Ethical Dimensions in the Health Professions - E-Book

Regina F. Doherty, Ruth B. Purtilo

Description

Learn to recognize, understand, and resolve ethical problems in the workplace with Ethical Dimensions in the Health Professions, 6^th Edition. Ideal for all practicing and aspiring healthcare professionals, this unique text gives readers a solid foundation in basic ethical theory, the terms and concepts of ethics, and the numerous ethical issues surrounding health care today. The new sixth edition centers on the six-step decision-making process and includes expanded patient case studies and an increased emphasis on working within inter-professional care teams toward the resolution of ethical problems. With all of its tools and guidance, Ethical Dimensions gives readers the framework needed to make ethical and effective choices in the workplace.

• UNIQUE! Process of ethical decision-making provides readers with an organizing framework to use in making the best decisions in the face of ethical problems.
• Reflection boxes highlight important concepts and stimulate critical thinking.
• Patient stories depict real-life situations and demonstrate the ethical decision-making process.
• Summary boxes offer a quick review of the important information in each section.
• Content on current laws and institutional policies make readers aware of their legal responsibilities as well as their ethical ones.
• Questions for thought and discussion encourage readers to apply the ethical decision-making process to different situations.

• NEW! Expanded patient stories include current innovations and issues in ethics.
• NEW! Additional content on interprofessional team decision-making reflects an important expanding movement in healthcare nationally and internationally.

Sujets

• Legal Issues
• Ethical
• Medical
• Médecine
• Nursing
• Social

Informations

• Publié par: Saunders
• Date de parution: 04 novembre 2015
• Nombre de lectures: 0
• EAN13: 9780323328937
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Ethical Dimensions in the Health Professions
Sixth Edition
Regina F. Doherty, OTD, OTR/L, FAOTA
Associate Professor and Program Director, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, MGH Institute of Health Professions, Boston, Massachusetts
Ruth B. Purtilo, PT, PhD, FAPTA
Professor Emerita, MGH Institute of Health Professions, Boston, Massachusetts
Table of Contents
Cover image
Title page
Copyright
Dedication
Preface
What’s New in This Edition
Acknowledgments
Edition Six
Notes to Instructors on Using This Edition
General Framework
Objectives
Guide to Stories in Text
Section I: Introduction to Ethical Dimensions in the Health Professions
1: Morality and Ethics: What They Are and Why They Matter
Introduction
Morality and Moral Values
Personal, Societal, and Group Morality
From the Moral to the Ethical
Ethics: Study and Reflection on Morality
Legal Protections for Your Ethical Decisions
Summary
Questions for Thought and Discussion
2: The Ethical Goal of Professional Practice: A Caring Response
Introduction
The Patient as the Focus of a Caring Response
Three Characteristics of a Caring Response
Social Determinants of a Caring Response
Burdens and Benefits of a Caring Response
Summary
Questions for Thought and Discussion
3: Prototypes of Ethical Problems
Introduction
Recognizing an Ethical Question
Prototypes of Ethical Problems: Common Features
Considerations in Moral Agency
Two Prototypes of Ethical Problems
Summary
Questions for Thought and Discussion
4: Ethics Theories and Approaches: Conceptual Tools for Ethical Decision Making
Introduction
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
Virtue Theory
Principle-Based Approach
Deontologic and Teleologic Theories
Summary
Questions for Thought and Discussion
5: A Six-Step Process of Ethical Decision Making
Introduction
The Six-Step Process
Summary
Questions for Thought and Discussion
Section II: Ethical Dimensions of Professional Roles
6: Surviving Professional Life Ethically
Introduction
Special Challenges of Student Life
The Goal: A Caring Response
The Six-Step Process as a Student
The Professional Continuum
Responsibilities of Self-Care
Summary
Questions for Thought and Discussion
7: Living Ethically as a Member of the Interprofessional Care Team
Introduction
The Goal: A Caring Response
The Six-Step Process and Team Decisions
Peer Evaluation Issues
Peer Review
Blowing the Whistle on Unethical or Incompetent Teammates
Summary
Questions for Thought and Discussion
8: Living Ethically Within Healthcare Organizations
Introduction
The Goal: A Caring Response
The Six-Step Process in Organizational Matters
Educating for Moral Agency Within Organizations
Summary
Questions for Thought and Discussion
Section III: Ethical Dimensions of the Professional-Patient Relationship
9: Honoring Confidentiality
Introduction
The Goal: A Caring Response
The Six-Step Process in Confidentiality Situations
Confidentiality, Records, and Patient Care Information Systems
Summary
Questions for Thought and Discussion
10: Communication and Information Sharing
Introduction
Communication
The Six-Step Process in Communication
Communication Standards, Technologies, and Tools
Summary
Questions for Thought and Discussion
11: Informed Consent in Treatment and Clinical Research
Introduction
The Goal: A Caring Response
The Six-Step Process in Informed Consent Situations
The Special Challenge of Incapacity or Incompetence
Informed Consent in Research
Placebos: A Special Case of Information Disclosure
Disclosure of Genetic Information
Summary
Questions for Thought and Discussion
Section IV: Ethical Dimensions of Chronic and End-of-Life Care
12: Ethical Issues in Chronic Care and Disability
Introduction
The Goal: A Caring Response
The Six-Step Process in Chronic Care Situations
Summary
Questions for Thought and Discussion
13: Ethical Issues in End-of-Life Care
Introduction
The Goal: A Caring Response
The Six-Step Process in End-of-Life Situations
Advance Care Planning in End-of-Life Care
Clinically Assisted Suicide and Medical Euthanasia
Summary
Questions for Thought and Discussion
Section V: Ethical Dimensions of the Social Context of Healthcare
14: Distributive Justice: Clinical Sources of Claims for Healthcare
Introduction
The Goal: A Caring Response
The Six-Step Process in Microallocation Decisions
Summary
Questions for Thought and Discussion
15: Compensatory and Social Justice: Societal Sources of Claims for Healthcare
Introduction
The Goal: A Caring Response
The Six-Step Process in Compensatory Justice Decisions
Social Justice, Social Need, and Respect for All
Individual Responsibility for Health Maintenance
Summary
Questions for Thought and Discussion
16: Professionals as Good Citizens: Responsibility and Opportunity
Introduction
The Goal: A Caring Response
The Six-Step Process in Public Life
Responding to Crises
Good Citizenship: Local or Global?
Summary
Questions for Thought and Discussion
Index
Copyright

3251 Riverport Lane
St. Louis, Missouri 63043
ETHICAL DIMENSIONS IN THE HEALTH PROFESSIONS, SIXTH EDITION
ISBN: 978-0-323-32892-0
Copyright © 2016, by Elsevier Inc. All Rights Reserved.
Previous editions copyrighted 2011, 2005, 1999, 1993, 1981.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Purtilo, Ruth B., author.
Ethical dimensions in the health professions / Regina F. Doherty, Ruth B. Purtilo. – Sixth edition.
p. ; cm.
Ruth B. Purtilo appears first on the five previous editions.
Includes bibliographical references.
ISBN 978-0-323-32892-0 (pbk. : alk. paper)
I. Doherty, Regina F., author. II. Title.
[DNLM: 1. Ethics, Professional. 2. Patient Rights–ethics. W 50]
R724
174’.2–dc23
2015036623
Executive Content Strategist: Kathy Falk
Content Development Manager: Luke Held
Associate Content Development Specialist: Kelly Skelton
Publishing Services Manager: Patricia Tannian
Project Manager: Amanda Mincher
Senior Book Designer: Amy Buxton
Printed in the United States
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication
With gratitude to the patients, families, professional colleagues, and students whose experiences have taught us volumes about the value and meaning of care.
Preface
Regina F. Doherty
Ruth B. Purtilo
Health professionals in all roles encounter ethical problems in their day-to-day practice. As a member of an interprofessional care team, a single pro