Evidence-Based Medical Ethics

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, the relevant evidence-based medicine, legal precedent, and 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, the authors 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-Based Learning is to assist readers in adapting a patient-centered and evidence-based approach to dilemmas faced in their future practice of medicine. Book jacket.

John E. Snyder, MS, MD, The University of North Carolina School of Medicine at Chapel Hill, SEAHEC (South East Area Health Education Center), Department of Internal Medicine, New Hanover Regional Medical Center, Wilmington, NC, USA Candace C. Gauthier, PhD, Department of Philosophy and Religion, University of North Carolina Wilmington, Wilmington, NC, USA

Foreword	p. ix
Preface	p. xi
An Introduction to Modern, Evidence-Based Medical Ethics	p. 1
The Underlying Principles of Ethical Patient Care	p. 11
Advance Directives: The Living Will and the Power of Attorney for Health Care	p. 17
Case-Based Ethical Dilemmas	p. 21
When Consent and Capacity Collide	p. 25
When a Patient's Health Care Agent Does Not Fulfill Her Obligations	p. 31
When Coercion Dictates Care	p. 39
When a Spouse Is Estranged	p. 47
When a Patient Is Behaving Badly	p. 53
When a Patient Becomes Agitated	p. 59
When Patient Behavior Constitutes Abuse or Neglect	p. 65
When a Patient Has "Burned His Bridges"	p. 75
When a Patient Is Administratively Discharged	p. 81
When a Patient Makes Questionable Decisions	p. 87
When a Partner Is Excluded	p. 93
When a Diagnosis Is Reportable	p. 103
When Care Becomes Futile	p. 111
When Age Is a Factor in Health Care Decisions	p. 119
When a Patient Is Unidentifiable	p. 125
When Next-of-Kin Disagree	p. 131
When a Mistake Has Been Made	p. 139
When a Patient Codes	p. 145
When a Patient Places a Practitioner at Risk	p. 151
When Patient Non-Adherence Dictates Therapeutic Options	p. 161
When Family Members Limit Caregiver-Patient Communication	p. 167
When a Patient Requires Significant Medical Resources	p. 173
When a Patient's Belief System Affects His Care	p. 181
When a Minor Requires Confidential Medical Care	p. 187
When a Patient's Condition Is Terminal	p. 195
Comprehensive Exam	p. 201
Comprehensive Exam - Answer Key	p. 219
Glossary of Terms in Medical Ethics	p. 233
Index	p. 235
Table of Contents provided by Ingram. All Rights Reserved.

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Evidence-Based Medical Ethics

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