By Carolyn Johnston, Penelope Bradbury
A 70-year-old lady bed-bound following a stroke has constructed bronchopneumonia, yet her daughter produces an develop directive that she says her mom has written, which states that no life-sustaining remedy is to take delivery of. how will you continue? a pragmatic consultant on easy methods to strategy the criminal and moral dilemmas that often happen in health facility wards and medication locally, a hundred instances in scientific Ethics and legislations explores commonplace dilemmas by utilizing a hundred universal clinical situations. The ebook covers concerns akin to consent, skill, withdrawal of therapy and confidentiality, in addition to less-frequently tested difficulties like pupil involvement in inner examinations, whistle-blowing and the position of scientific indemnity prone in court cases. every one situation has a pragmatic problem-solving aspect to it and encourages readers to discover their very own ideals and values, together with those who come up because of differing cultural and non secular backgrounds. solution pages spotlight key issues in every one case and supply recommendation on find out how to take care of the emotive matters that take place while training medication, whilst delivering info and tips on applicable habit.
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Extra resources for 100 Cases in Clinical Ethics and Law
KEY POINTS • There is no ‘right’ to abortion. Doctors can be seen as gatekeepers to a woman’s • access to termination services and they have discretion in interpreting the applicability of the grounds of termination. The decision to have an abortion is entirely the woman’s and the father of the potential child cannot prevent an abortion from being carried out. This recognizes a woman’s bodily integrity. 37 This page intentionally left blank Beginning of life CASE 14: THE MORAL STATUS OF THE FETUS A 30-year-old lawyer, Charlotte, is happily married and has a good income.
Mrs Hashmi could regard an embryo as unsuitable unless it would be free from abnormality and a perfect blood match for Zain. • Whitaker 2002: In this instance, the HFEA refused a licence on the grounds that the unborn child should not be exposed to pre-implantation testing without direct benefit to itself. Although similar to the Hashmi case, there was one crucial difference: Diamond Blackfan anaemia is a sporadic condition for which there is no genetic test. Pre-implantation testing of the embryo would therefore confer no direct benefit to the newly created child.
Micky refuses to co-operate and actively pushes you away from him, shouting and swearing. He then tries to leave the ward, claiming he is well enough to go home and it is illegal for you to keep him a prisoner. The nurses suggest he should be physically restrained so that you can take blood and assess him, and that it may be a good idea to give him a sedative so that he does not continue to upset the other patients. Questions • What is casuistry? • Should you use restraint in this case? 11 100 Cases in Clinical Ethics and Law ANSWER 5 In contrast to the other ethical theories, casuistry is a method of applying theories rather than a theory in itself.