Voluntariness is a necessary condition of valid consent. But determining whether a person consented voluntarily can be difficult, especially when people are subjected to coercion or manipulation, placed in a situation with no acceptable alternative other than to consent to something, or find themselves in an abusive relationship.

* The book is balanced and comprehensive, recognising that both affordability and investment into innovation are necessary * The book is original, using ecological concepts to understand pharmaceutical innovation as an ecosystem. * The book is unique in its research foundation, building on the views of more than 70 expert informants from all parts of the pharmaceutical innovation ecosystem and all sides of the debate about drug pricing.

Increasingly digital technologies are used in healthcare. This book explores eight digital health technologies, situated the context of a life span, from high-throughput genomic sequencing technologies and do-it-yourself (DIY) insulin delivery for diabetes management in paediatrics, to the use of robotic care assistants for older adults and digital advance care decisions. A scene-setting case scenario at the start of each chapter describes the digital technology and identifies the sometimes competing interests of the key stakeholders. Broad themes of resource allocation, access to technologies, informed consent, privacy of health data and ethical concerns are considered in context, alongside analysis of legal duties owed by healthcare professionals to act in their patients' best interests. This book addresses legal and ethical issues arising from the use of emerging digital health technologies and is of interest to academics, clinicians and regulators and anyone interested in the development of health technologies and the challenges they may present. It focusses on the Australian legal framework, with some comparison to other jurisdictions.

* Helps readers become proficient ethical decision-makers using the 2020 NASP ethical code and to critically engage the ethical standards and work through ethical dilemmas that often occur in school and clinical settings * Over 100 ethical case studies are presented in the text that specifically relate to NASP's Principles for Professional Ethics * Readers are provided step-by-step directions on how to use the ethical decision-making model when problem solving each case scenario

The History and Bioethics of Medical Education: "You've Got to Be Carefully Taught" continues the Routledge Advances in the History of Bioethics series by exploring approaches to the teaching of bioethics from disparate disciplines, geographies, and contexts. Van Rensselaer Potter coined the phrase "Global Bioethics" to define human relationships with their contexts. This and subsequent volumes return to Potter's founding vision from historical perspectives and asks, how did we get here from then? The patient-practitioner relationship has come to the fore in bioethics; this volume asks: is there an ideal bioethical curriculum? Are the students being carefully taught and, in turn, are they carefully learning? This volume will appeal to those working in both clinical medicine and the medical humanities, as vibrant connections are drawn between various ways of knowing.

This book encompasses two inter-related disciplines of health law and medical ethics applicable to Singapore. Apart from Singapore legal materials, it draws upon relevant case precedents and statutory developments from other common law countries and incorporates recommendations and reports by health-related bodies, agencies and committees. The book is written in an accessible manner suitable for tertiary students. It should also serve as a useful resource for medico-legal practitioners, academics and healthcare professionals who wish to keep abreast of the evolving legal and ethical developments concerning health and medicine.

The 14 chapters in Ethics at the End of Life: New Issues and Arguments, all published here for the first time, focus on recent thinking in this important area, helping initiate issues and lines of argument that have not been explored previously. At the same time, a reader can use this volume to become oriented to the established questions and positions in end of life ethics, both because new questions are set in their context, and because most of the chapters-written by a team of experts-survey the field as well as add to it. Each chapter includes initial summaries, final conclusions, and a Related Topics section.

First book to examine the ethics of pandemics from a philosophical standpoint Examines the key and controversial issues that arise out of pandemics, such as government response, test and trace, restrictions on human freedom and movement and vaccine passports Very useful reading for those in related fields such as medicine and health care as well as applied ethics within philosophy Case studies from UK, south east Asia, US and Europe

One of modern healthcare's most controversial areas, reproductive medicine is an emerging discipline that fosters hugely divergent opinions on topics such as laboratory techniques, clinical management and ethical considerations. Highlighting over 50 contentious topics in reproductive medicine, this book presents expertly argued opinions are presented for and against, often with diametrically opposing views about management. Debates such as these are being increasingly used as learning tools, helping participants develop their critical thinking skills and showing that context is vital when making decisions. Issues discussed include limits on IVF provision, ethical queries about sex selection, embryology, and ovarian stimulation. Authors are authorities in their field, combining years of experience with fresh and innovative ideas to structure their arguments. Readers will gain an insight into topical controversies, critically evaluating the different sides to enhance their own clinical practice.

Narrative Medicine: A Rhetorical Rx rests on the principles that storytelling is central to medical encounters between caregivers and patients and that narrative competence enhances medical competence. Thus, the book's goal is to develop the narrative competence of its reader. Grounded in the rhetorical theory of narrative that Phelan has been constructing over the course of his career, this volume utilizes a three-step method: Offering a jargon-free explication of core concepts of narrative such as character, progression, perspective, time, and space. Demonstrating how to use those concepts to interpret a diverse group of medical narratives, including two graphic memoirs. Pointing to the relevance of those demonstrations for caregiver-patient interactions. Narrative Medicine: A Rhetorical Rx is the ideal volume for undergraduate students interested in pursuing careers in healthcare, students in medical and allied health professional schools, and graduate students in the health humanities and social sciences.

In the past 50 years, ethical concerns concerning human experimentation have arisen with the advancement of new medical research and technology. While the benefits of human experimentation are well known in the fields of biology, psychology, sociology, and medicine, the conditions of human subject research have been persistently controversial. This book discusses ethical perspectives, emerging developments and global challenged of patient rights. Topics include effective medical informed consent; rights to health and dental care; the ethics of HIV screening targeted to the seriously mentally ill; and problems in ethics for medical publication.

In this volume, written in honour of the eightieth birthday of Professor Shimon Glick, world renowned experts in the field of medical ethics struggle with the question of how to weigh the respective values of autonomy, altruism and authority in dealing with real life bioethical dilemmas.

Is it lawful for a doctor to give a patient life-shortening pain relief? Can treatment be lawfully provided to a child under 16 on the basis of her consent alone? Is it lawful to remove food and water provided by tube to a patient in a vegetative state? Is a woman's refusal of a caesarean section recommended for the benefit of the fetus legally decisive? These questions were central to the four focal cases revisited in this book. This book revisits nine landmark cases. For each, a new leading judgment is attributed to an imagined judge, Athena, who operates within the constraints of the legal system of England and Wales. Her judgments accord with an innovative legal theory, referred to as 'modified law as integrity', and are linked as a line of precedent. The result is a re-spinning of extant judicial threads into a web of legal principles with a greater claim to coherence and defensibility than those in the original cases. The book will be of great interest to scholars and students of medical law, criminal law, bioethics, legal theory and moral philosophy.

The COVID-19 pandemic has affected every human being on the planet and forced us all to reflect on the bioethical issues it raises. In this timely book, Gregory Pence examines a number of relevant issues, including the fair allocation of scarce medical resources, immunity passports, tradeoffs between protecting senior citizens and allowing children to flourish, discrimination against minorities and the disabled, and the myriad issues raised by vaccines. KEY FEATURES A thorough overview of the many ethical issues connected with the COVID-19 pandemic. Engages with empirical data and the real-world practical problems that bear on pandemic response. Informed by foundational ideas in ethics as well as the latest in bioethics scholarship. Examines COVID-19 in the context of other historical pandemics. A portion of the revenue from this book's sales will be donated to Doctors Without Borders to assist the humanitarian work of nurses, doctors, and other health care providers in the fight against COVID-19 and beyond.

This book examines the regulatory framework for untested and unapproved uses (off-label uses) of medicines in the EU, UK, and USA. Before reaching patients, medicines are extensively tested by manufacturers and approved by regulators to minimise the risk of adverse reactions. However, physicians can prescribe pharmaceuticals for off-label uses, widespread in paediatrics, oncology, rare diseases and, more recently, in treatment for Covid-19. While off-label uses may offer hope, they may also expose patients to risks and uncertainties. Clarification is therefore needed to improve the protection of patients' rights while enhancing legal certainty for health actors. To this end, this work clarifies the regulatory mechanisms and litigation trends concerning off-licence prescriptions in these jurisdictions. It assesses how traditional, prevention-driven regulatory and civil liability rules are being adapted to tackle potential risks and scientific uncertainty. The book outlines the applicable regulations, as well as considering Brexit's impact on off-label policies in the UK, and EU and national off-label policies in the context of the fight against the Covid-19 pandemic. It also explores under what conditions physicians, manufacturers, or regulators must compensate patients injured by untested prescriptions. The book will be an essential resource for researchers, academics and policy-makers working in the areas of medical law and ethics, public health law, pharmaceutical law and private comparative law.

This book studies the critical issues that dominate contemporary discourse on biomedical ethics. It brings together various debates highlighting the historical, philosophical, scientific and technological perspectives involved in modern medicine in different societies, with a focus on contemporary medicine in India. The volume provides a comprehensive look into the origin and evolution of bioethics with an examination of how complex bioethical issues are negotiated in different contexts. The author traces the transition from traditional to modern bioethics and examines important bioethical frameworks to deal with moral dilemmas and challenges. He also contemplates the future of bioethics with an emphasis on regulation in practice to prevent repression and exploitation in medicine. A comprehensive study of contemporary approaches to bioethics, the book will be indispensable for students, professionals and researchers in public health, ethics, biomedical ethics, medicine, philosophy, sociology, public policy and anthropology.

Originally published in 1990, this study of the moral problems bound up with transplant therapy addresses a finely balanced distinction between ethical issues relating to its experimental nature on the one hand and those which arise when transplantation is routine on the other. Among the issues examined are proposals for routine cadaveric harvesting, criteria for organ and tissue procurement from living donors, foetuses, non-human animals and current ethical problems with artificial implants. Written as a contribution to practical philosophy, this book will interest ethicists and health care professionals.

Sets out a clear argument for care and caregiving as an aesthetic experience and aesthetic act. Written for all advanced students of nursing and applied theatre, as well as professionals in care, nursing and dramatherapy. The first and only book to advance this concept, disturbing the boundaries of artistic and care practice.

+ Clearly exposes the most frequent calumnies made against science + Shows how dogmatic religion, the financial interests of certain industries, and opportunistic politicians sometime work in cohort to undermine the public’s trust in science + Acknowledges that science’s most mistaken critics are often skilled communicators, and that effectively defending science requires an equally skilled defense + Shows that while the “Science Wars“ of the 1990s have abated, their effects on some of the methodologies in higher education and the larger population continue + Examines three case studies to clearly illustrate how reliable scientific knowledge is secured: • Eratosthenes’ discovery of the circumference of the earth • Louis Pasteur’s development of anthrax and rabies vaccines • The rapid emergence of scientific consensus regarding continental drift

Physical Examination Procedures for Advanced Practitioners and Non-Medical Prescribers provides readers with the necessary knowledge and skills to conduct successful physical examinations of adult patients. This evidence-based book, organized by anatomical system, features tables that list physical examination procedures along with potential pathologies. Quick reference summaries for performing each examination are also included. In addition, the book features a chapter on mental health with a checklist covering the main criteria for a thorough mental health examination. Readers can test their skills by answering case study questions at the end of each chapter. Reflective stories are also included to demonstrate the difficulties encountered in everyday practice and to remind readers of the important professional and ethical issues surrounding their work. This book is designed as an aide-memoire for use in practice or revision for exams but can also be a useful resource for medical students, teachers of physical examination skills and other qualified health professionals.

Key Features * Discusses the various aspects of cheating in publications: spin, protocol changes; failure to publish negative studies, including current data on the publishing industry and its issues, like the menace of predatory journals, poor peer review, coupled with lack of early education in ethics, and its significant impact on rational prescribing. * Assesses the impact of misconduct and fraud on clinicians and healthcare professionals as they attempt to balance the risk-benefit ratio which is supported by multiple contemporary studies. * Presents shocking data on bribes to physicians, journal editors and other key opinion leaders, exposing the ultimate root of the problem which lies in the economics of the healthcare system, badly in need of repair.

The Disability Bioethics Reader is the first introduction to the field of bioethics presented through the lens of critical disability studies and the philosophy of disability. Introductory and advanced textbooks in bioethics focus almost entirely on issues that disproportionately affect disabled people and that centrally deal with becoming or being disabled. However, such textbooks typically omit critical philosophical reflection on disability. Directly addressing this omission, this volume includes 36 chapters, most appearing here for the first time, that cover key areas pertaining to disability bioethics, such as: state-of-the-field analyses of modern medicine, bioethics, and disability theory health, disease, and the philosophy of medicine issues at the edge- and end-of-life, including physician-aid-in-dying, brain death, and minimally conscious states enhancement and biomedical technology invisible disabilities, chronic pain, and chronic illness implicit bias and epistemic injustice in health care disability, quality of life, and well-being race, disability, and healthcare justice connections between disability theory and aging, trans, and fat studies prenatal testing, abortion, and reproductive justice. The Disability Bioethics Reader, unlike traditional bioethics textbooks, also engages with decades of empirical and theoretical scholarship in disability studies-scholarship that spans the social sciences and humanities-and gives serious consideration to the history of disability activism.

This ground-breaking book uses organizational ethics and stakeholder theory to explore the ethical accountability of leadership in healthcare organizations to their distinct vulnerable stakeholder communities. The book begins with a discussion of the moral agency of healthcare organizations and introduces stakeholder theory. It then looks at key ethical challenges in relation to the confidentiality and privacy of healthcare data, before turning to child health and interventions around issues such as obesity, maltreatment, and parenting. The book ends by focusing on ethics of care in relation to older people and people with disabilities. An insightful contribution to thinking about ethics for contemporary healthcare management and leadership, this interdisciplinary book is of interest to readers with a background in healthcare, business and management, law, bioethics, and theology.

The new Ethics Code goes into effect January 2022 and this book is updated to include information on the new code. This edition features two brand new chapters. The BACB Ethical Guideline are applicable across national boundaries. Jon Bailey is well known in the UK and Europe and is active in the International Association of Behavior Analysis.

What happens when two intelligent and highly informed fictional college students, one strongly pro-choice and the other vigorously pro-life, are asked to put together a presentation on abortion? Their conversations over five days - friendly but lively, charitable but clear - are captured in this book. Through these dialogues, students and other interested readers are introduced to the difficult moral issues of abortion. In Chapter 1, readers learn about Roe v. Wade and other relevant legal cases. Chapter 2 covers basic, philosophical issues such as: What is a person? Are fetuses persons? Is fetal potential morally relevant? How shall we define the moral community? Chapter 3 introduces students to Don Marquis's "Why Abortion is Immoral" and also the metaphysical issues of personal identity and its relevance to abortion. Chapter 4 covers Judith Jarvis Thomson's "A Defense of Abortion", including objections and responses to the argument from bodily autonomy. Finally, Chapter 5 looks at abortion in hard cases, such as in cases of rape, fetal disability, non-viable pregnancies, and sex-selection; the chapter also includes a conversation on fathers and abortion. With a Foreword by Laurie Shrage, topics headings in the margins, and an annotated bibliography, Dialogues on the Ethics of Abortion is an easy-to-use volume and valuable resource for anyone interested in a fair and clear-headed approach to one of the most contentious moral issues of our time.