recommended." * Choice *Table of ContentsPART ONE: FIGHTING FOR ACCESS TO CARE Introduction: Human Dignity as a Lived Experience 1 Healthcare and Law: Appreciating the Need to Protect Human Dignity: Law Matters: Law Matters: Introduction to the Powers and Limitations of American Law 2 Philosophical and Legal Conceptions of Dignity: Trusting Your Doctor: Defining Dignity: Law Matters. 3 Emergency Care in America: Law, Morality and Ethics “I’m nobody. Who are you? Are you nobody too?”: Economic vs. Moral Decision-Making: Seeking Help From Strangers: A Pregnant Woman: Reflections on Law, Morality and Ethics: The Wallet Biopsy: Patient Dumping PART TWO: POWER AND TRUST 4 Professional Bias, Class Bias, and Power: Emotional Distress: Abuse of Power, Intentional Torts and Dignitary Harms: Tort Law and Patient Autonomy 5 The Love Doctor: Sex and Gender Bias; Breach of Trust and Abuse of Power: Medical Ethics and Professional Power: Law matters 6 Innovative Therapy and Medical Experimentation: The Maverick Surgeon: Medical Experimentation on Children?: Law Matters: Legal Cases: Lessons Learned: Legal Regulation of Professional Medical Care: Trying a New Approach with a New Device: The Legal Rules Governing Medical Malpractice Claims: Medical Research, Ethics and Law: Lessons Learned PART THREE: RACISM IN HEALTHCARE: PRACITCE, POLICY AND LAW 7 Introduction: Perspectives on Racism: “Black People Just Don’t Understand”– the Botched Hysterectomy: Race, Healthcare, and Human Dignity 8 Healthcare Disparities as a Lived Experience: One Family’s Story: Unequal Community Access 9 Catastrophic Injuries: Protecting and Restoring Human Dignity: The Lawsuit That Lasted Ten Years: Life After A Catastrophic Injury: Reflections on Healthcare, Law and Catastrophic Injuries 10 Orthopedic Health Disparities: Grappling with Socioeconomic Factors that Affect Health and Healthcare: Being Human: Joint and Bone Health: Informed Consent and Shared Decision-Making: Toward Patient-Centered Care: Revisiting Kathy Jones 11 Paying for Healthcare Costs: Lessons From a 50-Year-Old Government Program Called Medicare: Sustainability Issue: Payment Models and Human Dignity: A Personal Story: Lessons from Managed Care: Setting Limits: Medicare for All?: The Fight Over Obamacare: 12 Health Care and Human Dignity in a Diverse and Changing World the Critical Role of Empathy, Compassion and Humility: Humility: Empathy: Conclusion

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Book SynopsisThis book addresses the many ethical issues and extraordinary risks that nurses and others are facing during the COVID-19 pandemic, which creates physical, emotional, and economic burdens, affecting nurses' overall health and well-being. Nurses are essential front-line clinicians across all health care settings and in every nation. The COVID-19 pandemic caused by the novel SARs-CoV-2 virus has affected children, adults, and communities within and across all societies. Nurses, too, have contracted the virus and died from the disease. They have also seen their colleagues, family members, and friends hospitalized or in intensive care units struggling to survive. Nursing’s professionalism and disciplinary resolve to care for patients and families amidst confusion, misinformation, and shifting guidelines has been called “heroic” by the public. How much risk should nurses be expected to accept during a pandemic? How do nurses help patients and families find comfort and dignity at the end-of-life? How do we help nurses who are suffering from moral distress and mental health concerns from what they have seen, been asked to do, or are unable to provide? And, how does society move forward from a pandemic that has challenged our basic ethical principles of justice and what is “fair, good and right” in caring for those who need care, including the most vulnerable and nurses themselves? This book addresses these and other ethical concerns that nurses are facing in their day-to-day clinical practice; experiences shared with patients, families, and colleagues. Although this book was written while the pandemic was still raging across the United States and globally, the events needed to be told as they were unfolding. This book helps us to learn from both the successes and failures that are affecting so many across the globe, including those on whom the public relies on to provide quality, compassionate, and expert care when they are sick: nurses. Table of ContentsChapter 1. IntroductionChristine Grady and Connie UlrichChapter 2. Understanding Acceptable Risks in Healthcare? [Occupational risks/limits/PPE/obligations]a. This chapter will focus on how we define an “acceptable risk” in healthcare. We will discuss the many risks that nurses encounter in their day-to-day patient care activities during COVID-19 both within hospital systems and other types of care facilities, including working without protective equipment and the general risks to patients and families. (adding statistics on risks for CPR, risks to ICU providers and others; risks with use of PPEChristine Grady and Connie UlrichChapter 3. Finding Compassion: Helping Patients Die and Sometimes Alone a. This chapter will discuss the role of nurses and others (palliative care) in helping patients die, often alone, within intensive care environments or other settings. We will share some of the innovative ways in which nurses and others met their foundational moral obligations to patients at the end-of-life, honoring the dignity of patients, and helping families through this stressful time. Christine Grady and Connie UlrichChapter 4. Preparing to Make Difficult Choices: Triage Decision and Crisis Standards of Care a. This chapter will speak to the different models of triage decision-making and the ethics of priority setting and allocation of scarce resources.Christine MitchellChapter 5. The Emotional and Moral Remnants of COVID-19: Burnout, Moral Distress, and Mental Health Concerns a. The pandemic has focused our attention to the mental health concerns of front-line nurses, including their moral distress, burnout, depression, and emotional scars from a sense of exhaustion, tragic choices, and overwhelming circumstances. Christine Grady and Connie UlrichChapter 6. Unintended Consequences: Lack of Essential and Nonessential Patient Care, Furloughs of HCP, and Institutional Financial Lossesa. The COVID-19 pandemic has given rise to unintended consequences of what is considered essential and nonessential patient care. Patients, for example, were delayed in seeking surgical services or other types of specialty care (e.g., cancer care). With the focus on COVID-19 patients, nurses have also been furloughed, affecting their economic livelihood. This chapter will highlight and discuss these concerns. Dr. Peter Buerhaus and colleaguesChapter 7. Lingering and Glaring Health Disparities amidst COVID-19 a. The COVID-19 related illnesses and deaths in minority and socially disadvantaged communities warrants our attention. This chapter will discuss these inequities and the social justice implications for quality and equitable care outcomes. Dr. Nneka SederstromChapter 8. School nurses/pediatric concernsAuthor TBCChapter 9. Global Health Ethics: Nursing Voices from China and Brazil a. This chapter will highlight the voices of nurses in two of the countries most significantly affected by COVID-19: China and Brazil. It is important to learn from both countries and to discuss the similarities and differences in caring for their populations and the role of nurses in these countries. Drs. Ulrich and Grady will provide pre and post comment to the essaysChapter 10. Moving Forward: What Have We Learned? Where do we go from here? [Conclusion] (Opportunities to move forward). Small “words of wisdom” from several nurse leaders (President of ICN, President of Sigma Theta Tau International, Liz Stokes-ANA and others). We ask several national and international nurse leaders to provide us with “words of wisdom” to help us move forward from the pandemic. Drs. Ulrich and Grady will provide commentary on these segments and conclude with their own “words of wisdom” to For each of the chapters, we will ask the authors to include a section on how the lessons learned from COVID-19 might have emerged from prior pandemics and might apply to future pandemics

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Book SynopsisThis book provides an update on recent clinical practice and an in-depth view of selected topics relevant to hospital medicine. It is divided into four sections that explore clinical, administrative, systems and ethical issues. Each section places an emphasis on the opportunities, challenges and potential directions of this bourgeoning subspecialty. This new edition expands on topics covered in the previous edition, including the COVID-19 pandemic, racial disparities in healthcare delivery and providers, and pediatric hospital medicine. Other chapters explore worldwide practice patterns and practical application of philosophical tools in daily practice. This up-to-date resource provides hospitalists, advanced nurse practitioners, medical students and administrators with the latest research, trends and issues in hospital medicine. Table of ContentsClinical approaches to the Covid -19 pandemic Management of Inflammatory Bowel DiseaseUpdates in Nephrology for the HospitalistHeart Failure Management for the Inpatient ProviderAdvances in the Evaluation and Treatment of Sepsis and ShockCurrent Trends in Stroke ManagementCo-Management of Orthopedic PatientsPediatric Hospital MedicineManagement of Psychiatric Disorders in the HospitalOpioids: History, Pathophysiology, and Stewardship for HospitalistsOVERVIEW, UPDATES, AND NEW TOPICS IN PERIOPERATIVE CAREVirtual Hospital MedicinePalliative Care for HospitalistsBarriers to Advance Care Planning (ACP) in the Hospital: A Review and Case StudyValue Based Care in the HospitalWellness in Physicians in the Era of the COVID-19 PandemicLGBTQ Health Care IssuesRacial Disparities in HealthcareGender and Racial Disparities in Career Advancement in the United StatesResearch in MedicineSustainability and Healthcare: Expanding the Scope of “Do no harm” Models of SuccessThe Evolution of International Health: Lessons to be Learned Update in Hospital Medicine Trends in Compensation, COVID-19, Workplace Environment, and Malpractice

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Book SynopsisThis book explores how the continental philosophical tradition in the 20th century attempted to understand madness as madness. It traces the paradoxical endeavour of reason attempting to understand madness without dissolving the inherent strangeness and otherness of madness. It provides a comprehensive overview of the contributions of phenomenology, critical theory, psychoanalysis, post-structuralism and anti-psychiatry to continental philosophy and psychiatry. The book outlines an intellectual tradition of psychiatry that is both fascinated by and withdraws from madness. Madness is a lure for philosophy in two senses; as both trap and provocation. It is a trap because this philosophical tradition constructs an otherness of madness so profound, that it condemns madness to silence. However, the idea of madness as another world is also a fertile provocation because it respects the non-identity of madness to reason. The book concludes with some critical reflections on the role of madness in contemporary philosophical thought.Trade Review“In tracing the continental philosophy of psychiatry tradition, Morgan does indeed succeed in rescuing it from obscurity, in ways that will benefit many. For researchers, the book opens many exegetical and conceptual questions, or returns to old questions from a fresh perspective. For clinicians, a rich and pluralistic understanding of madness emerges, holding space for its difference while recognising the contexts of violence and contradiction that produce it. … As such, there are many who stand to gain from engaging with this important book.” (Robert Chapman, Psychiatrie Filosofie, psychiatrieenfilosofie.nl, June, 2023)Table of ContentsChapter 1: Introduction.- Part I: Three Inclusive ExclusionsChapter 2: “A subtle, pervasive and strangely uncertain light”: Jaspers on understanding madnessChapter 3: “As strange to me as the birds in the garden”: Bleuler, Jung and the creation of schizophreniaChapter 4: A distance from all that is human: Freud and Psychosis.- Part II: Through a glass darklyChapter 5: Vital ContactChapter 6: IpseityChapter 7: The Body.- Chapter 8: Being-in-the-worldPart III: It’s a Mad worldChapter 9: “The world cannot acknowledge its own madness”: alienation and the destruction of experienceChapter 10: Reification and Schizophrenia – a socio-pathological parallelismChapter 11: Beware, Marcuse!Chapter 12: “O my body. . .”: Fanon and the pathologies of recognitionPart IV: “A certain madness must watch over thinking”Chapter 13: “In the distance of madness”: Foucault and the History of MadnessChapter 14: The lure of madnessChapter 15: Lacan: the shadow of madnessChapter 16: The ineffable and limit-experiencePart V: Anti -Psychiatry and madnessChapter 17: Capitalism and schizophreniaChapter 18: A germinal anti-psychiatry: R.D. Laing’s wild empathyChapter 19: “It all began with a ‘no’”: The Institution negatedChapter 20: Epilogue – The end of madness?

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Book SynopsisThis book analyses the concept of disease, as defined in the context of evolutionary medicine. Upon introducing the reader to evolutionary medicine in its current form and describing its approach to disease instances, the book leverages thoughts and instruments of knowledge of epistemology, social sciences, and ethics to answer the question: “How can we build a timely and appropriate concept of disease?” At first, it looks at the social concerns of medicalization, for example focusing on the suffering of people who have not been diagnosed, or whose suffering is not caused by certain elements that falls under the definitions of disease. In turn, it merges different, both conceptual and empirical considerations in one comprehensive analysis, with the aim of fostering a multidisciplinary understanding of the phenomenon of disease. This book also highlights certain kinds of epistemic injustices that are taking place in the healthcare system, as this is currently conceived in post-industrial societies, thus offering a timely contribution to the current debate around social justice in healthcare.Table of ContentsIntroduction.- Finding Value in Concepts.- Meaning as Definition and Meaning as Use.- Locating the Conceptual Change in Scientific Research.- The Concept of Disease in the Traditional Debates.- Evolution and Evolutionary Medicine in Disease.- New Developments in Evolutionary Theory and Evolutionary Medicine, New Frontiers for Evolutionary Medicine.- Conclusion.

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Book SynopsisThis textbook introduces the reader to basic problems in the philosophy of science and ethics, mainly by means of examples from medicine. It is based on the conviction that philosophy, medical science, medical informatics, and medical ethics are overlapping disciplines. It claims that the philosophical lessons to learn from the twentieth century are not that nature is a ‘social construction’ and that ‘anything goes’ with respect to methodological and moral rules. Instead, it claims that there is scientific knowledge, but that it is never completely secure; that there are norms, but that they are situation-bound; and that, therefore, it makes good sense to search for scientific truths and try to act in a morally decent way. Using philosophical catchwords, the authors advocate ‘fallibilism’ and ‘particularism’; a combination that might be called ‘pragmatic realism’.

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Book Synopsis"We cannot be happy without insight into the limits of what is feasible." Modern medicine suggests omnipotence and an image of life as something that can be perfected at any time. Yet our view of things changes when disease throws us into an existential crisis. Then we seek human answers and feel misunderstood and abandoned in the system of modern medicine. Professor Giovanni Maio, the eloquent advocate of a new culture of medicine, poses fundamental questions in this book that no one can really avoid: Where are the promises of reproductive and transplantation medicine leading us? To what extent can health be made, and to what extent is it a gift? Does "prettier, better, stronger" promise us greater happiness? Why is the question of organ donation more difficult than is suggested to us? Does being old have its own intrinsic value? How can we acquire an attitude towards dying that does not leave us feeling powerless? Giovanni Maio's profound plea for an ethics of prudence opens up hitherto unknown perspectives. In this way we could free ourselves from the belief in perfection and find our way to a new serenity as a condition for a good life.Table of ContentsChapter 1. Meeting in the Petri Dish? Chapter 2. Screen, Test, Weed Out? Chapter 3. Prettier, Better, Stronger? Chapter 4. Is Health A Duty? Chapter 5. The Crisis of Confidence in Organ Donation Chapter 6. On the Value of Age, Beyond the Fitness Imperative Chapter 7. Living Wills - Are Forms Replacing Dialogue? Chapter 8. Being Able to Let Go. For a New Culture of Dying Epilogue: Happiness Lies in Our Attitude Toward the World

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Book SynopsisIn den letzten Jahren hat sich eine Vielfalt unterschiedlicher Gremien zur Ethikberatung entwickelt: vom Konsil mit einem einzelnen Berater bis zum Ethikkomitee. In dem Band werden die Ethikberatung, ihre Entwicklung und Anwendung, sowie die Gründung von Gremien in Krankenhäusern, Pflegeeinrichtungen, Hospizen und von niedergelassenen Ärzten anhand von Fallbeispielen erläutert. Dabei schlagen die Autoren eine Brücke zwischen traditioneller philosophischer Ethik und anwendungsbezogener klinischer Ethik. Auch rechtliche Fragen werden erörtert.Trade ReviewAus den Rezensionen: “… einem detaillierten Stichwortverzeichnis machen vor allem die klare Gliederung, ein unprätentiöser Stil und ein gelungenes Layout das Werk ...“ Table of ContentsVorwort.- Inhaltsverzeichnis.- Autorenverzeichnis.- Abkürzungsverzeichnis.- 1. Ethikberatung im Gesundheitswesen – zur Einführung.- I Grundlagen von Ethikberatung und Klinischer Ethik.- 2. Klinische Ethik und Ethikberatung.- 3. Ethikberatung und Ethikkomitees in Deutschland.- 4. Philosophische Ethik und Klinische Ethik.- 5. Ethische Fallbesprechung und Supervision.- 6. Professionalisierung und Standardisierung der Ethikberatung.- II Modelle und Beispiele der Implementierung von Ethikberatung.- 7. Medizinethik an der Universität Erlangen-Nürnberg.- 8. Klinisches Ethikkomitee Düsseldorf-Gerresheim.- 9. Implementierung eines Klinischen Ethikkomitees.- 10. Die Einrichtung der Klinischen Ethikberatung am Universitätsklinikum Ulm.- III. Neue Anwendungsfelder und Herausforderungen der Zukunft.- 11. Ethikberatung für Hausärzte bei Patienten am Lebensende.- 12. Ethikberatung in der Altenhilfe.- 13. Ethikberatung im Hospiz.- 14. Rechtliche Fragen der Medizinethik und klinischer Beratung am Lebensende.- 15. Ethikberatung und Recht.- Anhang.- Nützliche Internetadressen.- Stichwortverzeichnis.

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Book SynopsisDas vorliegende Handbuch liefert einen konzisen Überblick und eine verlässliche Orientierungshilfe bei ethischen und rechtlichen Entscheidungsprozessen in der Forschung am Menschen. Es dient dabei einerseits als eine Dokumentation des Status quo, andererseits aber auch als Diskussionsgrundlage für zukünftige Entwicklungen. An dem Handbuch haben Praktiker aus Forschung und medizinischer Behandlung, Ethiker und Philosophen, Medizinhistoriker, Rechtswissenschaftler, Pharmakologen, Strahlentherapeuten, Pädiater, Chirurgen und Psychiater mitgearbeitet, die für eine hohe Detailkenntnis und Praxisrelevanz der gesammelten Beiträge bürgen. Das Buch gibt Ethikkommissionsmitgliedern, Forschern und Antragstellern bei Ethikkommissionen einen Einblick in Krite­rien und Entscheidungsmechanismen der Forschungsethik und macht Entscheidun­gen und Beurteilungen von Ethikkommissionen besser verständlich. Darüber hinaus liefert es einen Beitrag zu einer Harmonisierung der bestehenden Praxis.Trade Review“... eine gelungene Mischung zwischen eher theoretisch und eher praktisch ausgerichteten Beiträgen aus. ... Insgesamt lässt sich feststellen, dass das Handbuch einen hervorragenden Überblick über nahezu alle mit Humanexperimenten verbundenen ethischen, rechtlichen und praktischen Themenfelder vermittelt … Zweifelsohne handelt es sich bei dem Handbuch um ein Vademekum im besten Sinne des Wortes – ein Wegbegleiter, der in die Handbibliothek eines jeden gehört, der sich theoretisch oder praktisch mit der Forschung am Menschen befasst.” (Ulrich M. Gassner, in: MedR Medizinrecht, Jg. 33, Heft 5, Mai 2015)“... Der lexikalische Charakter macht das Handbuch zu einer seriösen Quelle der rechtlichen und ethischen Normen in der medizinischen Forschung. Das Buch verdeutlich, wie intensiv man sich in Deutschland mit rechtlichen Bestimmungen, Verfahrensregeln und moralischen Standards um eine Bewertung und Regelung in diesem Bereich bemüht.” (in: EB Erwachsenenbildung, Heft 1, Januar 2015)Table of ContentsTeil I: Art der Studie.- Teil II: Zentrale ethische und rechtliche Themen.- Teil III: Patientengruppen.- Teil IV: Forschungsbereiche.- Teil V: Dokumente und Institutionen.- Teil VI: Fachbegriffe zur Studiendurchführung.

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Book SynopsisDer Biogerontologie oder biologischen Alternsforschung ist es gelungen, den Alternsprozess von Labororganismen zu manipulieren. Biogerontologische Forscher glauben diese Erkenntnisse auch auf den Menschen übertragen zu können. Hier sollte zeitnah eine ethische Reflexion einsetzen, bevor Forschungserfolge die zukünftige Entwicklung in eine unerwünschte Richtung führen. Der Kontext für diese Reflexion besteht im demographischen Wandel und in veränderten Altersbildern. Einerseits gibt es daher Hoffnungen, dass erfolgreiche, neue Interventionen in Alternsprozesse negative Folgen des demographischen Wandels abschwächen oder gar ganz verhindern könnten. Andererseits könnten Eingriffe in Alternsprozesse auch ethische Probleme hervorbringen. Das vorliegende Buch stellt zunächst knapp biogerontologische Theorien, Konzeptionen und Methoden dar und untersucht systematisch, die sich im Anschluss daran die einschlägigen ethischen Fragen. Um diese Fragen zu beantworten werden umfangreiche interdisziplinäre Forschungsergebnisse aus Biogerontologie, Medizinethik, Philosophie und Sozialgerontologie berücksichtigt. Die Untersuchung kommt zum Ergebnis, dass es zwar einige berechtigte ethische Bedenken gegen die biogerontologische Forschung und ihre mögliche Anwendung in der Medizin gibt, aber keine berechtigten, prinzipiellen Einwände.Table of ContentsEntbehrliche Körper. Die Biogerontologie als neue theoretische Grundlage für das Verständnis des körperlichen Alter(n)s.- Biogerontologische Interventionen in Alternsprozesse.- Biologisches Altern und Krankheit.- Ziele der Biogerontologie – auch Ziele für die Medizin?.- Eine unzulässige Biomedikalisierung des Alterns?.- Altern als Übel.- Gesellschaftliche Folgen von Eingriffen in Altern.- Die Ethik der Biogerontologie und die Zukunft des Alterns.

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Book SynopsisDie Autorinnen und Autoren dieses Bandes analysieren in kritischer Weise die Breite und Tiefe des Diskurses zu Neuro-Enhancement, der sich aber nicht nur durch ethische Fragen auszeichnet. Sie zeigen, dass es darüber hinaus grundlegende philosophische, anthropologische und gesellschaftstheoretische Aspekte sind, die im Steigerungsbedürfnis spätmoderner Leistungs(steigerungs)gesellschaften zu Tage treten. So scheint eine neue Wunschwelt vor der Tür zu stehen: Doping fürs Gehirn! Der rasante Fortschritt der Neurowissenschaften hat das menschliche Gehirn erreicht. Die Möglichkeiten der Leistungssteigerung könnten bald auch das „Innerste“ des Menschen essentiell betreffen: sein Denken und Fühlen, Entscheiden und Handeln.Die Herausgeber Prof. Dr. Nicola Erny ist Professorin für Philosophie an der Hochschule Darmstadt. Dr. Matthias Herrgen lehrte am Philosophischen Seminar der Westfälischen Wilhelms-Universität in Münster. Prof. Dr. Jan Cornelius Schmidt unterrichtet Philosophie, Ethik und Technikfolgenabschätzung an der Hochschule Darmstadt.Table of ContentsEnhancement / Neuro-Enhancement.- Doping und Hirndoping.- Ethik und Konzepte der Ethik.- Technikfolgenabschätzung (TA).

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Book SynopsisAktuell werden Themen wie die gesetzliche Regelung der ärztlichen Suizidbeihilfe oder die Euthanasie immer wieder ins Zentrum gesellschaftlicher Debatten gerückt. Unterschiedliche Medien greifen die Frage der Suizidbeihilfe auf und diskutieren, wie ein „selbstbestimmtes Sterben“ aussehen kann. Welche medizinischen, rechtlichen, ethischen, philosophischen und theologischen Aspekte gilt es zu berücksichtigen? Dieses Buch macht die Frage der ärztlichen Suizidassistenz zum Thema. Experten unterschiedlicher Fachdisziplinen beleuchten kritisch die in der Sterbehilfe-Debatte vorgebrachten Argumente und beantworten die Frage, wie ein würdiges Sterben aussehen könnte.Mit Beiträgen von Benedict Maria Mülder, Susanne Kummer, Axel W. Bauer, Günther Pöltner, Markus Rothhaar, Christian Hillgruber, Marcus Schlemmer, Andreas S. Lübbe, Christian Spaemann, Ulrich Eibach, Manfred Spieker, Marcus Knaup, Thomas Sören Hoffmann.Trade Review“… wichtige Orientierungshilfen, die zur eigenen Rollenbestimmung und Positionierung in der uns weiterhin beschäftigenden Debatte um Beihilfe zur Selbsttötung und Tötung auf Verlangen beitragen.” (H. Christof Müller-Busch, in: Zeitschrift für Palliativmedizin, Heft 1, 2016)Table of ContentsVorwortBenedict Maria Mülder: Zum GeleitPolitik und RechtSusanne Kummer: Ex in the CityAxel W. Bauer: Notausgang assistierter Suizid?Günther Pöltner: Das Problem einer gesetzlichen Regelung von ExtremfällenMarkus Rothhaar: Autonomie und Menschenwürde am LebensendeChristian Hillgruber: Die Bedeutung der staatlichen Schutzpflicht für das menschliche Leben und der Garantie der Menschenwürde für eine gesetzliche Regelung zur SuizidbeihilfeMedizin und PsychotherapieMarcus Schlemmer: Assistierter Suizid durch Ärzte? Die Sicht eines PalliativmedizinersAndreas S. Lübbe: Palliativmedizin als Angebot gegen eine Normalisierung des TötensChristian Spaemann: Patientenautonomie und unerträgliches LeidTheologische und philosophische GrundlagenfragenUlrich Eibach: Von der Beihilfe zum Suizid zur Tötung auf Verlangen?Manfred Spieker: Sterbehilfe?Marcus Knaup: Wie wollen wir sterben?Thomas Sören Hoffmann: Das gute Sterben und der Primat des LebensDokumentationsteilAutorenverzeichnis

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Book SynopsisIn diesem Band werden sowohl die medizinischen Chancen und Risiken der modernen Reproduktionsmedizin erläutert, als auch ihre gesellschaftspolitischen und ethischen Dimensionen in den Blick genommen. Expertenstatements aus den an der Debatte beteiligten Disziplinen eröffnen einen mehrperspektivischen Einblick in die Thematik.Table of ContentsDie moderne Fortpflanzungsmedizin: Reproduktionsmedizinische Rahmenbedingungen und Risikofaktor maternales Alter.- Die gesellschaftlich-politische Perspektive: Der Wandel von Familien- und Lebensmodellen, die Bedeutung der medizinischen und psychosozialen Beratung und die Rolle der schulischen Aufklärungsarbeit.- Die ethische Debatte: Eingriff in die Menschenwürde oder Selbstbestimmung der Frau?.

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Book SynopsisAuszubildende der Gesundheits‐ und Krankenpflege kommen in ihrer praktischen Tätigkeit häufig mit ethisch bedenklichen Situationen in Kontakt, ohne diese als solche zu erkennen. Karina Sensen diskutiert die Sensibilisierung für ethische Konflikte als Grundvoraussetzung dafür, das eigene Handeln an ethischen Grundlagen zu orientieren. Vor diesem Hintergrund erarbeitet sie einen didaktischen und methodischen Rahmen für Lehrende an Krankenpflegeschulen, mit dessen Hilfe diese die Auszubildenden dabei unterstützen können, die Reflexion ethischer Konflikte einzuüben und zu festigen. Damit können die Lernenden auf ihre praktische Tätigkeit so vorbereitet werden, dass sie in ethischen Konfliktsituationen handlungsfähig sind. Table of ContentsZiele des Ethikunterrichts.- Ethische Inhalte in der Gesundheits- und Krankenpflegeausbildung.- Ethik unterrichten.- Fallorientierung im Ethikunterricht.- Entwickelte Materialien für die Vermittlung ethischer Inhalte.

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Book SynopsisKommunikation im Kontext der Organspende gehört zu den sensibelsten und herausforderndsten Aufgaben im Klinikalltag. Angehörige und medizinisches Fachpersonal begegnen sich in einer äußerst belastenden Phase der Unsicherheit, Trauer und Verletzlichkeit. Dennoch müssen sie gemeinsam klären, ob ein Organspendeausweis vorliegt und das bereits intensivmedizinisch betreute Familienmitglied einer Organspende zustimmen würde. Die Interessen der Beteiligten unterscheiden sich und treffen sich zugleich in der Zielsetzung, den Willen des Patienten mit dieser Entscheidung umzusetzen. Der interdisziplinär angelegte Band reflektiert die im Feld bestehenden Kontingenzen. Er zielt auf eine Präzisierung der Wahrnehmung und erörtert Handlungsoptionen, die dazu beitragen können, diese spezifische Kommunikationssituation konkret zu entlasten.Table of ContentsVorwortTeil 1: Grundlagen und KontexteCharlotte Koscielny, Monika E. Fuchs, Julia Inthorn, Elena Link & Frank Logemann: Organspende als Herausforderung gelingender Kommunikation – EinführungElena Link & Mona Wehming: Organspende als Gegenstand massenmedialer und interpersonaler Kommunikation Teil 2: Akteure und Aspekte im GesprächsverlaufFrank Logemann: Das Leid der Angehörigen und der Druck der Warteliste: Die Aufgabe von Ärztinnen und Ärzten bei Gesprächen zur OrganspendeRuth Denkhaus: „Mein Herz würde ich niemals hergeben.“ Ein Überblick über den Forschungsstand zu Befürchtungen und Vorbehalten gegenüber der Organspende in DeutschlandBarbara Denkers: Gespräche zur Organspende: Herausforderungen für Angehörige Susanne Hirsmüller & Margit Schröer: Trauer – Wut – Schuld – Angst: Emotionen und Reaktionen im akuten EntscheidungsprozessTeil 3: Interdisziplinäre PerspektivierungenElena Link: Gelingende Kommunikation über Organspende?! Eine kommunikationswissenschaftliche KommentierungCharlotte Koscielny & Monika E. Fuchs: Kommunikation über Organspende als schulischer Bildungsauftrag?! Grundlagen, Bestandsaufnahme und PerspektivenJulia Inthorn: Gelingende Kommunikation: ethische Reflexion der normativen Grundlagen der Angehörigengespräche über OrganspendeVerzeichnis der Autorinnen und Autoren

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Book SynopsisDer Band „Facetten von Gesundheitskompetenz in einer Gesellschaft der Vielfalt“ zeichnet ein vielseitiges Bild über die Bedeutung von Gesundheit und Gesundheitskompetenz in einer Gesellschaft, die von zunehmender Diversität, digitaler Transformation und immer leistungsfähigerer Medizin geprägt ist. Gesundheitskompetenz, also Gesundheitsinformationen finden, verstehen, beurteilen und anwenden zu können, ist ein Zusammenspiel von individuellen Fähigkeiten und institutionellen Anforderungen. Wie können Gesundheitsinformationen aufbereitet werden, um für alle Menschen angemessen zugänglich und verständlich zu sein? Woran erkennen wir gute Gesundheitsinformationen? Wie können VertreterInnen unterschiedlicher Gesundheitsprofessionen selbstbestimmte Gesundheitsentscheidungen fördern? Diese und anderen Fragen werden u.a. aus gesundheitspsychologischer, soziologischer und ethischer Perspektive beleuchtet. Die AutorInnen geben Einblicke in die aktuelle Forschung, stellen ausgewählte Arbeiten vor und laden zur Reflexion über unseren Umgang mit Gesundheit und Gesundheitsinformationen ein.

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Book SynopsisThis book addresses the issues and challenges raised by the high-profile cases of Charlie Gard and Alfie Evans. The individual chapters, which complement one other, were written by scholars with expertise in Law, Medicine, Medical Ethics, Theology, Health Policy and Management, English Literature, Nursing and History, from the UK, Australia, Canada, the Czech Republic, France, Germany, India, Spain, Turkey and the USA.The following are among the key questions explored in the book. Is the courtroom an appropriate forum for resolving conflicts relating to medical futility in paediatrics? If so, should parental rights be protected by confining judicial powers only to cases where there is a risk of significant harm to the infant; or should the "best interests" test continue to be recognised as the "gold standard" for paediatric cases? If not, should mediation be used instead, but how well would this alternative method of dispute resolution work for medical futility conflicts? Further, should social media be deployed to garner support, and should outsiders who are not fully acquainted with the medical facts refrain from intervening? And, how are comparable situations likely to be managed in different countries? What lessons can be learned from them as well as from religious perspectives?Table of Contents Foreword by Michael Redfern QC Preface by Kartina Aisha Choong Notes on Contributors INTRODUCTION. Charlie Gard and Alfie Evans: Their Medico-Legal Journeys, by Kartina A. Choong PART I. ISSUES AND CHALLENGES CHAPTER 1. The Vexed Question of Best Interests in Decisions Relating to Infants and Medical Futility, by Jo Samanta CHAPTER 2. Best Interests: The "Gold Standard" or a Gold Plating? Should Significant Harm be a Threshold Criterion in Paediatric Cases? by William Seagrim CHAPTER 3. Charlie's Law: Clarifying the Legal Standard to be Used in Medical Decision-Making for Children, by Sarah Sargent CHAPTER 4. Media Framing of "Medical Futility": Flaming the Debate?, by Kim McGuire CHAPTER 5. Resource-intense Treatments in a Resource-finite Environment, by Richard Wai Ming Law CHAPTER 6. Citizenship at the Discretion of the State: Public Law Issues Regarding Evans' Naturalisation, by Alejandra Boto CHAPTER 7. Contested Paediatric Palliative Care: A Church of England Perspective, by Brendan McCarthy CHAPTER 8. The Dynamics of Clinical Judgment, Religious Conventions and Parental Responsibilities: An Islamic Perspective, by Mahmood Chandia, Abdulla al-Shami CHAPTER 9. Do Parents Have a Right to Determine Where a Child Patient Dies?, by Lisa Cherkassky PART II. INTERNATIONAL PERSPECTIVES CHAPTER 10. Serving the Child's "Best Interests" in Australia, by Roslyn Jones CHAPTER 11. Medical Futility in Czech Paediatrics: At the Edge of Law, Bioethics, and Medicine, by Helena Krej?íková CHAPTER 12. The Application of End-of-Life Legislation to Minors in France, by Stephanie Rohlfing-Dijoux CHAPTER 13. Patient Autonomy and Best Interests in End-of-Life Cases: A German Perspective, by Peter Elsner CHAPTER 14. Gard and Evans: A Reflection on What Might Happen in India, by Abhay Vaidya, Sourabhi Sahakari CHAPTER 15. Medical Futility and Parental Paternalism in Turkey, by Banu Buruk, Berna Arda CHAPTER 16. If We Can, Must We? Just Whose Best Interests Are We Talking About? Perspectives from the USA, by Vincent F. Maher

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Book SynopsisWith the increasing number of complaints and court cases relating to healthcare disputes, healthcare practitioners (HCPs) are now facing more challenges and dilemmas in their daily practices. This book is unique in that most chapters are written jointly by two authors: one with legal training and one with a healthcare background. The balanced view offered thus allows readers to gain a thorough understanding of the concepts presented. Although most of the examples and scenarios are specific to medical doctors, the basic principles and ethical considerations as well as the enforcement of laws and regulations are, with some modifications, equally applicable to other HCPs, such as dentists, nurses, midwives, etc. Readers interested in healthcare law and ethics from numerous fields and stages of training, including legal and healthcare practitioners, trainees, postgraduate researchers and undergraduate students, will find this book both informative and practical as an aid to their work and studies.

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Book SynopsisExpect the Unexpected: A Compilation of Common Cases Posing as Diagnostic Dilemmas details 50 patients seen and managed over the years by Professor Datin Dr. Chia Yook Chin. These patient cases present readers with a variety of atypical and unusual diagnoses. Each case forms the basis for a fascinating look at how doctors can improve their approach to each diagnostic dilemma. Budding medical students and housemen, and even family medicine trainees will benefit greatly from learning about these curious real-life cases within this compilation.

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Book SynopsisChapter 1: Introduction to Research and Academic Integrity.- Chapter 2: Research Ethics and Ethical Behavior in Research.- Chapter 3: Contravenes of Academic Integrity.- Chapter 4: Plagiarism Prevention.-Chapter 5: Responsible Scholar.-Chapter 6: Predatory Dissemination of Research Findings.- Chapter 7: Case Studies of Research Misconduct.- Chapter 8: Strategies to Tackle Research Misconduct.- Chapter 9: Role of Policies in Preserving Research and Academic Integrity.-Chapter 10: Developing a Culture of Integrity Amongst Students and Academics Importance of a Culture of Integrity in Research.- Chapter 11: Conclusion and Future Directions in Research Integrity.

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Book SynopsisThe book, intended for biomedical researchers, attempts to foster a comprehensive understanding of the elements that impact scientific research, such as clinical trial design, communication, and publication methods. It introduces the process of idea generation and creative/critical thinking, leading to the development of key concepts that coalesce into theoretical constructs and working hypotheses. The book systematically delineates research phases associated with a bench-to-bedside translational approach, providing the full depth and breadth of drug discovery and development: design, synthesis, and optimization of drug candidates interacting with targets linked to diseases, as well as clinical trial design to acquire substantial evidence of efficacy and safety for candidate drugs in the target patient population. New and evolving topics such as artificial intelligence, machine and deep learning, drug repurposing approaches, and bioinformatics, are incorporated into the text as these features are becoming integrated into drug research and development. Additionally, it covers publication strategies, including literature search, manuscript preparation, data presentation, relevant discussion, editorial processes, elements of peer review, and bibliometrics. Finally, the book addresses grantsmanship, key strategies for building effective networks, mentorships, maintaining research integrity, and forging career advancement opportunities, including entrepreneurship.Table of ContentsPlease refer to the attachments tab.

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Book SynopsisThe Elements of Ethical Dilemmas: Applied Psychology Ethics in Australia is a comprehensive and applied guide to practising psychology in an ethical and professional manner. This book is designed to assist applicants for general registration as a psychologist successfully navigate one of the eight core competencies for general registration set by the Psychology Board of Australia; specifically ethical, legal, and professional matters. The exploration of ethical dilemmas is a core task for the 4+2 pathway to general registration, while related ethical applications require exploration in the 5+1 and higher education pathways to registration as well.This book will teach readers how to identify, explore, and choose the appropriate professional course of action when confronted by ethical dilemmas in practice. The chapters include personal reflections from expert contributors relating to each of the ethical dilemmas, expertly highlighting clients' and stakeholders' circumstaTable of ContentsPart A: Introductory Information Preface: Rationale for an Elements Book on Ethical Dilemmas Nadine J. Pelling. General Ethical Principles Nadine J. Pelling. Overview of Ethics in Australian Psychology Nadine J. Pelling. Part B: Ethical Dilemmas I. Practice-Focused Ethical Dilemmas 1. Sleepy Drivers Die: When a Safety Slogan is also an Ethical Concern Saul Gilbert, Kerry Maxfield, Michael Chia, Jillian Dorrian, Siobhan Banks and Kurt Lushington 2. Competing Agendas and the Early Career Athlete: Treatment of Depression in the Performance Context John Baranoff and Kate Hall 3. Maintaining a Therapeutic Relationship while Developing Advanced Competence William Hough II. Culture and Diversity-Focused Ethical Dilemmas 4. Working with Interpreters while Delivering Trauma Therapy Ekaterina Orozco 5. Cultural Considerations in Maintaining Financial Boundaries Celine Leslie 6. Maintaining Professional Boundaries When Both Client and Psychologist Belong to a Common Sub-culture: Being Part of a Sexual Minority Community Stephanie Webb III. Impairment- and Crisis-Focused Ethical Dilemmas 7. The Wounded Healing Others: A Ticking Ethics Time Bomb? Paul D. Kremer and Mark A. Symmons 8. Ethical Issues Associated with Competence and Limits of Confidentiality Bianca Denny 9. Reporting Considerations for Psychologists when Treating Health Practitioners with Possible Impairment Paige Knott 10. An Ethical Response to Disclosures of Suicidal Ideation or Behaviour Helen M. Stallman IV. Family and Relationship-Focused Ethical Dilemmas 11. Confidentiality in Domestic Violence Situations Ruby Z. Basocak and Lisa J. Warren 12. Informed Consent and Confidentiality in Relationship Therapy Alexis Wheeler 13. Confidentiality in the Psychological Treatment of Self-harming Adolescents Lauren Frensham 14. Client-Therapist Confidentiality in an Independent School Setting Adele Murphy and Timothy Upsdell V. Educational and Professional Representation Related Ethical Dilemmas 15. When Being Tidy Requires Follow-up in a University Setting Nadine J. Pelling 16. The Availability of Discredited Historical Applied Educational Materials in Psychology Travis Gee and Nadine J. Pelling 17. The Ethics of Image Management and Collegiality Nadine J. Pelling

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