Suchergebnisse

Introduction : The Fascinating Synergy of Shared Decision Making / John D. Lantos -- Surrogate's personal sense of duty as a crucial element in medical decision-making : ethical, empirical, and experience-based perspectives / Chris Feudtner, Chris Feudtner, Douglas Hill -- Clinical Medical Ethics and the Historical Background of Shared Decision-Making / Mark Siegler -- Practical Wisdom, Rules, and the Patient-Doctor Conversation / Daniel Brudney -- Scaffolding Autonomy : Respecting Persons in Shared Decision Making / Jodi Halpern and Aleksa Owen -- Serious pediatric illness : A spectrum of clinician directiveness in collaborative decision making / Jonna D. Clark, Mithya Lewis-Newby, Alexander A. Kon, and Wynne Morrison -- A Pragamatic Guide to Shared Decisionmaking in Pediatrics : A Justification and Concrete Steps / Jennifer Walter, Alexander Fiks -- Role of Children and Adolescents in Decision Making about Life Threatening Illness / Victoria A. Miller, Melissa K. Cousino -- A Stepwise Framework for Shared-Decision Making / Kimberly E. Sawyer and Douglas J. Opel -- Cross-Cultural Interactions and Shared Decision-Making / Sabrina F. Derrington and Erin Paquette -- Biases and Heuristics That Subtly Shape Decisions / Jennifer Blumenthal-Barby -- Shared decision making, truth-telling, and the recalcitrant family / John D. Lantos.

Kidney to Share -- Contents -- Acknowledgments -- Introduction -- 1 Why Not Me? -- 2 The Arcane Process of Screening Living Donors -- 3 Meeting "My" Recipient -- 4 Do I Own My Organs? -- 5 Evaluation at Mayo -- 6 Are "Stranger Donors" Irrational? -- 7 What Are the Risks? -- 8 Unnecessary Bureaucratic Barriers or Appropriate Patient Protection? -- 9 The Endgame -- 10 Paired Exchanges, Chain Donations, and Organ Markets -- 11 The Odyssey Continues -- 12 Complexities of Increasing Organ Supply -- 13 Going Public, Moving Forward -- 14 The Countdown Begins -- 15 Ethics, Organ Markets, and Dry Ice

Frontmatter -- Contents -- Acknowledgments -- Introduction -- 1 Why Not Me? -- 2 The Arcane Process of Screening Living Donors -- 3 Meeting "My" Recipient -- 4 Do I Own My Organs? -- 5 Evaluation at Mayo -- 6 Are "Stranger Donors" Irrational? -- 7 What Are the Risks? -- 8 Unnecessary Bureaucratic Barriers or Appropriate Patient Protection? -- 9 The Endgame -- 10 Paired Exchanges, Chain Donations, and Organ Markets -- 11 The Odyssey Continues -- 12 Complexities of Increasing Organ Supply -- 13 Going Public, Moving Forward -- 14 The Countdown Begins -- 15 Ethics, Organ Markets, and Dry Ice -- 16 Staying Healthy -- 17 First Attempt -- 18 Second Attempt -- 19 Follow-Up -- 20 Lessons Learned -- Epilogue -- Resources -- Works Cited -- Index

1. Intro and overview of a clinical ethics framework for decisions in pediatric critical care -- 2. The epidemiology of life-threatening illness in childhood -- 3. End-of-life discussions in the PICU -- 4. Medical Futility -- 5. Children as Organ Donors -- 6. Controversies about Brain Death -- 7. Moral Distress -- 8. Resource allocation in the PICU

Indexes of prenatal care adequacy distinguish care that includes more than the recommended number of visits because extra visits may signal a high-risk pregnancy. Using Natality files from 1985 to 2004, the authors found such "superadequate" care increased from 19.5% of pregnancies in 1985 to 30.0% in 2004. Although there were dramatic changes in the demographics of childbearing over the same 20 years, those changes do not explain the increase in extra prenatal visits: Superadequate care increased within every stratum defined by maternal birthplace, race, age, education, gravidity, marital status, and multiple birth. Had the demographics of childbearing not changed since 1985, the superadequate rate would be just as high in 2004. Although randomized controlled trials have found that reduced visit schedules for low-risk women do not lead to worse maternal or perinatal outcomes, the cost-effectiveness of more intense visit schedules is not known.