Lo, Bernard.

Resolving ethical dilemmas : a guide for clinicians / Bernard Lo. - 6th ed. - Philadelphia, PA : Wolters Kluwer Health, c2020. - x, 389 p.

Includes bibliographical references and index.

Section I: Fundamentals of clinical ethics -- An approach to ethical dilemmas in patient care -- Overview of ethical guidelines -- Informed consent -- Promoting the patient's best interests -- Confidentiality -- Avoiding deception and nondisclosure -- Keeping promises -- Section II: Shared decision-making -- An approach to decisions about clinical interventions -- Decision-making capacity -- Refusal of treatment by competent, informed patients -- Who serves as surrogate when a patient lacks decision-making capacity? -- Standards for decisions when patients lack decision-making capacity -- Persistent disagreements over care -- Potentially inappropriate interventions -- Section III: Decisions about life-sustaining interventions -- Confusing ethical distinctions -- Ethics consultations and ethics committees -- Do not attempt resuscitation orders -- Tube and intravenous feedings -- Physician-assisted suicide and active euthanasia -- Unresponsive wakefulness and the minimally conscious state -- Determination of death -- Legal rulings on life-sustaining interventions -- Section IV: The doctor-patient relationship -- Overview of the doctor-patient relationship -- Refusal to care for patients -- Gifts from patients to physicians -- Sexual contact between physicians and patients -- Secret information about patients -- Clinical research -- Section V: Conflicts of interest -- Overview of conflicts of interest -- health outcomes, access, and cost in the United States -- Payments to health care providers -- Bedside rationing of health care -- Gifts from drug companies -- Disclosing errors -- Impaired colleagues -- Ethical dilemmas students and house staff face -- Section VI: Ethical issues in clinical specialties -- Ethical issues in pediatrics -- Ethical issues in surgery -- Ethical issues in obstetrics and gynecology -- Ethical issues in psychiatry -- Ethical issues in organ transplantation -- Ethical issues at the intersection of public health and clinical medicine -- Ethical issues in caring for diverse populations -- Ethical issues with digital health information -- Ethical issues in genomic medicine -- Ethical issues with big data and artificial intelligence.

What are the ethical issues raised by the increasing use of big data and artificial intelligence in health care? How should physicians respond when they have a conscientious objection to an intervention requested by a patient? How should health care organziations respond to physician requests? How can physicians best help patients make informed decisions about end-of-life and life-sustaining care? How should interns and residents respond to ethical dilemmas created by duty hours restrictions? Resolving Ethical Dilemmas: A Guide for Clinicians helps residents, students, and practitioners work through these and many more common and challenging ethical questions that affect patient care--back cover.

9781975103545 1975103548

Ethics, Clinical.
Clinical decision-making -- Ethics.

W50 / .L63 2020

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