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Critical Care Ethics

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Law And Ethics In Intensive Care

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Author : Christopher Danbury
language : en
Publisher: Oxford University Press
Release Date : 2020-09-16

Law And Ethics In Intensive Care written by Christopher Danbury and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-09-16 with Medical categories.

The practice of intensive care medicine raises multiple legal and ethical issues on a daily basis, making it increasingly difficult to know who to admit and when, at what stage invasive management should be withdrawn, and who, importantly, should decide? These profound dilemmas, already complicated in a setting of scarce resources, mandate an understanding of law and ethics for those working in intensive care medicine. Clinically focused, this book explains the relevance of landmark rulings to aid your day-to-day decision-making. A spectrum of ethical and legal controversies in critical care are addressed to demonstrate how law and ethics affects the care available to patients and vice versa. Discussion of conflict resolution advises the options open to you when agreement on treatment decisions or withdrawal cannot be reached. The literature and variations surrounding Do Not Attempt Resuscitation decisions are outlined to help you navigate this complex area. This edition also provides an up-to-date analysis of issues such as futility and depreciation of liberty. Featuring contributions from leading legal and medical experts, this important reference should be read by every critical care professional.

Critical Care Ethics

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Author : Dan R. Thompson
language : en
Publisher:
Release Date : 2014-01-01

Critical Care Ethics written by Dan R. Thompson and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-01-01 with Critical care medicine categories.

The intensive care unit can be the site of many ethical controversies. Critical Care Ethics: A Practice Guide, explores thought-provoking ethical questions that critical care professionals must face in real-life situations. Topics include: euthanasia, artificial nutrition, the ethics of drug shortages, palliative care, religious views of end-of-life care, and unique considerations regarding pediatric and neonatal care. The references and suggested readings that accompany each chapter will help the reader pursue further information.

Compelling Ethical Challenges In Critical Care And Emergency Medicine

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Author : Andrej Michalsen
language : en
Publisher: Springer Nature
Release Date : 2020-07-22

Compelling Ethical Challenges In Critical Care And Emergency Medicine written by Andrej Michalsen and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-07-22 with Medical categories.

This book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails tradeoffs for many patients, their families, and the teams caring for them. At the same time, health care expenditures have risen dramatically and have to be balanced against costs for other public goods. Finally, the humane aspects of care have often failed to keep pace with the remarkable technological strides made in recent years. In this book, experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions. The book is primarily intended for clinicians who care for two of the most vulnerable patient subpopulations – those being treated in ambulances or emergency rooms, and those being treated at intensive care units – due in part to the fact that they may be temporarily or permanently incapacitated. Core medical skills, such as diagnosis and predicting outcomes, as well as implementing treatment, remain challenging. However, without adequate communication and collaboration both within the inter-professional treatment teams and between the teams and the patients/their families, delivering excellent care is difficult at best. Therefore, the so-called “soft skills” are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill.

Critical Care

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Author : Jack Tinker
language : en
Publisher: CRC Press
Release Date : 1995-10-17

Critical Care written by Jack Tinker and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-10-17 with Medical categories.

'Critical Care: Standards, Audit and Ethics' brings together the important issues which are topical and relevant to the dilemmas faced by all concerned with the management of critically ill patients. The standards of resources that should be available to deliver this care are discussed, including transport of the critically ill, the design of intensive care units, technical support, and the staffing and training within related disciplines, viewed from a world wide perspective. The authors review and debate: current theories and practice in audit to quantify critical illnesses; the selection of patients; the results of critical care and the quality of survival as well as the cost benefits; the ethics of establishing health care priorities; withholding and withdrawing life-support; the ethical issues of organ donation; clinical research, medico-legal, moral and religious aspects of critical care. This is the first book to look in depth at the principles and practice of the organisational aspects of intensive care delivery and will be of value to all members of the multidisciplinary Intensive Care team: physicians, nurses, trainees and managers. Every Intensive Care Unit should have a copy.

Ethics And Critical Care Medicine

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Author : J.C. Moskop
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06

Ethics And Critical Care Medicine written by J.C. Moskop and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.

The expense of critical care and emergency medicine, along with widespread expectations for good care when the need arises, pose hard moral and political problems. How should we spend our tax d'ollars, and who should get help? The purpose of this volume is to reflect upon our choices. The authors whose papers appear herein identify major difficulties and offer various solutions to them. Four topics are discussed throughout the volume: First, encounters between patients and health professionals in critical situations in general, and where scarcity makes rationing necessary; second, allocation and social policy, including how much to spend on preventive, chronic or critical care medicine, or for medicine in general compared to other important social projects; third, conflicts between or ranking of important goals and values; and fourth, conceptual issues affecting the choices we make. Since these topics are raised by the authors in almost every essay, we did not divide the papers into separate sections within the volume. Warren Reich begins the volume with a parable illustrating a key problem for contemporary medicine and two very different approaches to its solution. His story begins with the "delivery" of three indigent, critically ill, foreign patients to the emergency room of a large American private hospital. Although the hospital is legally bound to care for these patients, providing long term, high cost care for them and others soon becomes a major financial strain.

Health Care Ethics

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Author : Kath M Melia
language : en
Publisher: SAGE
Release Date : 2004-03-31

Health Care Ethics written by Kath M Melia and has been published by SAGE this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004-03-31 with Medical categories.

Health Care Ethics examines the way ethical dilemmas are played out in everyday clinical practice and argues for an approach to ethical decision-making which focuses more on patient needs than competing professional interests. While advances in medical science and technology have improved the ability to save and prolong lives, they have also given rise to fundamental questions about what constitutes life and personhood, especially in the context of what are termed ′persistent vegetative state′ and ′brain death′. Drawing on the example of intensive care where such questions feature strongly in everyday practice, Kath M Melia examines how decisions are taken within the context of multiprofessional teamworking, including · whether to admit a patient and commence treatment · what the aim of treatment should be (i.e. palliation, care or cure) · when to limit, withhold or withdraw treatment · when to donate organs. As an area in which different professional groups work closely together, the author argues that there are lessons to be learnt from intensive care which can be applied to ethical decision making in all areas of health care for the greater good of patients. The book makes a significant contribution to the literature on ethics in health care and to the development of ethical decision making which prioritises the needs of patients. It is essential reading for ethicists, sociologists and health care professionals.

Bioethics In The Pediatric Icu Ethical Dilemmas Encountered In The Care Of Critically Ill Children

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Author : Laura Miller-Smith
language : en
Publisher: Springer
Release Date : 2019-03-13

Bioethics In The Pediatric Icu Ethical Dilemmas Encountered In The Care Of Critically Ill Children written by Laura Miller-Smith and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-03-13 with Philosophy categories.

This book examines the many ethical issues that are encountered in the Pediatric Intensive Care Unit (PICU). It supports pediatricians, nurses, residents, and other providers in their daily management of critically ill children with the dilemmas that arise. It begins by examining the evolution of pediatric critical care, and who is now impacted by this advancing medical technology. Subsequent chapters explore specific ethical concerns and controversies that are commonly encountered. These topics include how to conduct end-of-life discussions with families facing a myriad of challenging choices. It goes on to explore the concept of futility, and what that does and does not mean in the pediatric ICU setting. Controversial subjects such as children as organ donors, particularly using donation after cardiac death, in addition to issues surrounding the declaration of brain death are covered. Additional chapters address resource allocation, and also analyze the use of long-term technology in chronically critically ill children. Chapters include case examples with guidance on how to work through similar difficulties and decision-making. While this book is specifically targeted for care providers at the ICU bedside, it is also of benefit to medical students, students in bioethics, practicing ethical consultants and families who are dealing with critically ill children.