Ethical and Legal Issues in Neurology 1st Edition by James L Bernat, H Richard Beresford ISBN 0444535012 9780444535016

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ISBN 10: 0444535012 
ISBN 13: 9780444535016
Author: James L Bernat, H Richard Beresford

Ethical and Legal Issues in Neurology 1st Table of contents:

Chapter 1: Ethical Principles and Concepts in Medicine

• Introduction

• Overview of Ethics

• Ethical Theories

  • Consequentialism

  • Deontology

  • Virtue Ethics

  • Normative Ethics

• Ethical Principles

  • Respect for Patient Autonomy

  • Beneficence

  • Nonmaleficence

  • Justice

• Resolving Conflicts Among Principles

• Alternative Approaches to Medical Ethics

  • The Primacy of Beneficence in Medicine

  • Care-based Ethics

  • Feminist Ethics

  • Narrative Ethics

• Conclusion

• References

Chapter 2: The Analysis and Resolution of Ethical Dilemmas

• Introduction

• A Structured Approach to Analyzing Ethical Dilemmas

  • Clarification and Classification of the Dilemma

  • Review of Existing Information

  • Acquisition of Additional, Relevant Information

• Analysis of the Ethical Issue

  • Relevant Legal and Professional Considerations

  • Rights

    • Patient Autonomy

    • Professional Autonomy

  • Duties

    • Nonmaleficence

    • Truth‑telling

    • Confidentiality

  • Consequences

    • Beneficence

  • Virtues

• The Use of Cases

• Formulate Response, Consider Criticisms, and Identify Lessons Learned

• Next Steps in the Absence of Resolution

  • Temporize

  • Options to Avoid

  • Worst Option

  • Impractical Solutions, or Failure to Consider Potential Alternatives

  • Rationing at the Bedside

• Conclusion

• Acknowledgment

• References

Chapter 3: Ethics Committees and Consultants

• Introduction

• Clinical EC

• Approaches to Clinical EC

• Ethics Committees

• Maintenance of Ethics Committees and Services

• Ethics Education

  • Maintenance of Competencies

  • Literature Review

  • Internal Case Review

  • Skills Practice and Case Simulation

  • Periodic Statistical Review of Cases

• Resources for Ethics Consultants and Committees

  • Internal Currency: Institutional buy‑in

  • The Ethics Police?

• Additional Practical Questions Regarding the Structuring of EC Practice

  • Should an EC Be Recorded in the Medical Record?

  • The Reported Experience With Ethics Consultation in Patients With Neurologic Diseases

  • Value of Ethics Consultation

    • Ethicality

    • Satisfaction

    • Conflict Resolution

    • Education

    • Cost Containment or Reduction

  • Measuring Value in EC?

• Conclusion

• References

Chapter 4: Legal Process, Litigation, and Judicial Decisions

• Introduction

• Autonomy and Law

  • The Autonomy Principle

  • Constitutional Context

  • Decisional Autonomy

  • Informed Consent Doctrine

    • Canterbury v. Spence

    • Kohoutek v. Hafner

    • Culbertson v. Mernitz

    • Rizzo v. Schiller

    • Johnson v. Kokemoor

    • Howard v. University of Medicine & Dentistry of New Jersey

    • Truman v. Thomas

  • Comment

• Protecting “Liberty” of Patients: Roles of Physicians, Surrogates, and Courts

  • Withdrawing or Withholding Life Support

    • Cruzan v. Director

    • Matter of Quinlan

    • Blouin v. Spitzer

    • In re Schiavo

  • Aid in Dying

    • Washington v. Glucksberg

    • Vacco v. Quill

    • Baxter v. State

    • Oregon and Washington Statutes

  • Nonconsensual Treatment

    • Washington v. Harper

    • Sell v. United States

    • Ms. B v. an NHS Hospital Trust

    • “Futile” Treatment

      • In re Baby K

      • Causey v. St. Francis Medical Center

  • Comment

• Informational Autonomy: Protecting Confidentiality

  • Horne v. Patton

  • Safer v. Peck

  • Molloy v. Meier

  • Tarasoff v. Regents

  • Bradshaw v. Daniel

  • Tenuto v. Lederle Laboratories

  • Pate v. Threlkel

  • United States v. Hayes

  • Comment

• Beneficence and Law

  • The Beneficence Principle

  • Conflicts of Interest

    • Nonfinancial Conflicts

      • Moore v. Regents

      • Gelsinger Litigation

    • Financial Conflicts

      • Anti‑kickback Law

      • Self‑referral Laws

      • Pegram v. Herdrich

      • Neade v. Portes

      • Wickline v. State

    • Comment

• Protecting Subjects of Research: Rights and Remedies

  • Regulation of Clinical Research

  • Case Law

    • Halushka v. University of Saskatchewan

    • Karp v. Cooley

    • Heinrich v. Sweet

    • Grimes v. Kennedy Krieger Institute

  • Comment

• Justice and Law

  • Conceptualizing “Justice”

  • Defining Protectable Rights and Interests

    • United States v. University Hospital

    • Bragdon v. Abbott

    • Glanz v. Vernick

    • Sumes v. Andres

    • Burditt v. U.S. Department of Health and Human Services

    • Olmstead v. L.C. Ex Rel. Zimring

  • Comment

• Provide Fair and Efficient Process for Resolving Disputes

  • Rules for Expert Testimony

  • Case Law

    • United States v. Gigante

    • Roper v. Simmons

    • People v. Eulo

    • Matter of Quinlan

    • Clark v. Arizona

    • United States v. Semrau

    • Allen v. Martin Surfacing

  • Comment

• Concluding Commentary

• References

Chapter 5: Law, Ethics, and the Clinical Neurologist

• Introduction

• Law

• Ethics

• Interplay Between Ethics and Law

• Ethics Manifested in Law – Examples Relevant to Neurology Practice

  • Nonmaleficence

  • Voluntary Active Euthanasia and Physician-Assisted Suicide

  • Privacy

  • Beneficence

  • Ending a Patient–Physician Relationship

  • Conflict of Interest

  • Respect for Autonomy

  • Informed Consent

  • Justice

  • Emerging Issues

• References

Chapter 6: Religion and Medical Ethics

• Introduction

• Theonomous Decision-Making

• Transvaluing Suffering

• Spiritual or Mystical Beliefs and Values

• Current Areas of Debate

  • Abstentions from Medical Treatments

  • End-of-life Decision-making

  • Defining Moral Personhood: Life’s Beginning and End

  • Sexuality

• Conclusion

• References

Chapter 7: Professional Conduct and Misconduct

• Introduction

• Defining the Physician–Patient Relationship

• Initiation of the Physician–Patient Relationship

• Communication

• Therapeutic Privilege

• Disclosure of Medical Errors

• Confidentiality

• Electronic Communication

• Empathy

• Dual Relationships and Professional Boundaries

• Barriers to Care

• Termination of the Physician–Patient Relationship

• Conflicts of Interest

• Relationships With Industry

• Practice Models and Stewardship

• Disclosure of Conflicts

• Honest Dealing With Third Parties

• Reporting Impaired Physicians

• Expert Testimony

• Care of Self

• References

Chapter 8: Medical Error and Disclosure

• Introduction

• Definitions

• Epidemiology

• Causes of Medical Error

• Scenario 1

• Scenario 2

• Error Reporting

• Disclosure of Medical Errors to Patients

• Why Should Neurologists Disclose Medical Errors?

• How Should Physicians Disclose Medical Error?

• Gaps in Current Disclosure Practices

• Approaches to Error Disclosure

• Planning With Teams

• Initiating Disclosure: What Should Be Told?

• Emotional Impact of Errors on Clinicians

• Conclusions

• References

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Tags: James L Bernat, H Richard Beresford, Ethical, Neurology