Read e-book online Resolving Ethical Dilemmas: A Guide for Clinicians PDF

By Bernard Lo MD

Resolving moral Dilemmas: A consultant for Clinicians, 5th Edition

 

Now in its 5th variation, this revered reference is helping readers take on the typical and sometimes hard moral matters that impact sufferer care. The booklet starts with a concise dialogue of medical ethics that gives the history info necessary to knowing key moral concerns. Readers then discover a variety of real-world moral dilemmas, each one observed through professional assistance on salient matters and the way to procedure them. The book’s two-color layout improves retention of fabric for visible newbies. An accompanying web site we could readers entry the complete textual content, besides positive aspects designed to augment realizing and attempt knowledge.

 

New to the 5th Edition:
This variation contains new discussions of moral matters as they relate to scientific perform guidance and evidence-based drugs, digital clinical documents, genetic checking out, and opioid prescription. The booklet additionally contains an elevated specialize in moral concerns in ambulatory care. Readers also will locate extra distinct research of instances, extra examples of moral reasoning, extra spotlight pages pertaining to scientific ethics to emergency drugs, oncology, palliative care, and family members drugs. additionally new are discussions of caliber development and use of improve care making plans instead of increase directives.

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Extra resources for Resolving Ethical Dilemmas: A Guide for Clinicians

Example text

Written consent signals to the patient that the decision is important. In ambulatory care, oral agreement to the plan of care is usual because the risks are lower and because patients can choose to discontinue medications (18, 19). AGREEMENT SHOULD BE VOLUNTARY Coercion and manipulation undermine free choices by patients. Coercion involves threats that are intended to control patients’ behavior and that patients find irresistible (20). An example is a threat to discharge a patient from the hospital if he does not agree with the recommended care.

For patients to make informed choices, physicians must discuss with them the alternatives for care and the benefits, risks, and consequences of each alternative. 3. Physicians need to encourage patients to play an active role in decision making and to ensure that patients are informed. Waljee JF, Rogers MA, Alderman AK. Decision aids and breast cancer: do they influence choice for surgery and knowledge of treatment options? J Clin Oncol. 2007;25:1067–1073. Murray E, Charles C, Gafni A. Shared decision-making in primary care: tailoring the Charles et al.

Communicating evidence for participatory decision making. JAMA. 2004;291:2359–2366. Fowler FJ Jr, Levin CA, Sepucha KR. Informing and involving patients to improve the quality of medical decisions. Health Aff (Millwood). 2011;30:699–706. McNeil BJ, Weichselbaum R, Pauker SG. Speech and survival: tradeoffs between quality and quantity of life in laryngeal cancer. N Engl J Med. 1981;305:982–987. McNeil BJ, Weichselbaum R, Pauker SG. Fallacy of the five-year survival in lung cancer. N Engl J Med.

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