Evidence-Based Medical Ethics:: Cases for Practice-Based Learning - Paperback
Evidence-Based Medical Ethics:: Cases for Practice-Based Learning - Paperback
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by John E. Snyder (Author), Rosemarie Tong (Foreword by), Candace C. Gauthier (Author)
Case-Based Medical Ethics in Practice
Preface by the authors
Foreword
Chapter 1: A brief introduction to medical ethics in Internal Medicine
- Definitions of ethics and medical ethics
- Why is medical ethics important? (teaching competency in ethics, teaching professionalism)
- Evolution of medical ethics and its importance/role in modern medicine (from paternalism to informed consent)
- Who determines ethical guidelines for medicine?
- Difference/similarities between ethics and law
- Purpose of the book (i.e. to stimulate thought and discussion, not cover all details of all ethical principles)
Chapter 2: The underlying principles of ethical patient care
- Beneficence - a practitioner should act in the best interest of the patient. (Salus aegroti suprema lex.)
- Non-maleficence - "first, do no harm" (Primum non nocere).
- Autonomy - the patient has the right to refuse or choose their treatment (Voluntas aegroti suprema lex.)
- Justice - concerns the distribution of scarce health resources, and the decision of who gets what treatment.
- Dignity - the patient (and the person treating the patient) have the right to dignity.
- Veracity - the patient should not be lied to, and deserves to know the whole truth about his/her illness and treatment.
Chapter 3: Putting ethics into practice - realities, limitations, and roadblocks
- Practitioners and personal belief systems
- Cultural competency and practice of ethical care
- Statement about pharmaceutical company influence on education and practice
- Medical oaths - Are they valid for medicine today? Are they fulfilled by practitioners?
- The Patient Bill of Rights
- Federal, state, local, and institutional regulations - how they intertwine and affect each other
Chapter 4: Advanced Directives, Living Wills, and the Health Care Power of Attorney (HCPOA)
Chapter 5: Case-based ethical dilemmas
- How the reader should approach these cases
- Where to find more information if needed
Case 1
- Topic: Consent in the mentally ill or otherwise unfit (and 'in between' situations: delirium, psychiatric decompensation)
- Subtopic: When does forcing an incompetent patient to undergo treatment limit their right to dignity and the principle of 'do-no-harm'?
- Narrative of clinical scenario with specific example of ethical dilemma
- Questions for thought/discussion
- Explanations of underlying ethical and legal principles
Case 2
- Topic: When the HCPOA neglects their responsibility, or has other personal interests/potential gains
- Narrative of clinical scenario with specific example of ethical dilemma
- Questions for thought/discussion
- Explanations of underlying ethical and legal principles
Case 3
- Topic: When the patient/their family bullies practitioners into unnecessary diagnostics/therapeutics
- "C.Y.A." medicine
- Narrative of clinical scenario with specific example of ethical dilemma
- Questions for thought/discussion
- Explanations of underlying ethical and legal principles
Case 4
- Topic: When an estranged family member or spouse suddenly appears to make decisions
- Narrative of c
Back Jacket
In the modern practice of medicine, new challenges complicate the ethical care of patients. Today's times require a contemporary take on the concept of medical ethics. The idea for this textbook was born out of a need for a teaching resource that merges medical ethics theory with the practical needs of modern clinical medicine. In Evidence-Based Medical Ethics: Cases for Practice-Based Learning, the authors address what has been missing in existing text books and ethics courses to date - clear-cut ethical and legal guidelines that provide a method for the reader to learn how to systematically manage dilemmas seen in the everyday practice of medicine. The reader is guided through several "typical" patient scenarios and prompted by various questions that should be entertained by the treating health care provider. Then, relevant evidence-based medicine, legal precedent, and the ethical theory that applies to the situation are revealed. Often, finding the "best" ethical solution for each problem is automatic, as the solution often becomes self-evident during information-gathering. This general method is reinforced throughout the text with multiple different cases, using a practice-based approach by building on the reader's developing skills. Additionally, we have sought to emphasize a culturally competent manner in resolving these dilemmas, respectfully addressing issues of age, gender, and culture whenever possible. The main goal of Evidence-Based Medical Ethics: Cases for Practice-Bases Learning is to assist the reader in adapting a patient-centered and evidence-based approach to dilemmas faced in their future practice of medicine.
