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Contents Preface Acknowledgments Introduction. The Nature and Functioning of Ethics Committees I. Curriculum for Ethics Committees 1. Ethical Foundations of Clinical Practice The Role of Ethics in Clinical Medicine Ethics Committees in the Health Care Setting Fundamental Ethical Principles The Role of Culture, Race, and Ethnicity in Health Care Conflicting Obligations and Ethical Dilemmas 2. Decision Making and Decisional Capacity in Adults Health Care Decisions and Decision Making Decision-making Capacity Assessment and Determination of Capacity Deciding for Patients without Capacity 3. Informed Consent and Refusal Evolution of the Doctrine of Informed Consent Elements of Informed Consent and Refusal The Nature of Informed Consent Exceptions to the Consent Requirement 4. Truth Telling: Disclosure and Confidentiality Justifications Disclosure Disclosure of Adverse Outcomes and Medical Error Confidentiality 5. Special Decision-Making Concerns of Minors Decisional Capacity and Minors Consent for Minors Confidentiality and Disclosure Special Problems of the Adolescent Alone 6. End-of-Life Issues Decision Making at the End of Life Defining Death Advance Health Care Planning Goals of Care at the End of Life Forgoing Life-sustaining Treatment Protecting Patients from Treatment Rejection of Recommended Treatment and Requests to "Do Everything" Medical Futility 7. Palliation From Caring to Curing and Back Again The Experience of and Response to Pain The Moral Imperative to Relieve Pain Physician-assisted Suicide 8. Justice, Access to Care, and Organizational Ethics Access to Health Care in the United States A Right to Health Care? Theories of Justice Rationing Health Care Organizational Ethics II. Clinical Ethics Consultation 9. Approaches to Ethics Consultation 10. Sample Clinical Cases Autonomy in Tension with Best Interest Confidentiality Disclosure and Truth Telling Decisional Capacity End-of-life Care Forgoing Life-sustaining Treatment Goals of Care Informed Consent and Refusal Medical Futility Parental Decision Making Surrogate Decision Making III. White Papers, Memoranda, Guidelines, and Protocols Allocating Critical Care Resources: Keeping the Teeth in ICU Triage Justice and Access to Unreimbursed Therapies Guidelines for Transferring Patients between Services Decision-Making Protocol for the Patient Alone IV. Sample Policies and Procedures Access to Bioethics Consultation Advance Directives Determination of Brain Death Do-Not-Intubate (DNI) Orders Do-Not-Resuscitate (DNR) Orders End-of-Life Care Forgoing Life-extending Treatment V. Institutional Code of Ethics VI. Key Legal Cases in Bioethics VII. An Ethics Committee Meeting Index
Library of Congress Subject Headings for this publication:
Medical ethics committees -- Handbooks, manuals, etc.
Ethics Committees, Clinical -- ethics.