A 30-year-old Polish lady is admitted in labour. This is her first pregnancy and she is full term. She is in a lot of pain, her liquor is stained with meconium and the trace of her baby's heart is classified as pathological. Her grasp of English is limited. You have been asked to obtain her consent for a caesarean section...100 Cases in Clinical Ethics and Law explores legal and ethical dilemmas through 100 clinical scenarios typical of those encountered by medical students and junior doctors in the emergency or outpatient department, on the ward or in the community setting. Covering issues such as consent, capacity, withdrawal of treatment, confidentiality and whistle-blowing, each scenario has a practical problem-solving element, encouraging readers to explore their own beliefs and values including those that arise as a result of differing cultural and religious backgrounds. Answer pages highlight key points in each case, providing advice on how to deal with the emotive issues that occur when practising medicine and guidance on appropriate behaviour.
Making speedy and appropriate decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These true-to-life cases will teach students and junior doctors to recognize ethical and legal dilemmas as they arise, and to respond appropriately.
ETHICAL PRINCIPLES Principlism Consequentialism Deontology Virtue Ethics Casuistry Narrative Ethics Rights and Duties ETHICS AND LAW IN CLINICAL PRACTICE: HOW TO DEAL WITH AN ETHICAL DILEMMA IN CLINICAL PRACTICE ETHICS AND LAW IN CLINICAL PRACTICE: BEGINNING OF LIFE In Vitro Fertilisation Same-Sex Parenting Surrogacy Pre-Implantation Genetic Diagnosis Moral Status of the Foetus Termination of Pregnancy Conscientious Objection Pre-Natal Injury Neonatal Care: Legal and Ethical Issues ETHICS AND LAW IN CLINICAL PRACTICE: CHILDREN AND ADOLESCENTS Parental Responsibility and Consent Parental Refusal of Treatment Request for Non-Therapeutic Treatment Assessing Competence in Children Underage Contraception Adolescent Refusal of Life-Sustaining Treatment Non-Engagement with Therapeutic Medication Withholding Information from a Child ETHICS AND LAW IN CLINICAL PRACTICE: CONSENT, CAPACITY AND REFUSAL OF TREATMENT Valid Consent to Treatment Adult Capacity to Consent to Treatment Consent and HIV Consent and Coercion Examination Under Anaesthesia Refusal of Treatment Consent and Emergencies Assessment of Best Interests Deprivation of Liberty ETHICS AND LAW IN CLINICAL PRACTICE: CONFIDENTIALITY Confidentiality Confidentiality and Children Access to Healthcare Information Confidentiality and HIV Use of Interpreters Disclosing Genetic Information Genetic Testing of Children for Adult-Onset Conditions ETHICS AND LAW IN CLINICAL PRACTICE: NEGLIGENCE Standard of Care and Negligence Provision of Information Out of Your Depth Reporting Concerns Making Mistakes and Incident Forms Complaints ETHICS AND LAW IN CLINICAL PRACTICE: MENTAL HEALTH When to Section a Patient Under the Mental Health Act Appropriate and Effective Treatment Under the Mental Health Act Medical Treatment for Patients with a Mental Health Disorder Conflict in Treatment Aims Treatment for Eating Disorders Personal Identity Self-Harm Covert Medication ETHICS AND LAW IN CLINICAL PRACTICE: PUBLIC HEALTH Patients' Responsibility for Health and Resource Allocation Managing Patient Expectations Requests for Expensive Medical Treatment Prophylactic Surgery Screening Programmes Childhood Immunisation Professional Responsibility to Discuss Obesity Incentives for Treatment and Health Promotion Front-Line Staff and Flu Immunisation Overseas Visitors ETHICS AND LAW IN CLINICAL PRACTICE: ORGAN DONATION Organ Donation Posthumous Organ Donation Is There a Market for Living Organ Donors? Social Media and Organ Donation ETHICS AND LAW IN CLINICAL PRACTICE: END OF LIFE The Distinction between Acts and Omissions at the End of Life Quality of Life and Sanctity of Life Judgements Basic Care and Medical Treatment at the End of Life Provision of Futile Treatment Assisted Suicide Advance Decisions Advance Decisions and Attempted Suicide Do Not Attempt Cardiopulmonary Resuscitation Orders Brainstem Death After Death - Coroners and Cremation Forms DUTIES OF A DOCTOR Compassion and Resilience Good Samaritan Acts Delegation and Handover Professional Responsibility toward an Abusive Patient Discharge against Medical Advice Child Safeguarding Treating Friends and Relatives Professionalism and Social Media Doctors and DVLA Regulations The Role of Clinical and Research Ethics Committees FAITH, VALUE AND CULTURE Medicalisation of Human Experience Jehovah's Witnesses and Blood Transfusions Ramadan and Professional Responsibility Female Genital Mutilation Childhood Male Circumcision Disclosure of Diagnosis and Cultural Relativism Cultural Considerations in Post Mortem Examination Requests to See a 'British' Doctor Chaperones Professional Boundaries Ethical Issues on Elective Professional Experience of Illness Glossary of Terms Resources