100 Cases in Clinical Ethics and Law: 2nd Edition (Paperback) book cover

100 Cases in Clinical Ethics and Law

2nd Edition

By Carolyn Johnston, Penelope Bradbury

CRC Press

288 pages | 1 Color Illus.

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Description

A 30-year-old Polish lady is admitted in labour. This is her first pregnancy and she is full term. She is in a lot of pain, her liquor is stained with meconium and the trace of her baby's heart is classified as pathological. Her grasp of English is limited. You have been asked to obtain her consent for a caesarean section…

100 Cases in Clinical Ethics and Law explores legal and ethical dilemmas through 100 clinical scenarios typical of those encountered by medical students and junior doctors in the emergency or outpatient department, on the ward or in the community setting. Covering issues such as consent, capacity, withdrawal of treatment, confidentiality and whistle-blowing, each scenario has a practical problem-solving element, encouraging readers to explore their own beliefs and values including those that arise as a result of differing cultural and religious backgrounds. Answer pages highlight key points in each case, providing advice on how to deal with the emotive issues that occur when practising medicine and guidance on appropriate behaviour.

Making speedy and appropriate decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These true-to-life cases will teach students and junior doctors to recognize ethical and legal dilemmas as they arise, and to respond appropriately.

Reviews

"I would highly recommend this book as an excellent introduction to medical ethics in clinical practice… The book’s strengths are its consideration of a wide range of ethical and moral issues that may arise inpatient care, well-targeted as its intended readership of medical students and junior doctors" – (Highly Commended, Basis of Medicine, BMA Medical Book Awards 2016)

Table of Contents

ETHICAL PRINCIPLES

Principlism

Consequentialism

Deontology

Virtue Ethics

Casuistry

Narrative Ethics

Rights and Duties

ETHICS AND LAW IN CLINICAL PRACTICE: HOW TO DEAL WITH AN ETHICAL DILEMMA IN CLINICAL PRACTICE

ETHICS AND LAW IN CLINICAL PRACTICE: BEGINNING OF LIFE

In Vitro Fertilisation

Same-Sex Parenting

Surrogacy

Pre-Implantation Genetic Diagnosis

Moral Status of the Foetus

Termination of Pregnancy

Conscientious Objection

Pre-Natal Injury

Neonatal Care: Legal and Ethical Issues

ETHICS AND LAW IN CLINICAL PRACTICE: CHILDREN AND ADOLESCENTS

Parental Responsibility and Consent

Parental Refusal of Treatment

Request for Non-Therapeutic Treatment

Assessing Competence in Children

Underage Contraception

Adolescent Refusal of Life-Sustaining Treatment

Non-Engagement with Therapeutic Medication

Withholding Information from a Child

ETHICS AND LAW IN CLINICAL PRACTICE: CONSENT, CAPACITY AND REFUSAL OF TREATMENT

Valid Consent to Treatment

Adult Capacity to Consent to Treatment

Consent and HIV

Consent and Coercion

Examination Under Anaesthesia

Refusal of Treatment

Consent and Emergencies

Assessment of Best Interests

Deprivation of Liberty

ETHICS AND LAW IN CLINICAL PRACTICE: CONFIDENTIALITY

Confidentiality

Confidentiality and Children

Access to Healthcare Information

Confidentiality and HIV

Use of Interpreters

Disclosing Genetic Information

Genetic Testing of Children for Adult-Onset Conditions

ETHICS AND LAW IN CLINICAL PRACTICE: NEGLIGENCE

Standard of Care and Negligence

Provision of Information

Out of Your Depth

Reporting Concerns

Making Mistakes and Incident Forms

Complaints

ETHICS AND LAW IN CLINICAL PRACTICE: MENTAL HEALTH

When to Section a Patient Under the Mental Health Act

Appropriate and Effective Treatment Under the Mental Health Act

Medical Treatment for Patients with a Mental Health Disorder

Conflict in Treatment Aims

Treatment for Eating Disorders

Personal Identity

Self-Harm

Covert Medication

ETHICS AND LAW IN CLINICAL PRACTICE: PUBLIC HEALTH

Patients’ Responsibility for Health and Resource Allocation

Managing Patient Expectations

Requests for Expensive Medical Treatment

Prophylactic Surgery

Screening Programmes

Childhood Immunisation

Professional Responsibility to Discuss Obesity

Incentives for Treatment and Health Promotion

Front-Line Staff and Flu Immunisation

Overseas Visitors

ETHICS AND LAW IN CLINICAL PRACTICE: ORGAN DONATION

Organ Donation

Posthumous Organ Donation

Is There a Market for Living Organ Donors?

Social Media and Organ Donation

ETHICS AND LAW IN CLINICAL PRACTICE: END OF LIFE

The Distinction between Acts and Omissions at the End of Life

Quality of Life and Sanctity of Life Judgements

Basic Care and Medical Treatment at the End of Life

Provision of Futile Treatment

Assisted Suicide

Advance Decisions

Advance Decisions and Attempted Suicide

Do Not Attempt Cardiopulmonary Resuscitation Orders

Brainstem Death

After Death – Coroners and Cremation Forms

DUTIES OF A DOCTOR

Compassion and Resilience

Good Samaritan Acts

Delegation and Handover

Professional Responsibility toward an Abusive Patient

Discharge against Medical Advice

Child Safeguarding

Treating Friends and Relatives

Professionalism and Social Media

Doctors and DVLA Regulations

The Role of Clinical and Research Ethics Committees

FAITH, VALUE AND CULTURE

Medicalisation of Human Experience

Jehovah’s Witnesses and Blood Transfusions

Ramadan and Professional Responsibility

Female Genital Mutilation

Childhood Male Circumcision

Disclosure of Diagnosis and Cultural Relativism

Cultural Considerations in Post Mortem Examination

Requests to See a ‘British’ Doctor

Chaperones

Professional Boundaries

Ethical Issues on Elective

Professional Experience of Illness

Glossary of Terms

Resources

About the Authors/Editor

Carolyn Johnston, LLB, LLM, MA, PhD, adviser in medical law and ethics, School of Medical Education, King’s College London; senior lecturer, Kingston University; and member of the Institute of Medical Ethics Education Steering Group, UK

Penelope Bradbury, MBBS, MA, BSc, MRCGP, GP partner at The Witterings Medical Centre, and GP associate in accident and emergency medicine, Chichester, UK

100 Cases Series Editor:

Janice Rymer, MD, FRCOG, FRANZCOG, FHEA, dean of student affairs and lead for Twinned Institutions, and professor of gynaecology, King's College School of Medicine, London, UK

About the Series

100 Cases

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
LAW093000
LAW / Medical Law & Legislation
MED000000
MEDICAL / General
MED045000
MEDICAL / Internal Medicine