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.
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