Medicine and health care generate many bioethical problems and dilemmas that are of great academic, professional and public interest. This comprehensive resource is designed as a succinct yet authoritative text and reference for clinicians, bioethicists, and advanced students seeking a better understanding of ethics problems in the clinical setting. Each chapter illustrates an ethical problem that might be encountered in everyday practice; defines the concepts at issue; examines their implications from the perspectives of ethics, law and policy; and then provides a practical resolution. There are 10 key sections presenting the most vital topics and clinically relevant areas of modern bioethics. International, interdisciplinary authorship and cross-cultural orientation ensure suitability for a worldwide audience. This book will assist all clinicians in making well-reasoned and defensible decisions by developing their awareness of ethical considerations and teaching the analytical skills to deal with them effectively.
1. Introduction; Part I. Information Problems: 2. Consent; 3. Capacity; 4. Disclosure; 5. Voluntariness; 6. Truth-telling; 7. Confidentiality; Part II. End of Life Care: 8. Quality end of life care; 9. Substitute decision-making; 10. Advanced care planning; 11. Euthanasia and assisted suicide; 12. Conflict in the health care setting at the end of life; 13. Brain death; Part III. Pregnant Women and Children: 14. Ethics dilemmas in the care of pregnant women: rethinking 'maternal-fetal conflicts'; 15. Pre-natal testing and newborn screening; 16. Assisted reproduction; 17. Respectful involvement of children in medical decision-making; 18. Non-therapeutic paediatric interventions; 19. Child abuse and neglect; Part IV. Genetics and Biotechnology: 20. Organ transplantation; 21. Regenerative medicine; 22. Genetic testing and screening; 23. Bio-banking; 24. Behavioural genetics; Part V. Research Ethics: 25. Research Ethics; 26. Innovation in medical care: Examples from surgery; 27. Clinical trials; 28. Epidemiological research; 29. Clinical research and the physician-patient relationship: the dual roles of physician and researcher; 30. Financial conflict of interest in medical research; 31. Embryo and fetal research; Part VI. Health Systems and Institutions : 32. Organizational ethics; 33. Priority setting; 34. Disclosure of medical error; 35. Conflict of interest in education and patient care; 36. Public health ethics; 37. Emergency and disaster scenarios; 38. Rural health care ethics; 39. Community health care ethics; Part VII. Using Clinical Ethics to Make an Impact in Health Care: 40. Clinical ethics and systems thinking; 41. Innovative strategies to improve effectiveness in clinical Ethics; 42. Teaching bioethics to medical students and postgraduate trainees in the clinical setting; Part VIII. Global Health Ethics: 43. Global health ethics and cross-cultural considerations in bioethics; 44. Physician participation in torture; 45. Access to medicines and the role of corporate social responsibility: the need to craft a global pharmaceutical system with integrity; 46. Global health and non-ideal justice; Part IX. Religious and Cultural Perspectives in Bioethics: 47. Aboriginal bioethics; 48. Buddhist bioethics; 49. Chinese Bioethics; 50. Hindu and Sikh bioethics; 51. Islamic boethics; 52. Jehovah's Witness bioethics; 53. Jewish bioethics; 54. Protestant bioethics; 55. Roman Catholic bioethics; Part X. Speciality Bioethics: 56. Surgical ethics; 57. Anaesthesiology ethics; 58. Critical and intensive care ethics; 59. Emergency and trauma medicine ethics; 60. Primary care ethics; 61. Infectious diseases ethics; 62. Psychiatric ethics; 63. Neuroethics; 64. Pharmacy ethics; 65. Alternative and complementary care ethics.