CLINICAL ETHICS: A Practical Approach to Ethical Decisions in Clinical Medicine

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INTRODUCTIONThe Four Topics: Case Analysis in Clinical EthicsReferencesThe Four Topics ChartCHAPTER 1. Indications for Medical Intervention1.1 Inappropriate Interventions1.2 Orders not to Attempt Resuscitation1.3 Care of the Dying Patient1.4 Legal Implications of Forgoing Treatment1.5 Determination of DeathCHAPTER 2. Preferences of Patients2.1 Informed Consent2.2 Decisional Capacity2.3 Beliefs due to Religious and Cultural Diversity2.4 Truthful Communication2.5 Competent Refusal of Treatment2.6 Advance Planning2.7 Decision-Making for the Mentally Incapacitated Patient2.8 The Limits of Patient Preferences2.9 Failure to Cooperate with Medical Recommendation2.10 Alternative MedicineCHAPTER 3. Quality of Life3.1 Enhancing Quality of Life3.2 Objective Criteria for Quality of Life3.3 Euthanasia and Assisted Suicide3.4 SuicideCHAPTER 4. Contextual Features4.1 Role of Interested Parties4.2 Physician Confidentiality4.3 The Economics of Health Care4.4 Allocation of Scarce Health Resources4.5 Religion4.6 The Role of the Law in Clinical Ethics4.7 Clinical Research4.8 Clinical Teaching4.9 Occupational Medicine4.10 Public Health4.11 Ethics Committees4.12 Ethics Consultation