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Georgetown University Press
Practical Decision Making in Health Care Ethics: Cases, Concepts, and the Virtue of Prudence / Edition 4

Practical Decision Making in Health Care Ethics: Cases, Concepts, and the Virtue of Prudence / Edition 4

by Raymond J. Devettere
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For more than twenty years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Raymond J. Devettere's approach is not based on an ethics of abstract obligations and duties but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.

New sections added in this revised fourth edition include sequencing whole genomes, even those of newborns; the new developments in genetic testing now provided by online commercial companies such as 23andMe; the genetic testing of fetuses by capturing their DNA circulating in the pregnant woman's blood; the Stanford Prison experiment and its relevance to the abuses at the Abu Graib prison; recent breakthroughs in the diagnosis of consciousness disorders such as PVS; the ongoing controversy generated by the NIH study of premature babies at many NICUs throughout the county, a study known as SUPPORT that the OHRP (Office of Human Research Protections, an office within the department of HHS) deemed unethical.

Devettere updates most chapters. New cases include Marlise Munoz (dead pregnant woman's body kept on life support by a Texas hospital), Jahi McMath (teenager pronounced dead in California but treated as alive in New Jersey), Margot Bentley (nursing home feeding a woman dying of end stage Alzheimer’s despite her advance directive that said no nourishment or liquids if she was dying with dementia), Brittany Maynard (dying 29-year-old California woman who moved to Oregon to commit suicide with a physician's help), and Samantha Burton (woman with two children who suffered rupture of membranes at 25 weeks and whose physician obtained a court order to keep her at the hospital to make sure she stayed on bed rest). Thoughtfully updated and renewed for a new generation of readers, this classic textbook will be required reading for students and scholars of philosophy and medical ethics.

Product Details

ISBN-13: 9781626162761
Publisher: Georgetown University Press
Publication date: 05/20/2016
Edition description: Fourth Edition
Pages: 680
Sales rank: 516,642
Product dimensions: 7.50(w) x 9.90(h) x 1.40(d)
Age Range: 18 Years

About the Author

Raymond J. Devettere is a professor of philosophy at Emmanuel College where he directs the values-based education program and serves on the institutional review board. He taught health care ethics at Boston College for twenty-five years and is a member of the institutional review board at Newton-Wellesley Hospital.

Table of Contents

Preface to the Fourth Edition Introduction

1. What Is Ethics?Defining Ethics; Two Kinds of Ethics; Historical Versions of the Ethicsof Obligation; Moral Reasoning and the Theories of Obligation;Contrasting the Ethics of Obligation with an Ethics of the Good;Retrieving the Ethics of the Good; Bioethics Today; Suggested Readings

2. Prudence and Living a Good Life The Good We Desire; Happiness; Virtue; Moral Virtues; Prudence:The Master Virtue; Suggested Readings

3. The Language of Health Care EthicsDistinctions That Can Mislead; Helpful Distinctions;Suggested Readings

4. Making Health Care Decisions Decision-Making Capacity; Informed Consent; Advance Directives;The Patient Self-Determination Act; The Case of Hazel Welch; FinalReflections; Suggested Readings5. Deciding for Others Becoming a Proxy; Standards for Making Proxy Decisions; Decidingfor Older Children; Deciding for the Mentally Ill; Deciding for Patientsof Another Culture; Final Reflections; Suggested Readings

6. Determining Life and DeathThe Classical Conceptual Framework; A New ConceptualFramework; When Does One of Us Begin?; When Does One of UsDie?; Controversies over Determining Death; Ethical Reflections;Suggested Readings

7. Life-Sustaining Treatments Ventilators: The Case of Karen Quinlan, The Case of William Bartling,The Case of Helga Wanglie, The Case of Barbara Howe; Dialysis: The Case of Earle Spring; Surgery: The Case of Rosaria Candura; OtherLife-Sustaining Treatments; Suggested Readings

8. Cardiopulmonary ResuscitationTerminology; A Brief History of Resuscitation Attempts; TheEffectiveness of Attempting CPR; Learning to Withhold CPR;Important Ethical Elements for a DNR Policy; Lingering Questionsabout DNR Orders; Resolving Questions about CPR: The Case ofMaria M, The Case of Shirley Dinnerstein, The Case of CatherineGilgunn; Suggested Readings

9. Medical Nutrition and Hydration The Techniques and Technologies; Conceptualizing Medical Nutritionand Hydration; Early Cases about Feeding Tubes: The Case of ClarenceHerbert, The Case of Claire Conroy, The Case of Elizabeth Bouvia;Cases of Persistent Vegetative State: The Case of Nancy Cruzan,The Case of Terri Schiavo; Recent Breakthroughs in the Diagnosis ofConsciousness Disorders; An Unresolved Controversy: The Vatican andFeeding Tubes; An Emerging Controversy: VSED; Suggested Readings

10. Reproductive Issues Contraception and Sterilization; Medically Assisted Pregnancy; Posthumous Motherhood: A Request for Posthumous Motherhood; Cloning; Surrogate Motherhood: The Case of Baby M; Ethical Reflections; Suggested Readings

11. Prenatal Life Abortion: Abortion in History, Abortion and the Supreme Court;Moral Issues of Abortion: Abortion and Excommunication at a Catholic Hospital; RU-486; Maternal–Fetal Conflicts: The Case of Angie, The Case of Samantha Burton; Ethical reflections; Suggested Readings

12. Infants and ChildrenHistorical Background; A Sampling of Neonatal Abnormalities;Special Difficulties in Deciding for Neonates and Small Children;The Baby Doe Regulations: The Case of Baby Doe, The Case ofDanielle, The Case of Baby K, The Case of Ashley; Infant Euthanasiain the Netherlands; Suggested Readings

13. Euthanasia and Physician-Assisted Suicide Historical Overview; Recent Developments; Relevant Distinctions; Moral Reasoning and Euthanasia; Legalization of Euthanasia and Physician-Assisted Suicide: A Slippery Slope; TheStory of a Landmark Suicide: The Case of Diane; ConcludingReflections; Suggested Readings

14. Medical and Behavioral Research Notorious Examples of Questionable Ethics in Research; Reactionsto the Questionable Medical Research; Research on Embryos;Research on Fetuses; Research on Minors; Controversial Researchon Babies: The SUPPORT Study; Research in Developing Countries;Other Special Populations in Research; Animals and MedicalResearch; Suggested Readings

15. Transplantation Transplantation of Organs from Dead Human Donors: The Case ofJamie Fiske, The Case of Jesse Sepulveda; Transplantation of Organsfrom Living Human Donors; Transplantation of Organs fromAnimals: The Case of Baby Fae; Implantation of Artificial Hearts;Suggested Readings

16. Medical Genetics and GenomicsPart 1: Ethics and the Genomic Revolution; Part 2: Ethical Issues inGenetic Testing; Part 3: Screening Newborns and Fetuses; Part 4:Research to Develop Genetic Therapy: The Case of Jesse Gelsinger;Suggested Readings

Glossary Index of CasesIndex

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