Intro -- Contents -- Preface -- Acknowledgments -- 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 -- Principlism and Alternative Approaches -- 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, Privacy, and Confidentiality -- Justifications -- Disclosure -- Disclosure of Adverse Outcomes and Medical Error -- Privacy and Confidentiality -- Genomic Testing and Control of Information -- 5. Special Decision-Making Concerns of Minors -- Decisional Capacity and Minors -- Consent for and by Minors -- Confidentiality and Disclosure -- Special Problems of Functionally Alone Adolescents -- 6. Ethical Issues in Reproduction -- The Ethics and Politics of Reproductive Choice -- Assisted Reproductive Technologies -- Surrogacy and Gestational Carriers -- Termination of Pregnancy -- Maternal-Fetal Issues -- Prenatal/Newborn Genetic Testing and Genomic Newborn Screening -- 7. Special Decision-Making Concerns of the Elderly -- The Other Side of the Mountain -- Diminishing Autonomy and Decisional Capacity -- "Promise that you won't ever put me in a nursing home" -- Independence, Dependence, and Role Reversals -- Prior Wishes and Current Needs -- Intimacy and Security.
Ethical foundations of clinical practice -- Decision making and decisional capacity in adults -- Informed consent and refusal -- Truth telling : disclosure, privacy, and confidentiality -- Special decision-making concerns of minors -- Ethical issues in reproduction -- Special decision-making concerns of the elderly -- Ethical issues in the care of disabled persons -- End-of-life issues -- Palliation -- Justice, health, and access to health care -- Organizational ethics -- Ethics committees and research -- Profile of ethics committees -- Clinical ethics consultation -- Ethics education -- Sample clinical cases -- Sample policies and procedures.
Ethical foundations of clinical practice -- Decision making and decisional capacity in adults -- Informed consent and refusal -- Truth telling : disclosure, privacy, and confidentiality -- Special decision-making concerns of minors -- Ethical issues in reproduction -- Special decision-making concerns of the elderly -- Ethical issues in the care of disabled persons -- End-of-life issues -- Palliation -- Justice, health, and access to health care -- Organizational ethics -- Ethics committees and research -- Profile of ethics committees -- Clinical ethics consultation -- Ethics education -- Sample clinical cases -- Sample policies and procedures.
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