Practical Decision Making in Health Care Ethics
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 528 pp., 7 x 10 Paperback ISBN: 9781589012516 (1589012518) eBook ISBN: 9781589017627 December 2009 LC: 2009009046 |
Practical Decision Making in Health Care Ethics
Cases and Concepts
Third Edition For nearly fifteen years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Devettere's approach is not based on an ethics of abstract obligations and duties, but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making. Raymond J. Devettere is a professor of philosophy at Emmanuel College where he directs the values-based education program and serves on the institutional review board. He also teaches health care ethics at Boston College and is a member of both the ethics committee and institutional review board at Newton-Wellesley Hospital.
Reviews
"Practical Decision Making in Health Care Ethics is a refreshingly different kind of medical ethics textbook. Based on situational prudence and practical wisdom, Devettere's approach provides students and their instructors the opportunity to examine difficult bioethical issues through thoughtful discussion and careful reflection. It works wonderfully with undergraduate students who are forming their own vision of the good life."—Dominic Sisti, The University of Pennsylvania Table of Contents Preface to the Third Edition Introduction 1. What Is Ethics? Defining Ethics Two Kinds of Ethics Historical Versions of the Ethics of Obligation Moral Reasoning and the Theories of Obligation Contrasting the Ethics of Obligation with an Ethics of the Good Retrieving the Ethics of the Good Bioethics Today Suggested Readings 2. Prudence and Living a Good Life The Good We Seek Happiness Moral Virtue Prudence Suggested Readings 3. The Language of Health Care Ethics Distinctions That Can Mislead Helpful Distinctions Suggested Readings 4. Making Health Care Decisions Complexity of Health Care Decisions Decision-Making Capacity Informed Consent Advance Directives The Patient Self-Determination Act The Case of Hazel Welch Final Reflections Suggested Readings 5. Deciding for Others Becoming a Proxy Standards for Making Proxy Decisions Deciding for Older Children Deciding for the Mentally Ill Deciding for Patients of Another Culture Final Reflections on Deciding for Others Suggested Readings 6. Determining Life and Death The Classical Conceptual Framework A New Conceptual Framework When Does One of Us Begin? When Does One of Us Die? Recent Controversies over Determining Death Ethical Reflections Suggested Readings 7. Life-Sustaining Treatments Ventilators The Case of Karen Quinlan The Case of Brother Fox The Case of william Bartling The Case of Helga Wanglie The Case of Barbara Howe Dialysis The Case of Earle Spring Surgery The Case of Rosaria Candura Other Life-Sustaining Treatments Suggested Readings 8. Cardiopulmonary Resuscitation Terminology A Brief History of Resuscitation Attempts The Effectiveness of Attempting CPR Learning to Withhold CPR Important Ethical Elements for a DNR Policy Lingering Questions about DNR Orders The Case of Marie M The Case of shirley Dinnerstein The Case of Catherine Gilgunn Suggested Readings 9. Medical Nutrition and Hydration The Techniques and Technologies Conceptualizing Medical Nutrition and Hydration The Case of Clarence Herbert The Case of Claire Conroy The Case of Elizabeth bouvia the Case of Nancy Cruzan The Case of Terri Schiavo An Emerging Controversy: the Vatican and Feeding Tubes Ethical Reflections Suggested Readings 10. Reproductive Issues Contraception and Sterilization Artificial Reproduction Techniques Cloning Surrogate Motherhood Ethical Reflections Suggested Readings 11. Prenatal Life Abortion Moral Issues of Abortion RU-486 Maternal-Fetal Treatment Conflicts The Case of Angie Ethical Reflection Suggested Readings 12. Infants and Children Historical Background A Sampling of Neonatal Abnormalities Special Difficulties in Deciding for Neonates and Small Children The Baby Doe Regulations The Case of Baby Doe The Case of Baby Jane Doe The Case of Danielle The Case of Baby K The Case of Ashley Infant Euthanasia in The Netherlands Suggested Readings 13. Euthanasia and Physician-Assisted Suicide Historical Overview Recent Developments Physician-Assisted Suicide and State Laws Physician-Assisted Suicide and the Constitution Relevant Distinctions Moral Reasoning and Euthanasia Reasons for Euthanasia and Physician-Assisted Suicide Reasons against Euthanasia and Physician-Assisted Suicide The Story of a Landmark Physician-Assisted suicide The Case of Diane Concluding Reflections Suggested Readings 14. Medical Research Notorious Examples of Questionable Ethics in Research Reactions to the Questionable Medical Research Research on Embryos Research on Fetuses Research on Minors Research in Developing Countries Other Special Populations in Research Animals and Medical Research Suggested Readings 15. Transplantation Transplantation of Organs from Dead Human Donors The Case of Jamie Fiske The Case of Jess Sepulveda Transplantation of Organs from Living Human Donors Transplantation of Organs from Animals The Case of Baby Fae Implantation of Artificial Hearts Suggested Readings 16. Medical Genetics Genetic Testing A Case of Concern About Cancer Genetic Screening Genetic Research on Humans The Case of Jesse Gelsinger Genetic Enhancement Human Genome Project Suggested Readings 17. Social and Political Issues Paying for Health Care Legislation and the "Futility" Debate The Case of Sun Hudson The Case of Emilio Gonzales Experimental Drugs for Dying Patients The Case of Abigail Burroughs and the Abigail Alliance Seeding Trials and Ghost Writers Suggested Readings Glossary Index of Cases Index |
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