Doing Right: A Practical Guide to Ethics for Medical Trainees and Physicians

384 Pages·2014·339.65 MB·English

OXFORD

A Practical Guide to Ethies
for Medical Trainees
‘and Physicians

‘THIRDEDITION Philip C. Hébert

Doing Right

A Practical Guide to Ethics for
Medical Trainees and Physicians

mumepmon Philip C. Hébert

OXFORD
OXFORD
Contents

Cases iti
Preface

Ackorowledlgments x

Introduction: A Revolution in Learns se

1 Ethics Matters: Doing Ethically Sound Medicine 1

1. Ethics! Reasoning and Principles in Medicine 1

TI Three Pukicai Principles and Questions 8

TH. Resolving” Eiki Dilessines 13

I6."Daing Right’: A Decision Maidag Peo
Fthies

jure for Cha

fan Making Peocedure 19

2 The Almost Revolution: Autonomy anc
Patlent-Based Care 27,

LoAke Autonomy #rinciple
Tl The Case of Mrs Malenecane Dr Shula 34
1M. Choives: the Good, the Bid, and che Ugly 36
IW Reducse Autonomy 43

5 NoMan an Islonck Confidentiality and Trust 50

[Rights of Priviey, Cealidvatial Dutice 50
Professional Rewulalions | 5

AL, Limnts 0 Conilentialty 62

IN Warn and to Protec! 67

Vi The Digital Age 7!

4 The Power to Heal: Truth and Deception in
Clinlesl Practice "76

LOwNet deting che Tou 76
LL tke Touthieing ask 80
TE siodern Levan the Professor KO
WC the Changing Pictie oF Medicine AP
Me Truthieisngs Fxceptions 89

b The Power te Choose: Dus: Gare and Informed Consent 98

the Kseence of Informe

1D. tihical Ganseat KIL

Tithe Dactor Who Did
Dethaghce 12

“The Cass of Mr Reibl vests
The Essel Elatnents af Coson's Whew, Whey, Thal,
Son? DT
Ws Uaceptions 6 Cx

“The ws
aning and Waxing Self: Capacity and Incapactty
inttedical Care. 12%
Bs
fe

1 Bubette Deco vest Ss"
1c sreamene toe ene a7
Withee hot okeee a

VU Cases Lavolving Minors 114

Helping and Not Harming: Beneflcence and
Non-Maleficence 148

1h Peinciples of areicense and Non-Mileicence 190
Ele "Dutrto Rese he Patient 337

Fl Rndangesing mes Self 139

Ae nahe Best eres uf Minoss 164

Vacca Rogen foe Tearmcet 169

Conduct Bacoming: Medical Professionalism and
Managing cror 176

|. Professionals in Healtteare 176

TL Prodevanala nd the Drug Insiry 183,

Di ewndaies a Crossing 135

Re che Begone Gur Wave 192

Beyond the Patiant: Doing Justice to Justice 204

Lnsicein verqlay Moticine 706
FH Dintbucivefetve 208

Tit Mevtraly Newest Tivormont 208
Fite Mol Prove (aides et 219
The Heclth Professeuats Master 223

Labour Pains: Ethies and New Life 230
1. Bucthing ant Repradactee Choice 259

Simi aterost ore Child: Beaug Boon an (ving Le
Hi Te New Aye of Rupcodnerion 210

Pv oespecusiy Seviing Senn Cols 248
11 A Dark Wood End-oPLite Decisions 254
1. Al atng Dea: Rosette Pit 254
Te Advance Direstyen 309
WLW the tenet 248
We Wapeaian Auerlsated Dasthens 3A

12 Questions of Gulturn, Ganetics, and Science 200
(tonne Gorevetions 20
1 kes che Genera? 9
JL Ethics HegvTatiof Reseach 202
1 Some Quesanevand avers Rpandicy ven 290

Gales ing i Blane 8
ibe or Not 2eesrihed 1
2 Risky Teaching Tool 5

spetale Hopes 12

“Ta eed or Not ta Tea? ‘9
The Pitients Agesdn 7
Patient Kaas Hot? 2
Ligation Luigaion 36
Dorit Houck My Arma! 3
Teguise: Tap 40

A Man Shou Diet Lore! al
APyonocie Regsest 43

A Wh Noto Hear 41

"i Fade Not far Te

Dowit Tal! SU

Sal Secrets $4

ing 45

“The Powe that Pisses 72
Srainge"tracble 75

The Winrar 76

Worso Way $2

A Darks: 83

Miri Mirman che Wall 8

Ti Se Stupig” 90

“Weal Up, Doc?” 94

ASople Proves 98

Tee Mhulsivsel Sie Fle! 104

Yrs Lave No Right w Touch Me! 106
(Mare Sgecy Wanted! 108

‘Stop the lest” 114

Ar Uinetatad Risk 118

tn Me, Not My Maaygorer™ 128
Beye Hep? 12

Sud Capatte 129

*Vve Seer Worse!” 134

ie examining "No" 138

1 Canl Let Her Die?” 13t

Risky Husiness 134
ATracluted Hip, A Broken Mind 137
bo Rul Go Gently uy @ Goud Nursing lame 142