- Häftad (Paperback / softback)
- Antal sidor
- Softcover reprint of hardcover 1st ed. 1993
- XIII, 169 p.
- Antal komponenter
- 1 Paperback / softback
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Patient Autonomy and Physician Beneficence within Clinical Medicine
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Fler böcker av Stephen Wear
Ethical Issues in Health Care on the Frontiers of the Twenty-First Century
Stephen Wear, James J Bono, Gerald Logue, Adrianne Mcevoy
of UB's medical school, that UB developed its School of Arts and Sciences, and thus, assumed its place among the other institutions of higher education. Had Fillmore lived throughout UB's first seventy years, he would probably have been elated by ...
Recensioner i media
`Stephen Wear, in this fine monograph, understands fully the problems with patient autonomy and informed consent. In fact he outlines with clarity the problems with complete informed consent ... In addition to Wear's informed consent process and the studies either supporting or not supporting its prevalence this book offers the reader a basic outline of medical ethics in regard to informed consent ... I recommend this book with great enthusiasm.' The Journal of Medical Humanities, 16:2, 1995
Bloggat om Informed Consent
I: The Sources of a Model of Informed Consent.- One: The Legal Doctrine of Informed Consent.- I. The Goals and Sources of the Legal Doctrine of Informed Consent.- II. Elements of the Legal Doctrine.- A. Competence to Consent.- B. Disclosure.- C. Evaluation and Consent.- D. Exceptions to the Rule.- 1. The Emergency Exception.- 2. The Therapeutic Privilege Exception.- 3. The Waiver Exception.- III. Summary.- Notes.- Two: The New Ethos of Patient Autonomy.- I. Early Concerns about Patient Autonomy.- A. Concerns about Research Subjects.- B. The Influence of Extraordinary Cases.- II. A Reply from the Paternalist.- III. Patients and Physicians as Moral Strangers.- IV. Freedom in Health Care.- A. Freedom from Interference and Informed Consent.- B. Restoring Freedom.- C. Enhancing Freedom.- D. The Heterogeneity of Clinical Needs and Tasks.- V. This Is All Very Well And Good, But....- VI. Retrospect and Prospect.- Notes.- Three: The Clinical Experience of Patient Autonomy and Informed Consent.- I. Anecdotes about Patient Autonomy and Informed Consent.- II. Empirical Studies of Informed Consent.- A. Patient Understanding of Disclosed Information.- B. Other Empirical Findings.- C. Implications of the Preceding.- III. Diminished Competence.- A. Factors Ingredient in Illness.- B. Common Psychological Responses to Illness.- C. Long Term Psychological Characteristics.- D. Other Diminishing Factors.- IV. Barriers to Patient Autonomy and Informed Consent.- A. Institutional Barriers.- B. The Nature of Clinical Decision Making.- V. Summary Remarks.- Notes.- Four: The Potential Benefits of Informed Consent.- I. The Value of Patient Participation in Clinical Decision Making.- II. Goods and Values that Informed Consent Might Capture.- A. Substantial Goods and Values That Are Often At Stake.- B. Less Common but Profound Goods and Values.- III. Retrospect and Prospect.- Notes.- II: A Model of Informed Consent.- Five: Toward a Model of Informed Consent - Theoretical and Programmatic Considerations.- I. Theoretical Considerations and Commitments.- A. The Theory of Informed Consent of Faden and Beauchamp.- B. Theoretical Commitments and Biases of this Work.- 1. Ethical Theory.- 2. Rights.- 3. Respect for Patient Autonomy.- 4. The Nature of the Argument of this Work.- II. The Basic Structure of the Model Advocated in this Work.- A. The Need for a Standardized Basic Model.- B. A Heterogeneity of Needs and Possibilities.- C. Informed Consent-Event or Process?.- D. The Primacy of an Informed Consent Event in this Account.- Notes.- Six: The Informed Consent Event.- I. Stage I: The Comprehensive Disclosure.- A. The Broader Context of the Decision at Hand.- B. Diagnosis.- C. Prognosis without Treatment.- D. The Recommended Treatment with Attendant Risks and Benefits.- 1. Identifying the Potential Benefits of a Given Intervention.- 2. Identifying Risks and Potential Complications.- E. Specification of Alternative Treatments.- 1. Clear Treatment of Choice with No Alternatives.- 2. Clear Treatment of Choice with Alternatives Only from a Technical or Professional Point of View.- 3. Alternative Modalities Exist, but the Physician Could Not Conscientiously Offer Them.- 4. Alternative Therapies Exist, Have Some Merit, but the Physician Feels the Recommended Treatment has Substantial Advantages.- 5. Alternative Modalities Exist and One of Them May Well be Preferred By the Patient, but the Physician Still has a Marked Preference.- 6. No Recommendation Can be Legitimately Given, as the Alternatives are Equally Appropriate and Reasonable.- II. Stage II: The Core Disclosure.- A. The Transparency Model of Howard Brody.- B. Considerations in Offering the Core Disclosure.- III. Stage III: Assessment, Clarification and Patient Choice.- IV. Retrospect and Prospect.- Notes.- Seven: The Issue of Competence.- I. The Standard of Practice Regarding Competence: An Emerging Consensus.- II. Competence as Both Status and Capacity.- III. Triggering the Competency Assessment.- A. The &qu