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Books > Medicine > General issues > Medical ethics
We live in an era when all bodies are potentially 'feminised' by being rendered 'open-access' for biomedical research and clinical practice. Adopting a theoretically sophisticated and practical approach, Property in the Body: Feminist Perspectives rejects the notion that the sale of bodily tissue enhances the freedom of the individual through an increase in moral agency. Combining feminist theory and bioethics, it also addresses the omissions which are inherent in policy analysis and academic debate. For example, whilst women's tissue is particularly central to new biotechnologies, the requirement for female labour is largely ignored in subsequent evaluation. In its fully revised second edition, this book also considers how policies and developments vary between countries and within specific areas of biomedicine itself. Most importantly, it analyses the new and emerging technologies of this field whilst returning to the core questions and fears which are inextricably linked to the commercialisation of the body.
This book offers a new argument for the ancient claim that well-being as the highest prudential good - eudaimonia -consists of happiness in a virtuous life. The argument takes into account recent work on happiness, well-being, and virtue, and defends a neo-Aristotelian conception of virtue as an integrated intellectual-emotional disposition that is limited in both scope and stability. This conception of virtue is argued to be widely held and compatible with social and cognitive psychology. The main argument of the book is as follows: (i) the concept of well-being as the highest prudential good is internally coherent and widely held; (ii) well-being thus conceived requires an objectively worthwhile life; (iii) in turn, such a life requires autonomy and reality-orientation, i.e., a disposition to think for oneself, seek truth or understanding about important aspects of one's own life and human life in general, and act on this understanding when circumstances permit; (iv) to the extent that someone is successful in achieving understanding and acting on it, she is realistic, and to the extent that she is realistic, she is virtuous; (v) hence, well-being as the highest prudential good requires virtue. But complete virtue is impossible for both psychological and epistemic reasons, and this is one reason why complete well-being is impossible.
'Astonishing' Stephen Fry 'Exceptional' Douglas Stuart, author of the Booker Prize-winning SHUGGIE BAIN 'Now is the time for this book' DBC Pierre, author of the Booker Prize-winning VERNON GOD LITTLE 'Funny. Disturbing. Brilliant' Lily Allen Funny, smart, damaged, Tom is lost in the machinery of the British mental health system, talking to a voice no one else can hear; the voice of Malamock, the Octopus God - sometimes loving, sometimes cruel, but always there to fill his life with meaning. Once an outstanding law student, Tom is now cared for by his long-suffering sister Tess, who encourages him into an experimental drugs trial that promises to silence the voice forever. The Octopus God, however, does not take kindly to being threatened... Deeply moving and tragi-comic, The Octopus Man is a bravura literary performance that asks fundamental questions about belief and love.
Designed for students pursuing careers in a variety of health care programs, ETHICS OF HEALTH CARE: A GUIDE FOR CLINICAL PRACTICE, 4e, equips you with the tools you need to make legal and ethical decisions in real-world practice. The text teaches you the language of the legal system and biomedical ethics while emphasizing critical thinking, problem solving and professional behavior. The first four chapters provide the foundational knowledge you need to understand the legal system and ethical theory as it relates to health care practice. Later chapters build on these concepts as you explore ethical and legal health care controversies through a wide variety of issues such as reproductive health, organ donation, physician assisted dying, ethical allocation of health care, cloning, genetics, and human enhancements. Each chapter also includes legal and ethical case studies to help you put what you learn into practice.
Winner of the First Prize in Anaesthesia at the 2017 British Medical Association Book Awards! With the increasing frequency of breaks from practice, the importance of proper preparation and guidance for doctors returning to work has recently been recognised by the Royal College of Anaesthetists. This is the first dedicated resource to support anaesthetists returning to work after a significant break, and is designed to complement the growing range of regional and national return to work courses by gathering relevant information and advice into one easily accessible reference source. Divided into three parts, specific to different stages in the return to work process, this book offers information and advice about the practicalities of returning to work, 120 clinical scenarios to refresh the reader's knowledge, and useful guidelines and checklists for the first days and weeks back, forming a vital practical resource for anaesthetists in this situation and those supporting them.
Transnational surrogacy - the creation of babies across borders - has become big business. Globalization, reproductive technologies, new family formations and rising infertility are combining to produce a 'quiet revolution' in social and medical ethics and the nature of parenthood. Whereas much of the current scholarship has focused on the US and India, this groundbreaking anthology offers a far wider perspective. Featuring contributions from over thirty activists and scholars from a range of countries and disciplines, this collection offers the first genuinely international study of transnational surrogacy. Its innovative bottom-up approach, rooted in feminist perspectives, gives due prominence to the voices of those most affected by the global surrogacy chain, namely the surrogate mothers, donors, prospective parents and the children themselves. Through case studies ranging from Israel to Mexico, the book outlines the forces that are driving the growth of transnational surrogacy, as well as its implications for feminism, human rights, motherhood and masculinity.
This book presents ideas, evidence and guidance for those interested in using the most recent advances in knowledge about learning and human development to enhance medical education's ability to form competent, caring and publicly responsible physicians. It does this by establishing the development of a professional identity in medical students and residents as a primary goal of medical education. This new approach is emerging from experience and experiment by medical educators articulating a new way of understanding their mission. It is an optimistic book - the voices are those of the leaders, theorists and experienced practitioners who have found in this new approach a promising way to confront the challenges of a new era in medicine. It summarizes the theoretical basis of identity formation, outlines our current knowledge of how best to assist learners as they acquire a professional identity, and addresses the issue of assessment of progress towards this goal.
The first ethics casebook that integrates clinical ethics (medical, nursing, and dental) and research ethics with public health and informatics. The book opens with five chapters on ethics, the development of interprofessional ethics, and brief instructional materials for students on how to analyze ethical cases and for teachers on how to teach ethics. In today's rapidly evolving healthcare system, the cases in this book are far more realistic than previous efforts that isolate the decision-making process by professions as if each is not embedded in a larger context that involves healthcare teams, hospital policies, and technology. The central claim of this book is that ethics is an important common ground for all of the health professions. Furthermore, when we recognize that our professions converge upon a common goal we will find less conflict and more pleasure in working together.
Are your exams coming up? Are you drowning in textbooks and lecture notes and wondering where to begin? Take the FASTtrack route to study successfully for your examinations. FASTtrack provides the ultimate lecture notes and is a must-have for all pharmacy undergraduate students wanting to revise and test themselves for forthcoming exams. Law and Ethics focuses on what pharmacy students really need to know in order to pass exams providing concise, bulleted information, key points, and an all-important self-assessment section which includes MCQs. Pharmacy law and ethics, along with the knowledge of drugs and their uses, forms the foundation upon which professional pharmacy practice is built. This FASTtrack book aims to cover key legislation affecting pharmacy and the pharmacist practitioner, including how laws are made, how they come into effect and are enforced. It is an invaluable resource either as a study aid or as a companion to the established textbook, Dale and Appelbe's Pharmacy Law and Ethics and Medicines, Ethics and Practice. Covering all areas of the pharmacy degree, the first titles in the series include: Applied Pharmaceutical Practice (based on the textbook of the same name) Complementary and Alternative Medicine (based on the textbook of the same name) Law and Ethics in Pharmacy Practice (due March 2010) Managing Symptoms in the Pharmacy Pharmaceutical Compounding and Dispensing (based on the textbook of the same name) Pharmaceutics - Dosage Form and Design Pharmaceutics - Drug Delivery and Targeting Pharmacology Physical Pharmacy
Information technology is transforming the practices of medicine, nursing, and biomedical research. Computers can now render diagnoses and prognoses more accurately than humans. The concepts of privacy and confidentiality are evolving as data moves from paper to silicon to clouds. Big data promises financial wealth, as well as riches of information and benefits to science and public health. Online access and mobile apps provide patients with an unprecedented connection to their health and health records. This transformation is as unsettling as it is exhilarating. This unique new book is essential for anyone who uses computers in health care, biomedical research or public health, and cares about the ethical issues that arise in their work. With chapters spanning issues from professionalism and quality to mobile health and bioinformatics, it establishes what will become the 'core curriculum' in ethics and health informatics, a growing field which encourages truly inter- and multidisciplinary inquiry.
Psychiatry Under the Influence investigates the actions and practices of the American Psychiatric Association and academic psychiatry in the United States, and presents it as a case study of institutional corruption.
The application of Lean tools appears relatively simple, but the change in culture required to turn Lean into a lasting success requires strong leadership. Previously published books about Lean in health care illustrate success stories, lessons learned, and challenges for the future. This book continues where those books leave off by describing the essence of and success factors for Lean in relation to leadership. Practical Lean Leadership for Health Care Managers guides you on a journey to discover the secrets of successful Lean leaders. It is about Lean in healthcare and specifically examines the demands for making Lean successful and how the manager plays a key role in achieving this. Although the book is based on the authors' experiences in health care, the principles presented are applicable in other sectors, both public and private. The book uses a case study to illustrate the results of the authors' quest for the common factors and characteristics of successful Lean leaders. The case study follows the introduction and development of Lean in a large hospital. Demonstrating the familiar struggles involved in applying theory to daily practice, the case study is supported by theory presented in side boxes.
This book looks at health policy through the lens of public versus private: population health versus the somatic, social, or emotional experiences of a patient. Rather than presenting policy/ethics as overly technical, this book takes a novel approach of framing public and private health in terms of political philosophy, ethics, and popular examples. Each chapter ties back to the general ethics or political literature as applicable, which are not customarily parts of the current public health curriculum. The author's work on the Orgcomplexity blog has touched on this subject by systemically exploring public policy issues, and the tone of this book mimics the blog with an extension of the arguments.
Being a patient is a unique interpersonal experience but it is also a universal human experience. The relationships formed when we are patients can also teach some of life's most important lessons, and these relationships provide a special window into ethics, especially the ethics of healthcare professionals. This book answers two basic questions: As patients see it, what things allow relationships with healthcare providers to become therapeutic? What can this teach us about healthcare ethics? This volume presents detailed descriptions and analyses of 50 interviews with 58 patients, representing a wide spectrum of illnesses and clinician specialties. The authors argue that the structure, rhythm, and horizon of routine patient care are ultimately grounded in patient vulnerability and clinician responsiveness. From the short interview segments, the longer vignettes and the full patient stories presented here emerge the neglected dimensions of healthcare and healthcare ethics. What becomes visible is an ethics of everyday interdependence, with mutual responsibilities that follow from this moral symbiosis. Both professional expressions of healthcare ethics and the field of bioethics need to be informed and reformed by this distinctive, more patient-centered, turn in how we understand both patient care as a whole and the ethics of care more specifically. The final chapters present revised codes of ethics for health professionals, as well as the implications for medical and health professions education.
Biobanking, i.e. storage of biological samples or data emerging from such samples for diagnostic, therapeutic or research purposes, has been going on for decades. However, it is only since the mid 1990s that these activities have become the subject of considerable public attention, concern and debate. This shift in climate is due to several factors. The purpose of this book is to investigate some of the ethical, legal and social challenges raised by research biobanking in its different modern forms and formats. The issues raised by research biobanking in its modern form can be divided into four main clusters: how biological materials are entered into the bank; research biobanks as institutions; under what conditions researchers can access materials in the bank, and problems concerning ownership of biological materials and of intellectual property arising from such materials; and how the information is collected and stored, e.g. access-rights, disclosure, confidentiality, data security and data protection.
This is a comprehensive work which deals exclusively with clinical res earch misconduct, recognizing that - although it is not rife - its occ urance at all requires recognition and action.
This analysis of the law's approach to healthcare decision-making critiques its liberal foundations in respect of three categories of people: adults with capacity, adults without capacity and adults who are subject to mental health legislation. Focusing primarily on the law in England and Wales, the analysis also draws on the law in the United States, legal positions in Australia, Canada, Ireland, New Zealand and Scotland and on the human rights protections provided by the ECHR and the Convention on the Rights of Persons with Disabilities. Having identified the limitations of a legal view of autonomy as primarily a principle of non-interference, Mary Donnelly questions the effectiveness of capacity as a gatekeeper for the right of autonomy and advocates both an increased role for human rights in developing the conceptual basis for the law and the grounding of future legal developments in a close empirical interrogation of the law in practice.
This comprehensive yet accessible resource provides readers with everything they need to know about intersex - people who are born with any range of sex characteristics that might not fit typical binary notions about male and female bodies. Covering a wide variety of topics in an easy-to-read way, the book explores what intersex is, what it is not, a detailed overview of its 40 or so different variations, historical and social aspects of intersex and medical intervention, along with practical, proven advice on how professionals can help and support intersex people. Written by an intersex man with over 65 years of first-hand experience, this book is an ideal introduction for any medical, health and social care professional or student, as well as family members and friends, seeking to improve their practice and knowledge.
The privacy concerns discussed in the 1990s in relation to the New Genetics failed to anticipate the relevant issues for individuals, families, geneticists and society. Consumers, for example, can now buy their personal genetic information and share it online. The challenges facing genetic privacy have evolved as new biotechnologies have developed, and personal privacy is increasingly challenged by the irrepressible flow of electronic data between the personal and public spheres and by surveillance for terrorism and security risks. This book considers the right to know and the right not to know about your own and others' genomes. It discusses new privacy concerns and developments in ethical thinking, with the greater emphasis on solidarity and equity. The multidisciplinary approach covers current topics such as biobanks and forensic databases, DIY testing, group rights and accountability, the food we eat and the role of the press and the new digital media.
Unfit for the Future argues that the future of our species depends on our urgently finding ways to bring about radical enhancement of the moral aspects of our own human nature. We have rewritten our own moral agenda by the drastic changes we have made to the conditions of life on earth. Advances in technology enable us to exercise an influence that extends all over the world and far into the future. But our moral psychology lags behind and leaves us ill equipped to deal with the challenges we now face. We need to change human moral motivation so that we pay more heed not merely to the global community, but to the interests of future generations. It is unlikely that traditional methods such as moral education or social reform alone can bring this about swiftly enough to avert looming disaster, which would undermine the conditions for worthwhile life on earth forever. Persson and Savulescu maintain that it is likely that we need to explore the use of new technologies of biomedicine to change the bases of human moral motivation. They argue that there are in principle no philosophical or moral objections to such moral bioenhancement. Unfit for the Future challenges us to rethink our attitudes to our own human nature, before it is too late.
Since Dolly the sheep was born, controversy has swirled around the technology of cloning. We recoil at the prospect of human copies, manufactured men and women, nefarious impersonators and resurrections of the dead. Such reactions have serious legal consequences: lawmakers have banned stem cell research along with the cloning of babies. But what if our minds have been playing tricks on us? What if everything we thought we knew about human cloning is rooted in intuition rather than fact? Human Cloning: Four Fallacies and Their Legal Consequences is a rollicking ride through science, psychology, and the law. Drawing on sources ranging from science fiction films to the Congressional Record, this book unmasks the role that psychological essentialism has played in bringing about cloning bans. It explains how hidden intuitions have caused conservatives and liberals to act contrary to their own most cherished ideals and values.
The definitive guide to the law that all nurses need to know. Written specifically for student nurses as well as those already in practice, Dimond's Legal Aspects of Nursing is your essential practical guide to the legal principles you need to be aware of in your everyday nursing practice. Building on previous editions of the book by Bridgit Dimond, this 8th edition has been significantly reworked by a new author team with extensive experience in teaching nursing law. It has also been fully updated and revised in line with recent legal developments and the new Nursing standards to ensure it continues to meet the requirements of nursing law modules. New to this edition: Introduction of new and updated Nursing Midwifery Council (NMC) Fitness to Practise procedures Reference to the NMC Code 2015 (updated 2018) including Duty of candour Data Protection legislation updated including reference to the General Data Protection Regulation 2016 Greater reference to the devolved UK administrations Updated overview of a nurses' duty of care Reference to the new NMC approved curriculum, and the introduction of nursing associates Introduction of upcoming changes to the Mental Capacity Act 2005 Comprehensive discussion of the practice implications of the Supreme Court Decisions in Montgomery v Lanarkshire Health Board [2015] Consideration of the revised Health and Social Care Act 2008 (regulated activities) regulations 2014 Updated consideration of gross negligence manslaughter Practical implications of the extension of the crimes of ill treatment and willful neglect under the Criminal Justice and Courts Act 2015 section 20 and 21
Alasdair Maclean analyses the ethical basis for consent to medical treatment, providing both an extensive reconsideration of the ethical issues and a detailed examination of English law. Importantly, the analysis is given a context by situating consent at the centre of the healthcare professional-patient relationship. This allows the development of a relational model that balances the agency of the two parties with their obligations that arise from that relationship. That relational model is then used to critique the current legal regulation of consent. To conclude, Alasdair Maclean considers the future development of the law and contrasts the model of relational consent with Neil Manson and Onora O'Neill's recent proposal for a model of genuine consent.
This volume maps the areas of ethical concern in the debate regarding the governance of genetic information, and suggests alternative ethical frameworks and models of regulation in order to inform its restructuring. Genetic governance is at the heart of medical and scientific developments, and is connected to global exploitation, issues of commodification, commercialisation and ownership, the concepts of property and intellectual property and concerns about individual and communal identity. Thus the decisions that are made in the next few years about appropriate models of genetic governance will have knock-on effects for other areas of governance. In short the final answer to 'Who Decides?' in the context of genetic governance will fundamentally shape the ethical constructs of individuals and their networks and relationships in the public sphere. |
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