Complex Ethics Consultations: Cases that Haunt Us
by Edited by Paul J. Ford , Denise M. DudzinskiEdition: 1st
Format: Paperback
Pub. Date: 2008-07-14
Publisher(s): Cambridge University Press
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Summary
Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. The cases inform any reader who has a keen interest in the choices made in real-life medical dilemmas as well as the emotional cost to those who work to improve the situations. On a more advanced level, this book should be read by ethics committee members who participate in ethics consultations, individual ethics consultants, clinicians who seek education about complex clinical ethics cases, and bioethics students.
Table of Contents
| List of contributors | p. ix |
| Foreword | p. xv |
| Acknowledgments | p. xx |
| Introduction: Live and learn: courage, honesty, and vulnerability | p. 1 |
| Starting at the beginning: prenatal and neonatal issues | |
| Quality of life - and of ethics consultation - in the NICU | p. 15 |
| When a baby dies in pain | p. 22 |
| But how can we choose? | p. 29 |
| Maternal-fetal surgery and the "profoundest question in ethics" | p. 36 |
| The most vulnerable of us: pediatrics | |
| She was the life of the party | p. 45 |
| The sound of chains | p. 52 |
| Susie's voice | p. 59 |
| Access to an infant's family: lingering effects of not talking with parents | p. 66 |
| Diversity of desires and limits of liberty: psychiatric and psychological issues | |
| Helping staff help a "hateful" patient: the case of TJ | p. 75 |
| Ulysses contract | p. 81 |
| Misjudging needs: a messy spiral of complexity | p. 88 |
| When the patient refuses to eat | p. 95 |
| Withholding therapy with a twist | |
| Listening to the husband | p. 105 |
| You're the ethicist; I'm just the surgeon | p. 112 |
| Haunted by a good outcome: the case of Sister Jane | p. 119 |
| Is a broken jaw a terminal condition? | p. 126 |
| The unspeakable/unassailable: religious and cultural beliefs | |
| Adolescent pregnancy, confidentiality, and culture | p. 135 |
| "Tanya, the one with Jonathan's kidney": a living unrelated donor case of church associates | p. 141 |
| Futility, Islam, and death | p. 148 |
| Suffering as God's will | p. 155 |
| Human guinea pigs and miracles: clinical innovations and unorthodox treatment | |
| Amputate my arm, please. I don't want it anymore | p. 165 |
| Feuding surrogates, herbal therapies, and a dying patient | p. 172 |
| One way out: destination therapy by default | p. 179 |
| Altruistic organ donation: Credible? Acceptable? | p. 186 |
| The big picture: organizational issues | |
| It's not my responsibility | p. 197 |
| Intra-operative exposure to sporadic Creutzfeldt-Jakob disease: to disclose or not to disclose | p. 205 |
| Why do we have to discharge this patient? | p. 212 |
| Who's that sleeping in my bed? An institutional response to an organizational ethics problem | p. 219 |
| Conclusions, educational activities, and references | p. 226 |
| Index | p. 243 |
| Table of Contents provided by Ingram. All Rights Reserved. |
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