Practical Decision Making in Health Care Ethics : Cases, Concepts, and the Virtue of Prudence, Fourth Edition / Raymond J. Devettere.

Format:

Book

Author/Creator:

Devettere, Raymond J., author.

Language:

English

Subjects (All):

Medical ethics.

Medical ethics--Case studies.

Physical Description:

1 online resource (680 p.)

Edition:

Fourth edition.

Place of Publication:

Washington, D.C. : Georgetown University Press, [2016]

Summary:

For more than twenty years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Raymond J. Devettere's approach is not based on an ethics of abstract obligations and duties but, following Aristotle, on how to live a fulfilled and happy life ? in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.New sections added in this revised fourth edition include sequencing whole genomes, even those of newborns; the new developments in genetic testing now provided by online commercial companies such as 23andMe; the genetic testing of fetuses by capturing their DNA circulating in the pregnant woman's blood; the Stanford Prison experiment and its relevance to the abuses at the Abu Graib prison; recent breakthroughs in the diagnosis of consciousness disorders such as PVS; the ongoing controversy generated by the NIH study of premature babies at many NICUs throughout the county, a study known as SUPPORT that the OHRP (Office of Human Research Protections, an office within the department of HHS) deemed unethical.Devettere updates most chapters. New cases include Marlise Munoz (dead pregnant woman's body kept on life support by a Texas hospital), Jahi McMath (teenager pronounced dead in California but treated as alive in New Jersey), Margot Bentley (nursing home feeding a woman dying of end stage Alzheimer's despite her advance directive that said no nourishment or liquids if she was dying with dementia), Brittany Maynard (dying 29-year-old California woman who moved to Oregon to commit suicide with a physician's help), and Samantha Burton (woman with two children who suffered rupture of membranes at 25 weeks and whose physician obtained a court order to keep her at the hospital to make sure she stayed on bed rest).Thoughtfully updated and renewed for a new generation of readers, this classic textbook will be required reading for students and scholars of philosophy and medical ethics.

Contents:

Cover

Contents

Preface to the Fourth Edition

Introduction

1 What Is Ethics?

Defining Ethics

Two Kinds of Ethics

Historical Versions of the Ethics of Obligation

Moral Reasoning and the Theories of Obligation

Contrasting the Ethics of Obligation with an Ethics of the Good

Retrieving the Ethics of the Good

Bioethics Today

Suggested Readings

2 Prudence and Living a Good Life

The Good We Desire

Happiness

Virtue

Moral Virtues

Prudence: The Master Virtue

3 The Language of Health Care Ethics

Distinctions That Can Mislead

Helpful Distinctions

4 Making Health Care Decisions

Decision-Making Capacity

Informed Consent

Advance Directives

The Patient Self-Determination Act

The Case of Hazel Welch

Final Reflections

5 Deciding for Others

Becoming a Proxy

Standards for Making Proxy Decisions

Deciding for Older Children

Deciding for the Mentally Ill

Deciding for Patients of Another Culture

6 Determining Life and Death

The Classical Conceptual Framework

A New Conceptual Framework

When Does One of Us Begin?

When Does One of Us Die?

Controversies over Determining Death

Ethical Reflections

7 Life-Sustaining Treatments

Ventilators

The Case of Karen Quinlan

The Case of William Bartling

The Case of Helga Wanglie

The Case of Barbara Howe

Dialysis

The Case of Earle Spring

Surgery

The Case of Rosaria Candura

Other Life-Sustaining Treatments

8 Cardiopulmonary Resuscitation

Terminology

A Brief History of Resuscitation Attempts

The Effectiveness of Attempting CPR

Learning to Withhold CPR

Important Ethical Elements for a DNR Policy.

Lingering Questions about DNR Orders

Resolving Questions about CPR

The Case of Maria M

The Case of Shirley Dinnerstein

The Case of Catherine Gilgunn

9 Medical Nutrition and Hydration

The Techniques and Technologies

Conceptualizing Medical Nutrition and Hydration

Early Cases about Feeding Tubes

The Case of Clarence Herbert

The Case of Claire Conroy

The Case of Elizabeth Bouvia

Cases of Persistent Vegetative State

The Case of Nancy Cruzan

The Case of Terri Schiavo

Recent Breakthroughs in the Diagnosis of Consciousness Disorders

An Unresolved Controversy: The Vatican and Feeding Tubes

An Emerging Controversy: VSED

10 Reproductive Issues

Contraception and Sterilization

Medically Assisted Pregnancy

Posthumous Motherhood

A Request for Posthumous Motherhood

Cloning

Surrogate Motherhood

The Case of Baby M

11 Prenatal Life

Abortion

Abortion in History

Abortion and the Supreme Court

Moral Issues of Abortion

Abortion and Excommunication at a Catholic Hospital

RU-486

Maternal-Fetal Conflicts

The Case of Angie

The Case of Samantha Burton

12 Infants and Children

Historical Background

A Sampling of Neonatal Abnormalities

Special Difficulties in Deciding for Neonates and Small Children

The Baby Doe Regulations:

The Case of Baby Doe

The Case of Danielle

The Case of Baby K

The Case of Ashley

Infant Euthanasia in the Netherlands

13 Euthanasia and Physician-Assisted Suicide

Historical Overview

Recent Developments

Relevant Distinctions

Moral Reasoning and Euthanasia

Legalization of Euthanasia and Physician-Assisted Suicide: A Slippery Slope.

The Story of a Landmark Suicide: The Case of Diane

Concluding Reflections

14 Medical and Behavioral Research

Notorious Examples of Questionable Ethics in Research

Reactions to the Questionable Medical Research

Research on Embryos

Research on Fetuses

Research on Minors

Controversial Research on Babies: The SUPPORT Study

Research in Developing Countries

Other Special Populations in Research

Animals and Medical Research

15 Transplantation

Transplantation of Organs from Dead Human Donors

The Case of Jamie Fiske

The Case of Jesse Sepulveda

Transplantation of Organs from Living Human Donors

Transplantation of Organs from Animals

The Case of Baby Fae

Implantation of Artificial Hearts

16 Medical Genetics and Genomics

Part 1: Ethics and the Genomic Revolution

Part 2: Ethical Issues in Genetic Testing

Part 3: Screening Newborns and Fetuses

Part 4: Research to Develop Genetic Therapy

The Case of Jesse Gelsinger

Glossary.

Notes:

Description based on publisher supplied metadata and other sources.

Description based on print version record.

ISBN:

9781626162785

1626162786