The Cambridge Textbook of Bioethics

Medicine and health care generate many bioethical problems and dilemmas that are of great academic, professional and public interest. This comprehensive resource is designed as a succinct yet authoritative text and reference for clinicians, bioethicists, and advanced students seeking a better understanding of ethics problems in the clinical setting. Each chapter illustrates an ethical problem that might be encountered in everyday practice; defines the concepts at issue; examines their implications from the perspectives of ethics, law and policy; and then provides a practical resolution. There are 10 key sections presenting the most vital topics and clinically relevant areas of modern bioethics. International, interdisciplinary authorship and cross-cultural orientation ensure suitability for a worldwide audience. This book will assist all clinicians in making well-reasoned and defensible decisions by developing their awareness of ethical considerations and teaching the analytical skills to deal with them effectively.

List of contributors	p. ix
Acknowledgements	p. xvi
Introduction	p. 1
Information problems
Introduction	p. 9
Consent	p. 11
Capacity	p. 17
Disclosure	p. 24
Voluntariness	p. 31
Truth telling	p. 36
Confidentiality	p. 43
End of life care
Introduction	p. 51
Quality end of life care	p. 53
Substitute decision making	p. 58
Advance care planning	p. 65
Euthanasia and assisted suicide	p. 72
Conflict in the healthcare setting at the end of life	p. 78
Brain death	p. 85
Pregnant women and children
Introduction	p. 95
Ethical dilemmas in the care of pregnant women: rethinking "maternal-fetal conflicts"	p. 97
Prenatal testing and newborn screening	p. 104
Assisted reproduction	p. 112
Respectful involvement of children in medical decision making	p. 121
Non-therapeutic pediatric interventions	p. 127
Child abuse and neglect	p. 132
Genetics and biotechnology
Introduction	p. 143
Organ transplantation	p. 145
Regenerative medicine	p. 153
Genetic testing and screening	p. 160
Bio-banking	p. 166
Behavioral genetics	p. 174
Research ethics
Introduction	p. 185
Research ethics	p. 187
Innovation in medical care: examples from surgery	p. 194
Clinical trials	p. 201
Epidemiological research	p. 207
Clinical research and the physician-patient relationship: the dual roles of physician and researcher	p. 214
Financial confict of interest in medical research	p. 222
Embryo and fetal research	p. 231
Health systems and institutions
Introduction	p. 241
Organizational ethics	p. 243
Priority setting	p. 251
Disclosure of medical error	p. 257
Conflict of interest in education and patient care	p. 266
Public health ethics	p. 274
Emergency and disaster scenarios	p. 281
Rural healthcare ethics	p. 289
Community healthcare ethics	p. 299
Using clinical ethics to make an impact in healthcare
Introduction	p. 309
Clinical ethics and systems thinking	p. 313
Innovative strategies to improve effectiveness in clinical ethics	p. 322
Teaching bioethics to medical students and postgraduate trainees in the clinical setting	p. 329
Global health ethics
Introduction	p. 339
Global health ethics and cross-cultural considerations in bioethics	p. 341
Physician participation in torture	p. 350
Access to medicines and the role of corporate social responsibility: the need to craft a global pharmaceutical system with integrity	p. 359
Global health and non-ideal justice	p. 369
Religious and cultural perspectives in bioethics
Introduction	p. 379
Aboriginal bioethics	p. 383
Buddhist bioethics	p. 391
Chinese bioethics	p. 397
Hindu and Sikh bioethics	p. 403
Islamic bioethics	p. 408
Jehovah's Witness bioethics	p. 416
Jewish bioethics	p. 424
Protestant bioethics	p. 430
Roman Catholic bioethics	p. 436
Specialty bioethics
Introduction	p. 445
Surgical ethics	p. 447
Anesthesiology ethics	p. 454
Critical and intensive care ethics	p. 462
Emergency and trauma medicine ethics	p. 469
Primary care ethics	p. 475
Infectious diseases ethics	p. 481
Psychiatric ethics	p. 487
Neuroethics	p. 495
Pharmacy ethics	p. 505
Alternative and complementary care ethics	p. 513
Index	p. 521
Table of Contents provided by Ingram. All Rights Reserved.

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The Cambridge Textbook of Bioethics

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