Ethical Dimensions in the Health Professions - E-Book , livre ebook

ETHICAL DIMENSIONS
in the Health Professions
FIFTH EDITION
RUTH B. PURTILO, PHD, FAPTA
Professor Emerita of Ethics, MGH Institute of Health Professions, Boston,
Massachusetts;John Marsh Visiting Professor, University of Vermont, Burlington, Vermont
REGINA F. DOHERTY, OTD, MS, OTR/L
Lecturer, Tufts University, Department of Occupational Therapy, Medford,
Massachusetts;Senior Occupational Therapist, Massachusetts General Hospital, Boston,
MassachusettsTable of Contents
Cover image
Title page
Copyright
Dedication
Foreword
Preface
What’s new in this edition
Acknowledgments
Edition five
Notes to instructors on using this edition
Instructional tools
Objectives
Guide to stories in text
SECTION I: Introduction to Ethical Dimensions in the Health Professions
1. Morality and ethics: what are they and why do they matter?
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
Morality and moral valuesReflection
Reflection
Reflection
Reflection
From the moral to the ethical
Reflection
Ethics: studying and reflecting on morality
Reflection
Legal protections for your ethical decisions
Summary
References
2. The ethical goal of professional practice: a caring response
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
The patient as focus of a caring response
Reflection
Three characteristics of a caring response
Reflection
Reflection
Reflection
Reflection
Reflection
Burdens and benefits of a caring response
Reflection
REFERENCES
3. Prototypes of ethical problems
Objectives
New terms and ideas you will encounter in this chapterIntroduction
Reflection
Recognizing an ethical question
Prototypes of ethical problems: common features
Reflection
Three prototypes of ethical problems
Reflection
Reflection
Reflection
Summary
References
4. Ethics theories and approaches: conceptual tools for ethical decision making
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
Ethical reasoning: a guide for ethical reflection
The caring response: using theories and approaches to guide you
Story or case approaches
Ethics of care approach
Reflection
Principle-based approach
Reflection
Reflection
Deontologic and teleologic theories
Reflection
REFERENCES
5. A six-step process of ethical decision making in arriving at a caring response
Objectives
New terms and ideas you will encounter in this chapterIntroduction
The six-step process
Reflection
Reflection
Reflection
Reflection
Summary
REFERENCES
SECTION II: Ethical Dimensions of Professional Roles
6. Surviving student life ethically
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Special challenges of student life
Reflection
The goal: a caring response
Reflection
Reflection
The six-step process as a student
Reflection
Reflection
Reflection
Strategies for success as a moral agent
Summary
REFERENCES
7. Surviving professional life ethically
Objectives
New terms and ideas you will encounter in this chapter
IntroductionThe goal: a caring response
The six-step process in self care
Reflection
Reflection
Reflection
Reflection
Reflection
Opportunities for self care in any situation
Reflection
Summary
REFERENCES
8. Living ethically within health care organizations
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
The goal: a caring response
The six-step process in organizational matters
Reflection
Reflection
Reflection
Educating for moral agency within organizations
Reflection
R e f l e c t i o n
References
9. Living ethically as a member of the health care team
Objectives
New terms and ideas you will encounter in this chapter
Introduction
The goal: a caring responseReflection
R e f l e c t i o n
The six-step process and team decisions
Reflection
Reflection
Peer evaluation issues
Reflection
R e f l e c t i o n
Reflection
Summary
REFERENCES
SECTION III: Ethical Dimensions of the Professional-Patient Relationship
10. Why honor confidentiality?
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
The goal: a caring response
Reflection
Reflection
The six-step process in confidentiality situations
Reflection
Reflection
Confidentiality, records, and patient care information systems
Reflection
Summary
REFERENCES
11. Communication and information sharing
ObjectivesNew terms and ideas you will encounter in this chapter
Introduction
Reflection
Reflection
Communication
Reflection
The six-step process in communication
Reflection
Reflection
Reflection
Reflection
Reflection
Communication standards, technologies, and tools
Reflection
Summary
References
12. Informed consent in treatment and clinical research
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
Reflection
The goal: a caring response
Reflection
The six-step process in informed consent situations
Reflection
Reflection
Reflection
Reflection
ReflectionReflection
Reflection
The special challenge of incapacity or incompetence
Informed consent in research
Reflection
Placebos: a special case of information disclosure
Reflection
Reflection
Disclosure of genetic information
Summary
References
SECTION IV: Ethical Dimensions of Chronic and End-of-Life Care
13. Ethical issues in chronic care
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
The goal: a caring response
Reflection
The six-step process in chronic care situations
Reflection
Reflection
Reflection
Reflection
Summary
References
14. Ethical issues in end-of-life care
Objectives
New terms and ideas you will encounter in this chapterIntroduction
Reflection
The goal: a caring response
Reflection
The six-step process in end-of-life situations
Reflection
Reflection
Reflection
Reflection
Reflection
Advance care planning in end-of-life care
Reflection
Reflection
Clinically assisted suicide and medical euthanasia
Reflection
Summary
References
SECTION V: Ethical Dimensions of the Social Context of Health Care
15. Distributive justice: clinical sources of claims for health care
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
The goal: a caring response
The six-step process in microallocation decisions
Reflection
Reflection
Reflection
ReflectionReflection
Reflection
Rationing: allocation and dire scarcity
Summary
References
16. Compensatory and social justice: societal sources of claims for health care
Objectives
New terms and ideas you will encounter in this chapter
Introduction
The goal: a caring response
The six-step process in compensatory justice decisions
Reflection
Social justice, social need and respect for all
Individual responsibility for health maintenance
Reflection
Reflection
Reflection
Summary
References
17. Professionals as good citizens: responsibility and opportunity
Objectives
New terms and ideas you will encounter in this chapter
Introduction
Reflection
The goal: a caring response
The six-step process in public life
Reflection
Reflection
Reflection
ReflectionReflection
Reflection
Reflection
Good citizenship: local or global?
Reflection
Summary
References
IndexCopyright
3251 Riverport Lane
St. Louis, Missouri 63043
ETHICAL DIMENSIONS IN THE HEALTH PROFESSIONS, FIFTH EDITION ISBN:
978-1-4377-0896-7
Copyright © 1981, 1993, 1999, 2005, 2011 by Saunders an imprint of Elsevier Inc.
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Notices
Knowledge and best practice in this field are constantly changing. As new
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Practitioners and researchers must always rely on their own experience and
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With respect to any drug or pharmaceutical products identified, readers are
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Library of Congress Cataloging-in-Publication Data
Purtilo, Ruth B.
Ethical dimensions in the health professions / Ruth B. Purtilo, Regina F. Doherty. —
5th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4377-0896-7 (pbk. : alk. paper) 1. Medical ethics. I. Doherty, Regina F. II.
Title.
[DNLM: 1. Ethics, Professional. 2. Patient Rights—ethics. W 50]
R724.P82 2011
174’.2—dc22
2010038396
Executive Editor: Kathy Falk
Associate Developmental Editor: Lindsay W