| Edition |
2nd ed. |
| Description |
xix, 223 pages ; 24 cm |
| Bibliography |
Includes bibliographical references (page 211). |
| Contents |
Death and dying -- Maggie -- Summary: A retirement home resident suffers cardiac arrest. Should she be resuscitated? -- Issues: Do-not- resuscitate orders: should they always be followed? Legal liability and medical decisions, patient control, advance directives -- Jill -- Summary: A patient with disseminated breast cancer approaches a physician for help in her dying -- Issues: Physician assisted suicide, autonomy, the social role of physicians. -- Ed Martinez -- Summary: A patient suffers cardiac arrest during routine surgery. How aggressively should his care be managed, especially as the prognosis worsens? -- Issues: Killing vs letting die: when, how, and why may support be withdrawn? May a respirator be removed? May feeding be discontinued? Organ transplantation. Euthanasia. -- Adulthood -- Leon -- Summary: Worsening headaches and confused speech lead Leon's doctor to recommend a brain biopsy. Should Leon and his wife consent? -- Issues: Informed consent and rational decision making -- Ms. Williams -- Summary: A patient chooses the characteristics she wants in her physician. -- Issues: Paternalism, honesty, and the art of medicine. -- Wanda -- Summary: A woman with HIV infection is unable and unwilling to control her sexual behavior, posing a threat to the health of many in the community. -- Issues: Confidentiality, rights of the handicapped, and the politics of disease. -- Maxistop study -- Summary: An Institutional Review Board examines a proposal and consent form for human subjects research. -- Issues: Risks and benefits of research. Incentives for subjects and investigators. Informed consent. Ethics of placebo trials. -- Childhood and adolescence -- Joey, Jessica, Roger, Tom, and Marti -- Summary: A group of children in a crowded intensive care unit. Space is needed for new patients. -- Issues: Rights, responsibilities, obligations, and social utility. Conflicts and their interaction with varying medical disorders and prognoses. -- Marti revisited -- Summary: Staff on rounds discuss long-term plans for Marti, a quadriplegic 12- year-old, and consider her request to discontinue the respirator. -- Issues: Autonomy and the depressed adolescent. Rational suicide. -- Tom revisited -- Summary: Staff discuss long range plans for Tom, a child with multiple chronic medical and developmental problems. -- Issues: Informed consent and fair vs. manipulative presentation of facts. Parental rights and reasonable decision making. -- Billy -- Summary: An elderly physician schedules a tonsillectomy for a young patient. The treatment may not be needed and the physician has not done the procedure in several years. -- Issues: Adequate information for patients and families. Physician competence. -- Castelli baby -- Summary: A baby is born with a number of serious problems. As her condition deteriorates, is there a point at which aggressive therapy should be stopped? -- Issues: Informed consent for parents, :"Baby Doe": regulations, and the character of the good doctor. -- Christie -- Summary: A newborn with spina bifida. Given her handicaps, should an operation be performed that would prevent infection and probable death? Outcome at three months and three years. -- Issues: Informed consent and the presentation of information. Quality of life, parental conflict of interest, medical outcomes, and moral decisions. -- Conception and gestation -- Harrisons' plans -- Summary: A couple chooses a surrogate mother for their child, but finds she is unwilling to undergo a cesarean section when the baby's life is at risk. -- Issues: Surrogacy: obligations of parties in surrogacy arrangements. Coerced surgery. -- Smyth saga -- Summary: A couple, one of whom has a family history of Huntington's disease, contemplates a pregnancy. -- Issues: Confidentiality: family, employers, insurers; genetic testing, honesty. -- Perfect Rexford -- Summary: A couple debates what they want for their child and the genetic devices available for producing offspring. -- Issues: Genetic manipulation, choosing for others, parental control. -- Health care reform and ethical theory -- Affordable health care -- Summary: Advisors review a presidential candidate's speech on health care reform. -- Issues: Social justice, social welfare, and individual responsibility. Fairness in the social structure of American health care. -- Ethical theory and medical ethics -- Making moral decisions: a process approach. |
| Summary |
Places readers in realistic composites of cases the authors have actually seen or managed where they must make tough medical decisions. What happens in them often depends on the reader's decisions and thus gives a sense of pressures that bear on clinical-decision making. |
| Subject |
Medical ethics -- Case studies.
|
|
Clinical medicine -- Decision making -- Case studies.
|
|
Decision making -- Moral and ethical aspects -- Case studies.
|
|
Decision Making. (DNLM)D003657
|
|
Ethics, Medical. (DNLM)D004992
|
|
Clinical Medicine. (DNLM)D015510
|
|
Human Experimentation. (DNLM)D006805
|
|
Clinical medicine -- Decision making.
(OCoLC)fst00864367
|
|
Decision making -- Moral and ethical aspects.
(OCoLC)fst00889052
|
|
Medical ethics. (OCoLC)fst01014081
|
|
Entscheidungsprozess (DE-588)4121202-2
|
|
Medizinische Ethik (DE-588)4074672-0
|
|
Fallstudiensammlung (DE-588)4522595-3
|
| Indexed Term |
Medical ethics Case studies |
|
Clinical medicine Case studies Decision making |
|
Decision making Case studies Moral and ethical aspects |
|
Clinical medicine Decision making Case studies |
|
Decision making Moral and ethical aspects Case studies |
| Genre/Form |
Fallstudiensammlung.
|
|
Case studies. (OCoLC)fst01423765
|
| Added Author |
McDonnell, Kevin.
|
| Other Form: |
Online version: Freeman, John Mark. Tough decisions. 2nd ed. Oxford ; New York : Oxford University Press, ©2001 (OCoLC)606555468 |
|
Online version: Freeman, John Mark. Tough decisions. 2nd ed. Oxford ; New York : Oxford University Press, ©2001 (OCoLC)607093510 |
| ISBN |
0195090411 (cloth ; alk. paper) |
|
9780195090413 (cloth ; alk. paper) |
|
019509042X (pbk. ; alk. paper) |
|
9780195090420 (pbk. ; alk. paper) |
|
