| Description |
1 online resource (xiv, 240 pages) |
| Contents |
A brief introduction to medical ethics in Internal Medicine -- The underlying principles of ethical patient care -- Putting ethics into practice -- realities, limitations, and roadblocks -- Advanced Directives, Living Wills, and the Health Care Power of Attorney (HCPOA) -- Case-based ethical dilemmas -- Topic: Consent in the mentally ill or otherwise unfit (and 'in between' situations: delirium, psychiatric decompensation) -- Topic: When the HCPOA neglects their responsibility, or has other personal interests/potential gains -- Topic: When the patient/their family bullies practitioners into unnecessary diagnostics/therapeutics -- Topic: When an estranged family member or spouse suddenly appears to make decisions -- Topic: How to deal with an inpatient behaving badly (psych consults, behavioral contracts, room restriction etc.) -- Topic: When DSS consults are needed -- Topic: When a patient has 'burned all bridges' and no discharge planning is possible -- Topic: Can a practitioner refuse to admit a patient? To see a patient in the office (e.g. administrative discharge)? -- Topic: When a patient makes 'bad' decisions (e.g. will accept some therapies and not others, such as some blood products but not others, some procedures but not others, DNI but not DNR, etc.) -- Topic: When a patient's same-sex partner has no legal rights and is excluded by a family -- Topic: When a patient has a contagious disease (e.g. HIV) and their partner is not aware -- Topic: When a family will not accept a terminal prognosis (i.e. futile 'full codes') -- Topic: When there is no one to make decisions for a patient (e.g. John/Jane Doe in ICU, wards of the state) -- Topic: When a mistake has been made by a practitioner (what/how to/how much to disclose) -- Topic: When what a patient needs cannot be obtained (e.g. financial/insurance limitations) -- Topic: When next-of-kin (NOK) disagree with each other -- Topic: When a toxicology screen is ordered without patient consent and comes back positive -- Topic: When a patient 'signs out against medical advice' -- Topic: When a patient requests a clinical interaction be recorded -- Topic: When a family member requests patient information not be shared with the patient, or with other persons -- Topic: When a patient requests to not be seen by a (specific, or any) medical resident or student -- Topic: When a patient requires or demands large amounts of time from a practitioner -- Topic: How to prescribe medications to someone who has attempted suicide (e.g. with pills) -- When a colleague demonstrates suspicious behavior -- Topic: When a language translator is not available (or only a family member/hospital employee is) -- Topic: When a patient is repeatedly readmitted to the hospital due to non-adherence (e.g. with therapy, diet, etc.) -- Topic: When lawyers or law enforcement want to know patient information (HIPAA/confidentiality and the law) -- Topic: When a patient requests disability certification, handicap plates, etc. -- or when they request renewal of a revoked driver's license (e.g. can a practitioner-patient relationship be maintained when a patient doesn't get what they want?) -- Topic: How much resources should be spent on a single patient's case? (i.e. public health cost v. value of human life) -- Topic: How much information must a practitioner share with a patient? -- Topic: How to deal with a patient seeing two or more practitioners (same specialty, overlapping meds, etc.) -- Topic: How to manage chronic pain (e.g. are 'pain contracts' ethical?; how is pain objectively assessed?) -- Topic: At what age, if any, do you stop health maintenance disease screening? -- Topic: When can a practitioner withhold therapy from a patient based on their behavior? -- Topic: When a Jehovah's witness needs a blood transfusion -- Topic: How far does screening go? -- Comprehensive Exam -- Suggested reading and internet resources -- Glossary of terms -- Index |
| Summary |
In the modern practice of medicine, new challenges complicate the ethical care of patients. Todaya (TM)s times require a contemporary take on the concept of medical ethics. Regrettably, there are few books and learning tools available to bring medical ethics education into the 21st Century. Existing texts are not practical or user-friendly. This book aims to address what has been missing in existing text books and ethics courses to date: clear-cut ethical and legal guidelines essential to the everyday practice of medicine, modernization of the teaching material to include common dilemmas seen in medicine today, connection between ethical practice and current evidence-based medicine, correlation of ethics teaching with education in cultural competence, and a user-friendly, innovative, and interesting format. Together, the authors have already collaborated for the last few years to collect numerous "typical" examples of ethically complex cases. Similar real-life scenarios are seen at all medical institutions across the country, and practitioners need a teaching tool to help them approach such cases. In this textbook, the reader will find: (1) Twenty-five "typical" patient scenarios are presented and supplemented with questions for consideration by the reader or class, (2) Evidence-based medicine, legal precedent, and ethical theory applying to each patient scenario is discussed, (3) Ethical dilemmas are enlivened with age, gender, and culture issues, (4) A patient-centered approach to ethical dilemmas is presented, (5) Emphasis is made on the six "core clinical competencies" of medical education in the a Formulationa (TM) section of each individual case (patient care, medicalknowledge, practice-based learning and improvement, interpersonal skills and communication, professionalism, and systems-based practice), (6) The text includes a "medical boards"--Style comprehensive exam to further challenge the reader and to assess their gained skills and knowledge. This book is written with several audiences in mind: medical students and residents, nursing students, pharmacy students, undergraduate and graduate students in medical ethics courses, and physicians desiring further training in medical ethics, cultural competency, communication skills, and medical board preparation |
| Bibliography |
Includes bibliographical references and index |
| In |
Springer eBooks |
| Subject |
Medical ethics -- Case studies.
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Evidence-based medicine -- Case studies
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Ethics, Medical
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Evidence-Based Medicine -- ethics
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MEDICAL -- Ethics.
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Evidence-Based Medicine.
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Ethics, Medical.
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Evidence-Based Medicine -- ethics.
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Medical ethics.
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Evidence-based medicine
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Medical ethics
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| Genre/Form |
Electronic books
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dissertations.
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Case studies
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Case studies.
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Academic theses.
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Études de cas.
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Thèses et écrits académiques.
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| Form |
Electronic book
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| Author |
Gauthier, Candace C
|
| LC no. |
2008923648 |
| ISBN |
9781603272452 |
|
1603272453 |
|
9781603272469 |
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1603272461 |
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1281810614 |
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9781281810618 |
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9786611810610 |
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6611810617 |
|
