An Ethics Casebook for Hospitals

Preface Acknowledgments Section 1: Consent and Capacity Case 1: Truth Telling and Cultur--Using an Interpreter in a Consultation (Skill Builder Case) Case 2: What Does She Really Want? Coercion, Persuasion, and the Family Case 3: "He Doesn't Know What He's Saying" Advance Directives in Emergency Setting Case 4: "Please Don't Cut Off My Leg" Going from a Wish to a Plan of Care Case 5: Consent and the Elderly-Is the Patient Her Own Best Spokesperson? Case 6: "I Don't Want Any Tubes" Capacity and the Care of a Patient with a Kidney Transplant Case 7: Caring for a Patient Who Uses Heroin-Fairness and Professional Responsibility Practical Commentary and Cheat Sheet Conceptual Framework Further Reading Section 2: End-Of-Life Decision Making Case 8: The Stroke Case-"I Can't Be Responsible for Killing Your Mother" (Skill Builder Case) Case 9: Futility-"But She Said She Wanted Everything" (Skill Builder Case) Case 10: Withdrawing Treatment-Easier Said Than Done Case 11: The Letter and Spirit of a Directive-Making Decisions with a Patient of Variable Capacity Case 12: How Competent Does a Surrogate Need to Be? A Decison Maker Who Might Not Appreciate the Choice to Be Made Case 13: How Does a POLST Form Help? When a Surrogate Contradicts a Valid DNR Order Case 14: Withdrawing Treatment and the Family's "Returning Hero"-When One Family Member Says "Go" but the Surrogate Says "No" Case 15: "They're Crazy!" The Micromanaging Family Practical Commentary and Cheat Sheet Conceptual Framework Further Reading Section 3: Decision Making for Minors Case 16: "God Can Do Miracles, and He Will Heal Jessica" A Pediatric Patient Wants to Forgo Treatment but Her Parent Disagrees (Skill Builder Case) Case 17: Transfusions as a Preventive Measure for a Witness Child-Do the Child's Medical Interests Outweigh Family Integrity? Case 18: IV Drug Addiction and the Perfect Son-Difficult Decisions in Treating a Chronic Opiod User Case 19: "She'll Never be Able to Take Care of That Child!" Family Integrity and the Newborn's Best Interest Case 20: Families and Hope-Fostering the Patient's Self-Determination Case 21: Who's the Patient? Dealing with a Formidable Advocate Practical Commentary and Cheat Sheet Conceptual Framework Further Reading Section 4: Organizational Ethics Case 22: "If We Do This, They'll All Come Here" A Kidney Transplant for an Undocumented Immigrant? (Skill Builder Case) Case 23: "But She's Our Patient" Margin and Medical Mission Case 24: Charity Care-What Are The Criteria? Case 25: "What's the Use?" Capacity, Addiction, and Fairness Case 26: A Teaching's Hospital Transfer Policy-Who is Responsibile for This Patient? Practical Commentary and Cheat Sheet Conceptual Framework Further Reading Index About the Authors