By Terrence F. Ackerman
Should still a brain-dead lady be artificially maintained for the sake of her fetus? Does a doctor have the suitable to manage a life-saving transfusion regardless of the patient's spiritual ideals? Can a family members request a hysterectomy for his or her retarded daughter? Physicians are dealing with ethical dilemmas with expanding frequency. yet how may still those tender questions be resolved and via whom? A Casebook of clinical Ethics deals a real-life view of the crucial factor all for scientific clinical ethics. because the research of situations performs a severe position during this learn, the authors have assembled a extensive choice of histories encountered of their paintings as scientific ethics educators and specialists. The situations are built in immense element to mirror the wealthy scientific and psychosocial complexity concerned, and every is dropped at a choice element at which a plan of action needs to be selected. one of the concerns tested are conflicts among sufferers' needs and admire for his or her healthiness, tensions touching on tasks to sufferers not able to deal with themselves and tasks to relations, and clashes among sufferer care duties and the pursuits of different individuals, together with physicians, 3rd events, and most of the people. The publication additionally contains commentaries that mix normal dialogue of moral ideas with particular research of the situations tested within the textual content, in addition to quite a few thoughts for resolving conflicts. Readers are invited to evaluate the comparative advantages and liabilities of those techniques. an excellent textual content for undergraduate and clinical university classes, A Casebook of clinical Ethics brings readers to the leading edge of drugs, the place they percentage within the decision of the most important moral judgements.
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Additional resources for A Casebook of Medical Ethics
It can be arguedthat the physicianhasan obligation to avoid causingharmto the familyand that pursuingaggressivetreatmentagainst the family's wishes can result in a violation of this obligation. These considerations supported option 2. An additional factor was the ability of the family members to make a well-considered decision. Although the response to news that their baby is seriously ill varies among families, certain reactions are typical. Such grieving can express itself in various ways. Emotional shock can be followed by anger, denial, or sadness.
First, a blood transfusion would be required to correct a low hematocrit6 possibly caused by bleeding associated with the placenta previa. Second, levels of oxygen and carbon dioxide in the blood would be monitored so that appropriate adjustments could be made to the pressure and oxygen levels of air delivered by the respirator. Third, levels of electrolytes in the blood, such as sodium and potassium, would be monitored so that safe levels could be maintained. The physician in the NICU contacted the patient's family by telephone.
On the other hand, he was concerned about what would happen if he provided contraceptives and the parents later discovered that he had done so. Perhaps they would discover the girl's pills at home. That outcome might undermine his relationship with them. ) Another concern was that if the girl did not obtain contraceptives she might engage in sexual activity anyway as a result of peer pressure. That such peer pressure exists is supported by recent data indicating that a relatively high percentage of adolescents engage in sexual activity.
A Casebook of Medical Ethics by Terrence F. Ackerman