Doing right a practical guide to ethics for medical trainees and physicians

Contents......Page 5
Cases......Page 8
Preface......Page 10
Introduction......Page 14
 I. Ethical Reasoning and Principles in Medicine......Page 27
 II. Three Ethical Principles and Questions......Page 34
 III. “Resolving” Ethical Dilemmas......Page 39
 IV. “Doing Right”: A Decision-Making Procedure for Clinical Ethics......Page 40
 V. Applying the Ethics Decision-Making Procedure......Page 45
 I. The Autonomy Principle......Page 53
 II. The Case of Mrs Malette and Dr Shulman......Page 60
 III. Choices: The Good, the Bad, and the Ugly......Page 62
 IV. Reduced Autonomy......Page 69
 I. Rights of Privacy, Confidential Duties......Page 76
 II. Professional Regulations......Page 82
 III. Limits To Confidentiality......Page 88
 IV. To Warn and to Protect......Page 93
 V. The Digital Age......Page 97
 I. On Not Telling the Truth......Page 102
 II. The Truthtelling Task......Page 106
 III. Modern Law and the Profession......Page 112
 IV. The Changing Practice of Medicine......Page 113
 V. Truthtelling’s Exceptions......Page 115
Chapter 5  The Power to Choose......Page 124
 I. The Essence of Informed Consent......Page 125
 II. Ethical Consent......Page 127
 III. The Doctor Who Didn’t: The Case of Mr Reibl v. Dr Hughes......Page 128
 IV. The Essential Elements of Consent: When, Who, What, How?......Page 130
 V. Exceptions to Consent......Page 142
 I. Attending to and Assessing Capacity......Page 149
 II. Substitute Decision-Makers (SDM)......Page 160
 III. Treatment of the Vulnerable......Page 163
 IV. When Not to Rescue......Page 165
 V. Failure to Care for Self......Page 168
 VI. Cases Involving Minors......Page 170
Chapter 7  Helping and Not Harming......Page 175
 I. The Principles of Beneficence and Non-Maleficence......Page 176
 II. The “Duty to Rescue” the Patient......Page 183
 III. Endangering One’s Self......Page 185
 IV. In the Best Interests of Minors......Page 190
 V. Parental Requests for Treatment......Page 195
 I. Professionalism in Healthcare......Page 202
 II. Professionals and the Drug Industry......Page 209
 III. Boundaries and Crossings......Page 212
 IV. The Error of Our Ways......Page 218
 I. Justice in Everyday Medicine......Page 230
 II. Distributive Justice......Page 234
 III. Medically Necessary Treatment......Page 235
 IV. The Role of Practice Guidelines......Page 245
 V. The Health Professional’s Master......Page 249
 I. Birthing and Reproductive Choice......Page 256
 II. In the Interest of the Child: Being Born and Living Life......Page 263
 III. The New Age of Reproduction......Page 266
 IV. Desperately Seeking Stem Cells......Page 274
 I. Allowing Death: Refusals by the Patient......Page 280
 II. Advance Directives......Page 288
 III. Who Is the Patient?......Page 289
 IV. Lost Souls......Page 292
 V. Physician-Accelerated Death (PAD)......Page 297
 I. Cultural Connections......Page 306
 II. All in the Genome?......Page 315
 III. Ethical Regulation of Research......Page 319
 IV. Some Questions and Answers RegardingResearch......Page 326
Conclusion......Page 334
Notes......Page 339
Index......Page 373