图书简介

Cases; Preface; Acknowledgments; 1. Ethics Matters; I. Great Expectations: Healthcare Professionals and Ethics; II. Four Ethical Principles and Questions; II. The Principles and Ethical Reasoning in Medicine; IV. Beyond Principles; V. The Hidden Curriculum; VI. Overcoming Obstacles to Ethics; 2. Broadening the Horizon: What Law and Ethics Say; I. What the Law Says; II. What Ethics Says: Virtue, Rules, and Consequences in Medicine; III. Expanding the Horizons of Ethics; IV. Professional Ethics; 3. Managing Medical Morality; I. Managing Ethical Dilemmas; II. Really Hard Choices Are Not Always About Ethics; III. Doing Right: A Process For Managing Ethical Choice; IV. The Ethics Process in a Little More Detail; V. Applying the Ethics Process; 4. The Times Are Changing: Autonomy and Patient-Based Care; I. The Autonomy Principle; II. Autonomy as the Patient’s Preference; III. The Case of Ms. Malette and Dr. Shulman; IV. Choices: The Good, the Bad, and the Ugly; 5. Reasonable Persons: The Legal Roots of Informed Consent; I. Medical Consent; II. Informed Consent: A Brief Legal History; III. Informed Consent: The Canadian Context; IV. The Significance of Reibl v. Hughes: The Modified Objective Standard; 6. Informed Choice and Truthtelling: The Centrality of Truth and Trust; I. Disclosure and Truthtelling; II. The Elements of Informed Choice; III. Consent as Trust; IV. Other Special Circumstances; V. Special Circumstances and Limits on Truthtelling; 7. Keeping Secrets: Confidentiality and Privacy in the Electronic Age; I. Confidentiality and Privacy; II. Privacy, Confidentiality, and Trust; III. New Risks to Privacy; IV. Limits to Confidentiality; V. To Warn and to Protect; 8. The Waning and Waxing Self: Capacity and Incapacity in Medical Care; I. Incapacity and its Discontents; II. Assessing Capacity; III. Capacity and Consent; IV. Treating and Protecting the Vulnerable; V. Substitute and Assisted Decision-Making; VI. Mental Illness and the Right to Refuse; VII. Children’s Right to Refuse; 9. Helping and Not Harming: Beneficence and Non-Maleficence; I. The Principles of Beneficence and Nonmaleficence; II. A Duty to Attend?; III. Risks to the Professional; IV. Endangering One’s Self; V. Parental Refusals of Treatment; VI. Parental Requests for Treatment; 10. Conduct Becoming: Medical Professionalism; I. Maintaining the Connection; II. A New Professionalism; III. Conflicts of Interest; IV. Professionals and Industry; V. Boundaries Large and Small; VI. Fitness to Practise Medicine; 11. The End of Forgetting: Ethical and Professional Issues with Social Media; I. Friends, Boundaries, and Privacy in the Age of Social Media; II. The Personal and the Private; III. Patients Using Social Media; IV. Photographs and Patient Privacy; V. Internet Etiquette and Telling Others’ Stories; 12. The Error of Our Ways: Managing Medical Error; I. Medical Error; II. Error and Being Responsive to Patients; III. How to Disclose Error; IV. Apologies; V. Large-Scale Adverse Events; 13. Beyond the Patient: Doing Justice to Justice; I. Justice in Everyday Medicine; II. A System of Mmutual Recognition; III. Distributive Justice; IV. Squeezing the Balloon; V. Guidelines and Rationing; VI. Justice for All?; 14. Labour Pains: Ethics and New Life; I. Birthing and Reproductive Choice; II. Termination and Choice; III. The New Age of Reproduction; IV. Desperately Seeking Stem Cells; 15. A Dark Wood: End-of-Life Decisions; I. Allowing Death: Refusals by Patients; II. Competent Cecisions, Living Wills, and Advance Directives; III. Decisions to Withhold or Withdraw Life-Sustaining Treatment; IV. Persistent Vegetative States and Prognostic Error; V. Unilateral Decisions Regarding Life-Sustaining Treatment; VI. Palliative Sedation; 16. Medical Assistance in Dying: The Triumph of Autonomy; I. Assisted Death: Terminology and Other Jurisdictions; II. Medically-Assisted Death in Canada: A Brief History; III. Legislating Medical Assistance in Dying: Bill C-14; IV. MAID: Minors, Advance Requests, and Mental Illness; V. MAID and Issues of Conscience; 17. Nature and Culture: Of Genes and Memes; I. All in the Genome?; II. Cultural Connections; III. Worlds Apart?; IV. Culture and Defying Death; V. Transcending Culture; 18. The Ethical Regulation of Research; I. Medicine’s Legacy; II. The Purpose of Research; III. Consent for Research; IV. The Tissue Issue; V. Some Questions and Answers Regarding Research; Conclusion: Setting our Sights; References; Index

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