Clinical Ethics

Clinical Ethics PDF Author: Albert R. Jonsen
Publisher: McGraw-Hill Companies
ISBN:
Category : Medical
Languages : en
Pages : 212

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Book Description
Clinical Ethics introduces the four-topics method of approaching ethical problems (i.e., medical indications, patient preferences, quality of life, and contextual features). Each of the four chapters represents one of the topics. In each chapter, the authors discuss cases and provide comments and recommendations. The four-topics method is an organizational process by which clinicians can begin to understand the complexities involved in ethical cases and can proceed to find a solution for each case.

Theories of the Self and Autonomy in Medical Ethics

Theories of the Self and Autonomy in Medical Ethics PDF Author: Michael Kühler
Publisher: Springer Nature
ISBN: 3030567036
Category : Philosophy
Languages : en
Pages : 218

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Book Description
This book engages in a critical discussion on how to respect and promote patients’ autonomy in difficult cases such as palliative care and end-of-life decisions. These cases pose specific epistemic, normative, and practical problems, and the book elucidates the connection between the practical implications of the theoretical debate on respecting autonomy, on the one hand, and specific questions and challenges that arise in medical practice, on the other hand. Given that the idea of personal autonomy includes the notion of authenticity as one of its core components, the book explicitly includes discussions on underlying theories of the self. In doing so, it brings together original contributions and novel insights for “applied” scenarios based on interdisciplinary collaboration between German and Serbian scholars from philosophy, sociology, and law. It is of benefit to anyone cherishing autonomy in medical ethics and medical practice.

Ethical Autonomy

Ethical Autonomy PDF Author: Lucas Swaine
Publisher: Oxford University Press
ISBN: 0190087668
Category : Political Science
Languages : en
Pages : 277

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Book Description
Autonomy is one of the most foundational conditions of liberalism, a political philosophy that prizes individual freedom. Today, we still grapple with autonomy's value and its implications. How important is autonomy for a good life? Should people try to achieve autonomy for themselves? And does autonomy support healthy citizenship in free societies? In Ethical Autonomy, Lucas Swaine offers new and compelling answers to these key philosophical and political questions. Swaine charts the evolution of autonomy from ancient Greece to modern democratic life. Illuminating the history of the concept and its development within political theory, he focuses on autonomy at its most basic level: personal autonomy. Swaine methodically exposes the dark side of personal autonomy, pinpointing its deficiencies at both theoretical and practical levels. In so doing, he provides a powerful critique of the very idea of personal autonomy, arguing that it is so underspecified and indeterminate that it falls apart. Moreover, Swaine suggests, personally autonomous individuals devolve and degrade their moral agency, often at others' expense, and in many cases with shocking real-world consequences. Swaine's solution to problems of personal autonomy is to develop a new model of individual-level autonomy, which he calls "ethical autonomy." A form of self-rule integrating moral character and grounded in principles of liberty of conscience, ethical autonomy incorporates restraints on an autonomous individual's imagination, deliberation, and will. It supports the central commitments of liberalism and enhances active and astute forms of democratic citizenship. This novel understanding of autonomy stresses the values of freedom, toleration, respect, individual rights, limited government, and the rightful rule of law.

Code of Ethics for Nurses with Interpretive Statements

Code of Ethics for Nurses with Interpretive Statements PDF Author: American Nurses Association
Publisher: Nursesbooks.org
ISBN: 1558101764
Category : Business & Economics
Languages : en
Pages : 42

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Book Description
Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.

Patient Autonomy and the Ethics of Responsibility

Patient Autonomy and the Ethics of Responsibility PDF Author: Alfred I. Tauber
Publisher: MIT Press (MA)
ISBN:
Category : Autonomy (Philosophy)
Languages : en
Pages : 354

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Book Description
The principle of patient autonomy dominates the contemporary debate over medical ethics. In this examination of the doctor-patient relationship, physician and philosopher Alfred Tauber argues that the idea of patient autonomy—which was inspired by other rights-based movements of the 1960s—was an extrapolation from political and social philosophy that fails to ground medicine's moral philosophy. He proposes instead a reconfiguration of personal autonomy and a renewed commitment to an ethics of care. In this formulation, physician beneficence and responsibility become powerful means for supporting the autonomy and dignity of patients. Beneficence, Tauber argues, should not be confused with the medical paternalism that fueled the patient rights movement. Rather, beneficence and responsibility are moral principles that not only are compatible with patient autonomy but strengthen it. Coordinating the rights of patients with the responsibilities of their caregivers will result in a more humane and robust medicine. Tauber examines the historical and philosophical competition between facts (scientific objectivity) and values (patient care) in medicine. He analyzes the shifting conceptions of personhood underlying the doctor-patient relationship, offers a "topology" of autonomy, from Locke and Kant to Hume and Mill, and explores both philosophical and practical strategies for reconfiguring trust and autonomy. Framing the practicalities of the clinical encounter with moral reflections, Tauber calls for an ethical medicine in which facts and values are integrated and humane values are deliberately included in the program of care.

Choosing Life, Choosing Death

Choosing Life, Choosing Death PDF Author: Charles Foster
Publisher: Bloomsbury Publishing
ISBN: 1847314902
Category : Law
Languages : en
Pages : 216

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Book Description
Autonomy is a vital principle in medical law and ethics. It occupies a prominent place in all medico-legal and ethical debate. But there is a dangerous presumption that it should have the only vote, or at least the casting vote. This book is an assault on that presumption, and an audit of autonomy's extraordinary status. This book surveys the main issues in medical law, noting in relation to each issue the power wielded by autonomy, asking whether that power can be justified, and suggesting how other principles can and should contribute to the law. It concludes that autonomy's status cannot be intellectually or ethically justified, and that positive discrimination in favour of the other balancing principles is urgently needed in order to avoid some sinister results. 'This book is a sustained attack on the hegemony of the idea of autonomy in medical ethics and law. Charles Foster is no respecter of authority, whether of university professors or of law Lords. He grabs his readers by their lapels and shakes sense into them through a combination of no-nonsense rhetoric and subtle argument that is difficult to resist.' Tony Hope, Professor of Medical Ethics, Oxford University 'This book is unlikely to be in pristine state by the time you have finished reading it. Whether that is because you have thrown it in the air in celebration or thrown it across the room in frustration will depend on your perspective. But this book cannot leave you cold. It is a powerful polemic on the dominance of autonomy in medical law, which demands a reaction. Charles Foster sets out a powerful case that academic medical lawyers have elevated autonomy to a status it does not deserve in either ethical or legal terms. In a highly engaging, accessible account, he challenges many of the views which have become orthodox within the academic community. This will be a book which demands and will attract considerable debate.' Jonathan Herring, Exeter College, Oxford University 'This is a learned, lively and thought-provoking discussion of problems central to the courts' approach to ethical issues in medical law. What principles are involved? More significantly, which really underlie and inform the process of seeking justice in difficult cases? Charles Foster persuasively argues, and demonstrates, that respect for autonomy is but one of a number of ethical principles which interact and may conflict. He also addresses the sensitive issue of the extent to which thoughts and factors which go to influence legal decisions may not appear in the judgments.' Adrian Whitfield QC. 'Introducing the Jake La Motta of medical ethics. Foster is an academic street-fighter who has bloodied his hands in the court room. He provides a stinging, relentless, ground attack on the Goliath of medical ethics: the central place of autonomy in liberal medical ethics. This is now the first port of call for those who feel that medical ethics has become autonomized.' Julian Savulescu, Uehiro Chair in Practical Ethics, University of Oxford. "This important book offers a robust challenge to anyone, whether lawyer or 'ethicist', who sees respect for autonomy as the only game in town. It argues eloquently and effectively that, on the one hand, despite the reverence paid to it by judges, in practice the law, even in the context of consent, weaves together a number of moral threads of which autonomy is merely one, in the pursuit of a good decision. It argues on the other hand, that were the day-to-day practice of law to be guided primarily by respect for autonomy, this would be wrong. Foster concludes that whilst, 'any society that does not have laws robustly protecting autonomy is an unsafe and unhappy one', so too would be a society in which too much emphasis was placed on respect for autonomy at the expense of other important moral principles. This is essential reading for anyone interested in the role of autonomy and indeed of medical ethics, in the law." Michael Parker, Professor of Bioethics, University of Oxford

Care in Healthcare

Care in Healthcare PDF Author: Franziska Krause
Publisher: Springer
ISBN: 3319612913
Category : Social Science
Languages : en
Pages : 298

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Book Description
This book is open access under a CC BY 4.0 license. This book examines the concept of care and care practices in healthcare from the interdisciplinary perspectives of continental philosophy, care ethics, the social sciences, and anthropology. Areas addressed include dementia care, midwifery, diabetes care, psychiatry, and reproductive medicine. Special attention is paid to ambivalences and tensions within both the concept of care and care practices. Contributions in the first section of the book explore phenomenological and hermeneutic approaches to care and reveal historical precursors to care ethics. Empirical case studies and reflections on care in institutionalised and standardised settings form the second section of the book. The concluding chapter, jointly written by many of the contributors, points at recurring challenges of understanding and practicing care that open up the field for further research and discussion. This collection will be of great value to scholars and practitioners of medicine, ethics, philosophy, social science and history.

Relational Autonomy

Relational Autonomy PDF Author: Catriona Mackenzie
Publisher: Oxford University Press
ISBN: 0195352602
Category : Philosophy
Languages : en
Pages : 327

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Book Description
This collection of original essays explores the social and relational dimensions of individual autonomy. Rejecting the feminist charge that autonomy is inherently masculinist, the contributors draw on feminist critiques of autonomy to challenge and enrich contemporary philosophical debates about agency, identity, and moral responsibility. The essays analyze the complex ways in which oppression can impair an agent's capacity for autonomy, and investigate connections, neglected by standard accounts, between autonomy and other aspects of the agent, including self-conception, self-worth, memory, and the imagination.

Rethinking Autonomy

Rethinking Autonomy PDF Author: John W. Traphagan
Publisher: SUNY Press
ISBN: 1438445539
Category : Technology & Engineering
Languages : en
Pages : 178

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Book Description
Provides a critique of and alternative to the dominant paradigm used in biomedical ethics by exploring the Japanese concept of autonomy.

The Ethics of Vaccination

The Ethics of Vaccination PDF Author: Alberto Giubilini
Publisher: Springer
ISBN: 3030020681
Category : Philosophy
Languages : en
Pages : 126

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Book Description
This open access book discusses individual, collective, and institutional responsibilities with regard to vaccination from the perspective of philosophy and public health ethics. It addresses the issue of what it means for a collective to be morally responsible for the realisation of herd immunity and what the implications of collective responsibility are for individual and institutional responsibilities. The first chapter introduces some key concepts in the vaccination debate, such as ‘herd immunity’, ‘public goods’, and ‘vaccine refusal’; and explains why failure to vaccinate raises certain ethical issues. The second chapter analyses, from a philosophical perspective, the relationship between individual, collective, and institutional responsibilities with regard to the realisation of herd immunity. The third chapter is about the principle of least restrictive alternative in public health ethics and its implications for vaccination policies. Finally, the fourth chapter presents an ethical argument for unqualified compulsory vaccination, i.e. for compulsory vaccination that does not allow for any conscientious objection. The book will appeal to philosophers interested in public health ethics and the general public interested in the philosophical underpinning of different arguments about our moral obligations with regard to vaccination.