Doctors Dilemmas Decisions

Here is an essential guide to understanding this critical element of general practice.

Author: Ben Essex

Publisher: BMJ Books

ISBN: 0727908596

Category: Medical

Page: 316

View: 775

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The general practitioner is required to make hundreds of decisions every day and each must be tailored to the specific needs of the individual patient. This first book on decision making in general practice is an invaluable reference for all concerned with providing quality care. Using over 200 real life cases, it analyses the difficulties arising in: Diagnosis, investigation, management, follow up, outcome, prevention, practice organization. A body of rules that can be applied to these wide ranging issues provides a framework to improve decision making skills in ways that are ethical, cost-effective, safe, and acceptable for GPs, trainees, trainers and medical students. Here is an essential guide to understanding this critical element of general practice.
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Ward Ethics

Over 80 actual cases, and expert commentaries, on the ethical problems medical trainees may encounter.

Author: Thomasine K. Kushner

Publisher: Cambridge University Press

ISBN: 0521664527

Category: Law

Page: 265

View: 728

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Over 80 actual cases, and expert commentaries, on the ethical problems medical trainees may encounter.
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Resolving Ethical Dilemmas

Specific issues included the disclosure of a serious diagnosis (see Chapter 6), surrogate decision making (see ... Physicians need to appreciate how a patient's cultural background impacts on how he or she views ethical dilemmas and how ...

Author: Bernard Lo

Publisher: Lippincott Williams & Wilkins

ISBN: 9781451178753

Category: Medical

Page: 360

View: 513

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This timely Fourth Edition offers clinicians expert guidance in approaching a wide range of ethical dilemmas and developing an action plan. Most chapters include real-life sample cases that the author walks through, discussing the salient issues and how to approach them. This edition includes a new chapter on ethical issues in cross-cultural medicine and new material on conscientious objection by physicians in reproductive health and other areas. Other topics addressed include disclosure of errors to patients, gifts to physicians from drug companies, involuntary psychiatric treatment, genomic medicine, and ethical issues during public health emergencies such as pandemics. The updated discussion of organ transplantation includes increasing the donor pool and non-heart beating donors.
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Resolving Ethical Dilemmas

Designed for clinicians, this guide to approaching ethical decisions and developing action plans addresses such routine problems as informed consent and more difficult issues such as economic incentives to decrease medical care.

Author: Bernard Lo

Publisher:

ISBN: UOM:39015048523263

Category: Medical

Page: 369

View: 817

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Designed for clinicians, this guide to approaching ethical decisions and developing action plans addresses such routine problems as informed consent and more difficult issues such as economic incentives to decrease medical care. It presents real-life case studies and expands on them to clarify the ethical issues and develop action plans. This edition includes new chapters on paediatrics, surgery, obstetrics and gynaecology, and organizational policies to decrease medical services.
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Doctors Dilemmas

A third class of cases includes those that do not involve any moral dilemma in the sense of presenting a difficult moral decision but that nonetheless have significant moral content in that there is a conflict of values importantly ...

Author: Samuel Gorovitz

Publisher: Macmillan Publishing Company

ISBN: UOM:39015004437417

Category: Philosophy

Page: 225

View: 962

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Considers philosophical issues and conflicts for some of the ethical dilemmas facing medicine, the physician, health care professionals, and the patient
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Making Health Care Decisions

In the Commission's own survey , physicians were asked : " What percentage of your patients would you say are able to understand most aspects of their treatment and condition if ... 53 ( 1973 ) ; and Samuel Gorovitz , DOCTORS ' DILEMMAS ...

Author: United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research

Publisher:

ISBN: STANFORD:36105005975938

Category: Informed consent (Medical law)

Page:

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Doctors Dilemmas

If a patient does not want treatment , it is his right to make such a decision . ( A difficulty here concerns the doctor's duty when the patient wants active assistance with his own death , and we shall consider this later . ) ...

Author: Melanie Phillips

Publisher: Methuen Publishing

ISBN: UOM:39015009516827

Category: Medical ethics

Page: 230

View: 160

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Doctors on the Edge

ften, “doctor stories” are anecdotes of spectacular cures, split- second interventions dramatized on video, or documentaries of life- and-limb-saving technology. Less is heard about the human dilemmas, decisions, and quiet actions that ...

Author: Fredrick R. Abrams

Publisher: Sentient Publications

ISBN: 9781591810452

Category: Medical

Page: 202

View: 375

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A collection of dramatic accounts about doctors who have faced the moral dilemma of choosing between obeying rules and doing what is best for a patient offers insight into the essential principles of medical ethics and their impact on everyday lives.
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Ethics and the Good Doctor

Across a number of Jubilee Centre projects, moral dilemmas have been used as a data collection tool (Arthur et al., ... of certain decisions.1 Each of the dilemmas focused on a particular challenge that raised professional demands.

Author: Sabena Jameel

Publisher: Routledge

ISBN: 9781000478877

Category: Education

Page: 108

View: 995

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Ethics and the Good Doctor brings together existing literature and an analysis of empirical research conducted by the Jubilee Centre for Character and Virtues to examine the ethical nature of medical practice and explore medicine as a virtuous profession. The book is based on the idea that medical practice is an inherently moral profession, in which notions of trust, care and meaningful relationships form the foundations of being a good doctor. By taking into account the ethical dimensions of medical practice that have come under greater scrutiny and pressure over recent years, this book explores how personal and professional character is understood, enacted, and experienced by medical practitioners at various stages of their career. Ethics and the Good Doctor situates and presents the empirical data in a way that is accessible to practicing doctors, medical students, and medical educators. Clear implications for policy, practice, and research are offered, ensuring this book will be of great interest to a range of stakeholders involved in medical practice, including those working in medical policy.
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Mortal Choices

Discusses ethical issues in medicine, including informed consent, the right to die, incompetency, parental decisions, resource allocation, and experiments with human subjects

Author: Ruth Macklin

Publisher:

ISBN: UOM:39015014480167

Category: Philosophy

Page: 245

View: 764

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Discusses ethical issues in medicine, including informed consent, the right to die, incompetency, parental decisions, resource allocation, and experiments with human subjects
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Doctors Decisions

Thorough and eclectic, this book should be read by all who seek the good of the profession of medicine.

Author: Gordon Reginald Dunstan

Publisher: Oxford University Press, USA

ISBN: UOM:39015014489788

Category: Medical ethics.

Page: 248

View: 942

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Much of today's writing on medical ethics is strong on philosophical theory or on legal speculation, but weak on practice. In this book, practitioners in a wide range of specialties describe the process of making ethical decisions in their everyday work. A moral philosopher analyzes their conclusions, and the theological implications are developed by a Christian theologian and Rabbinic scholar. Thorough and eclectic, this book should be read by all who seek the good of the profession of medicine.
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Jewish Doctors and the Holocaust

Primo Levi (1989) Jewish doctors in Auschwitz often made decisions that caused or contributed to the death of a prisoner ... The common theory today is the Jewish doctors mainly faced ethical dilemmas when treating and inter-acting with ...

Author: Ross W. Halpin

Publisher: Walter de Gruyter GmbH & Co KG

ISBN: 9783110598216

Category: History

Page: 249

View: 757

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This is the first attempt to explain how Jewish doctors survived extreme adversity in Auschwitz where death could occur at any moment. The ordinary Jewish slave labourer survived an average of fifteen weeks. Ross Halpin discovers that Jewish doctors survived an average of twenty months, many under the same horrendous conditions as ordinary prisoners. Despite their status as privileged prisoners Jewish doctors starved, froze, were beaten to death and executed. Many Holocaust survivors attest that luck, God and miracles were their saviors. The author suggests that surviving Auschwitz was far more complex. Interweaving the stories of Jewish doctors before and during the Holocaust Halpin develops a model that explains the anatomy of survival. According to his model the genesis of survival of extreme adversity is the will to live which must be accompanied by the necessities of life, specific personal traits and defence mechanisms. For survival all four must co-exist.
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Practice based Evidence for Healthcare

Elstein, A.S., Schwarz, A. (2002) 'Clinical problem solving and diagnostic decision making: selective review of the cognitive literature', British Medical Journal, 324: 729–732. ... [8] Essex, B. (1994) Doctors, dilemmas, decisions.

Author: John Gabbay

Publisher: Routledge

ISBN: 9781136888373

Category: Medical

Page: 296

View: 286

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This book challenges the evidence-based practice movement to re-think its assumptions. Firmly rooted in real practice while drawing lucidly on a great breadth of theoretical frameworks, it examines afresh how clinicians use knowledge. Evidence-based practice has recently become a key part of the training of all health professionals. Yet despite its ‘gold-standard’ status, it is faltering because too much effort has gone into insisting on an idealised model of how clinicians ought to use the best evidence, while not enough has been done to understand why they so often don’t. Practice-based Evidence for Healthcare is a groundbreaking attempt to redress that imbalance. Examining how clinicians actually develop and use clinical knowledge day-to-day, the authors conclude that they use ‘mindlines’– internalised, collectively reinforced, tacit guidelines. Mindlines embody the composite and flexible knowledge that clinicians need in practice. They are built up during training and continually updated from a wide range of formal and informal sources. Before new evidence becomes part of practitioners’ mindlines, it is transformed by their interactions with colleagues and patients via their communities of practice and networks of trusted colleagues. To explore how mindlines work Gabbay and le May draw on a wide range of disciplines to analyse their detailed observations of clinical practice in the UK and the US. Their conclusions and provocative recommendations will be of value to all practitioners, health service managers, policymakers, researchers, educators and students involved in the promotion of evidence-based practice.
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Decisions and Dilemmas

Yet, there is support from the earlier national survey of mental health practitioners' legal knowledge and attitudes towards mental health law for the contention that doctors (both psychiatrists and GPs) are not in favour of overriding ...

Author: Jill Peay

Publisher: Hart Publishing

ISBN: 9781841133430

Category: Law

Page: 217

View: 484

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This book examines the practical, ethical and legal terrain of duo-disciplinary decision-making.
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Ethical Dilemmas in Cancer Care

government instructions to guide them, but in a government-controlled health system dealing with much more vital decisions, the rules are unwritten and vested in the personal value judgements of doctors and other health professionals.

Author:

Publisher: Macmillan International Higher Education

ISBN: 9781349107117

Category:

Page: 134

View: 534

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Doctors Decisions and the Cost of Medical Care

The Reasons for Doctors' Practice Patterns and Ways to Change Them John Meyer Eisenberg ... economic , and decisionanalytic research may provide data and conceptual frameworks for the decisions , the dilemma will remain .

Author: John Meyer Eisenberg

Publisher: Health Administration Press

ISBN: UOM:39076000499959

Category: Business & Economics

Page: 190

View: 207

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This book is an introduction to the research that has elucidated the reasons doctors practice the way they do and make the decisions they do. It reviews the complex array of motivations in medical practice. The book also reviews the programs that have been used to change physicians' prescription of medical services, including education, feedback, participation, administrative rules, incentives, and penalties.1: Understanding variations in physicians' practice patterns. 2: Changing physicians' practice patterns. 3: Directions for research on physician utilization
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Euthanasia and the Ethics of a Doctor s Decisions

The idea of polling British doctors was repeated in February 2019 ( Godlee 2019 ) and was later scheduled for February 2020 ... The course participants had to be told about it , obviously , owing to the associated ethical dilemmas .

Author: Ole Hartling

Publisher: Bloomsbury Publishing

ISBN: 9781350186231

Category: Philosophy

Page: 216

View: 532

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Why do so many doctors have profound misgivings about the push to legalise euthanasia and assisted suicide? Ole Hartling uses his background as a physician, university professor and former chairman of the Danish Council of Ethics to introduce new elements into what can often be understood as an all too simple debate. Alive to the case that assisted dying can be driven by an unattainable yearning for control, Hartling concentrates on two fundamental questions: whether the answer to suffering is to remove the sufferer, and whether self-determination in dying and death is an illusion. He draws on his own experience as a medical doctor to personalize the ethical arguments, share patients' narratives and make references to medical literature. Here is a sceptical stance towards euthanasia, one that is respectful to those who hold different opinions and well-informed about the details and nuances of different euthanasia practices. Written from a Scandinavian perspective, where respect for autonomy and high quality palliative care go hand in hand, Hartling's is a nuanced, valuable contribution to the arguments that surround a question doctors have faced since the birth of medicine. He shows us how the intentions of doing something good can sometimes lead to even greater dilemmas, opening us up to those situations where an inclination to end suffering by ending life is deeply conflicting both for the clinician and for any fellow human being.
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Understanding Ethics and Ethical Decision Making

... whether doctors can give a blood transfusion is one of the most difficult dilemmas doctors and surgeons face today.' Then it is up to the medical team to consult with friends and relations, but the final clinical decision must come ...

Author: Vincent Icheku, BSc (Hons), PGCE, PGDi

Publisher: Xlibris Corporation

ISBN: 9781465351296

Category: Philosophy

Page: 186

View: 117

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This book has been about ethics and ethical decision making. As ethical refl ection permeates every decision made in practice, the book discussed the importance of developing moral reasoning ability, which is crucial for handling ethical dilemma and making ethical decisions in nursing and social work practice. The book encouraged the use of models as another form of ethical decision-making paradigms. The book used discussions based on case studies to illustrate how ethics inform practice and allow one to make decisions that are morally justifi able. "This book will enable our students to gain a step by step approach to the knowledge and application of Ethics to practice. The book drew from the work of many scholars and designed a simple model to help students gain the knowledge of ethical analysis and decision making". Vidal Johnson, Senior Lecturer in Law and Ethics, London South Bank University "I was impressed by the way this author consistently addressed both social work and nursing ethical issues, highlighting the importance of ethics and application in nursing and social work practice". Michelle Evans, Senior lecturer in Learning Disability/Mental Health and Social Work, London South Bank University "Most other published books on nursing and social work ethics are often laden with theories and principles. This book offers an excellent contribution to the understanding of the relationship between learning ethical theories and principles and their practice applications". Jude C. Ibe, Principal lecturer in Dept. of Family Care and Mental Health; University of Greenwich, London.
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Comparative Empirical Bioethics Dilemmas of Genetic Testing and Euthanasia in Israel and Germany

All consultations were made with a doctor; we weighed the risks and benefits.” This contrasts the often a-contextual framework of end-of-life decisions as unitary dilemma—construed as one moment of decision-making, which is used in ...

Author: Aviad E. Raz

Publisher: Springer

ISBN: 9783319327334

Category: Philosophy

Page: 121

View: 510

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This book is a comprehensive, empirically-grounded exploration of the relationship between bioethics, culture, and the perspective of being affected. It provides a new outlook on how complex “bioethical” issues become questions of everyday life. The authors focus on two contexts, genetic testing and end-of-life care, to locate and demonstrate emerging themes of responsibility, such as self-responsibility, responsibility for kin, and the responsibility of society. Within these themes, the duty to know versus the right not to know one's genetic fate (in the context of genetic testing), or the sanctity of life versus self-determination (in the context of end of life care) are identified as culturally embedded dilemmas that are very much relevant for lay persons. Furthermore, cultural factors such as religion, history, utopian and dystopian views of biomedical technologies, outlooks on the body and on health/illness, and citizenship are examined. Health issues are increasingly becoming a question of assessing risk and responsibility: How can we better prepare ourselves for the future? We all make such assessments in a way that combines personal inclinations, professional recommendations, and cultural framings. There is still much to be learned about the interplay between these three dimensions.
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