Ethical Dilemmas In Cancer Care

Author : Peter Angelos
Publisher : Springer Science & Business Media
Page : 155 pages
File Size : 51,6 Mb
Release : 2013-04-17
Category : Medical
ISBN : 9781475730449

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Ethical Issues in Cancer Patient Care by Peter Angelos Pdf

This book addresses a variety of ethical issues that arise in the care of oncology patients. Many volumes have been written on medical ethics in the past 30 years. However, few have focused on ethical issues specific to the care of cancer patients. This book brings together such a focused examination. The contributors are experienced clinicians, ethicists, medical humanists, and medical educators. The issues raised have direct relevance to the care of oncology patients in treatment as well as research settings. The chapters address issues that are central to contemporary medical practice and medical ethics inquiry. Any practicing clinician will be well aware of the problems of communication and how uncertainty, cross-cultural issues, and religious influences can impact patient care. The limits of care and the role of advance directives and palliative care are common issues that must be addressed in treating patients at the end of life. For oncologists and oncology patients, participation in clinical trials may be a thomy topic, especially when phase I clinical trials are being considered. The impact of managed care and reimbursement issues cannot be avoided in the contemporary patient care and similarly cannot be neglected when considering the ethical ramifications raised. No discussion of ethics in oncology can be complete without attention to the specific challenges raised by the pediatric patient with cancer. All of these topics are explored by the contributors to this book.

Author : Basil Arnold Stoll
Publisher : Unknown
Page : 160 pages
File Size : 42,5 Mb
Release : 1989
Category : Cancer
ISBN : UOM:39015019819955

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Ethical Dilemmas in Cancer Care by Basil Arnold Stoll Pdf

This book looks at the different dilemmas forced on government and health professionals by the increasing use of technology in medical care, which has changed the role of the doctor, and at the escalating costs of modern high tech both in the USA and Europe.

Author : Colleen Gallagher,Michael Ewer
Publisher : Academic Press
Page : 348 pages
File Size : 41,7 Mb
Release : 2017-06-23
Category : Medical
ISBN : 9780128039014

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Ethical Challenges in Oncology by Colleen Gallagher,Michael Ewer Pdf

Ethical Challenges in Oncology: Patient Care, Research, Education, and Economics covers a wide variety of topics and viewpoints about ethical issues that arise in oncology throughout the full cancer care continuum. This book provides a holistic view on oncology ethics, incorporating the knowledge and expertise of authors from various departments and oncology specialties within the University of Texas MD Anderson Cancer Center. The first section focuses on the ethical issues associated with treating cancer patients. Next, the ethical challenges associated with oncology research, including funding, regulation, subject selection and the big picture are explored. The third section covers ethical issues associated with education in oncology as it reflects both past and future trends in developing proficient health care providers, patients and even executives. Final sections concentrate on the ethical dilemmas associated with the economic repercussions of oncology, offering thoughts on how to alleviate the ethical consequences that can arise from the global effects of cancer and cancer treatment. Each chapter includes discussion topics, answers pertinent questions and provides an ethical framework for problem- solving in each scenario. The topics uncover the ethical apprehensions and problems associated with oncology research and practice in order to determine best practices as well as provide guidance for all parties involved. Offers a diverse range of topics and viewpoints about ethical issues that arise in oncology Provides direction by bringing real issues to the forefront Contains a truly ethical approach on problems as broad as research, finance, appropriateness of care, and professional education

Author : Institute of Medicine,Board on Health Care Services,National Cancer Policy Forum
Publisher : National Academies Press
Page : 164 pages
File Size : 46,9 Mb
Release : 2009-11-30
Category : Medical
ISBN : 9780309138147

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Assessing and Improving Value in Cancer Care by Institute of Medicine,Board on Health Care Services,National Cancer Policy Forum Pdf

Unlike many other areas in health care, the practice of oncology presents unique challenges that make assessing and improving value especially complex. First, patients and professionals feel a well-justified sense of urgency to treat for cure, and if cure is not possible, to extend life and reduce the burden of disease. Second, treatments are often both life sparing and highly toxic. Third, distinctive payment structures for cancer medicines are intertwined with practice. Fourth, providers often face tremendous pressure to apply the newest technologies to patients who fail to respond to established treatments, even when the evidence supporting those technologies is incomplete or uncertain, and providers may be reluctant to stop toxic treatments and move to palliation, even at the end of life. Finally, the newest and most novel treatments in oncology are among the most costly in medicine. This volume summarizes the results of a workshop that addressed these issues from multiple perspectives, including those of patients and patient advocates, providers, insurers, health care researchers, federal agencies, and industry. Its broad goal was to describe value in oncology in a complete and nuanced way, to better inform decisions regarding developing, evaluating, prescribing, and paying for cancer therapeutics.

Author : Axel W. Bauer,Ralf-Dieter Hofheinz,Jochen S. Utikal
Publisher : Springer Nature
Page : 297 pages
File Size : 40,7 Mb
Release : 2021-05-21
Category : Medical
ISBN : 9783030637491

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Ethical Challenges in Cancer Diagnosis and Therapy by Axel W. Bauer,Ralf-Dieter Hofheinz,Jochen S. Utikal Pdf

This book presents in detail the problems and ethical challenges in daily oncological practice. In western industrialized countries, roughly 25 percent of all citizens still die from cancer. Despite significant progress in basic science and in individual areas of clinical care, even in the 21st century, being diagnosed with cancer has lost none of its dread and can still be a death sentence. This situation raises many problems and challenges for medical ethics, e.g., the question of the benefits and risks of prevention programs, or the right to know and not to know. Clinical trials with cancer patients and quality assurance for surgery, radiotherapy and medication also pose a series of ethical dilemmas. Furthermore, cancer treatment is a psychological challenge not only for patients but also for physicians and caregivers. The issues of adequate pain management and good palliative care, of treatment limiting and the question of assisted suicide at the end of life also have to be considered. In order to reflect the subject’s diverse and multifaceted nature, the book incorporates legal, ethnographic, historical and literary perspectives into ethical considerations.

Author : Lori Wiener,Maryland Pao,Anne E. Kazak,Mary Jo Kupst,Robert J. Arceci,Andrea Farkas Patenaude
Publisher : Apos Clinical Reference Handbo
Page : 433 pages
File Size : 52,7 Mb
Release : 2015-03-04
Category : Medical
ISBN : 9780199335114

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Pediatric Psycho-Oncology by Lori Wiener,Maryland Pao,Anne E. Kazak,Mary Jo Kupst,Robert J. Arceci,Andrea Farkas Patenaude Pdf

Preceded by: Quick reference for pediatric oncology clinicians / senior editors, Lori S. Wiener, Maryland Pao. c2009.

Author : Kate A. Mazur,Stacey L. Berg
Publisher : Springer Nature
Page : 232 pages
File Size : 46,6 Mb
Release : 2019-11-27
Category : Medical
ISBN : 9783030226848

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Ethical Issues in Pediatric Hematology/Oncology by Kate A. Mazur,Stacey L. Berg Pdf

This book identifies the various ethical challenges that arise in pediatric hematology/oncology and provides the necessary tools to overcome these challenges. Aiming to expand upon and strengthen providers’ knowledge and experience in pediatric health care ethical issues, the text positions providers to be beneficial resources to faculty, staff, patients, and families within their institution. It presents a multidisciplinary approach to sound ethical practices that is necessary to effectively care for these patients and their families. The book reviews the principles of ethical decision-making, the unique difficulties in using children as research subjects, common ethical conundrums involved in providing end-of-life care, and general moralities of professional practice. Written by experts in their fields, Ethical Issues in Pediatric Hematology/Oncology is an innovative and valuable resource for clinicians, practitioners, and trainees who work in the field of pediatric hematology/oncology.

Author : Rebecca Skloot
Publisher : Crown
Page : 386 pages
File Size : 45,7 Mb
Release : 2010-02-02
Category : Science
ISBN : 9780307589385

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The Immortal Life of Henrietta Lacks by Rebecca Skloot Pdf

#1 NEW YORK TIMES BESTSELLER • “The story of modern medicine and bioethics—and, indeed, race relations—is refracted beautifully, and movingly.”—Entertainment Weekly NOW A MAJOR MOTION PICTURE FROM HBO® STARRING OPRAH WINFREY AND ROSE BYRNE • ONE OF THE “MOST INFLUENTIAL” (CNN), “DEFINING” (LITHUB), AND “BEST” (THE PHILADELPHIA INQUIRER) BOOKS OF THE DECADE • ONE OF ESSENCE’S 50 MOST IMPACTFUL BLACK BOOKS OF THE PAST 50 YEARS • WINNER OF THE CHICAGO TRIBUNE HEARTLAND PRIZE FOR NONFICTION NAMED ONE OF THE BEST BOOKS OF THE YEAR BY The New York Times Book Review • Entertainment Weekly • O: The Oprah Magazine • NPR • Financial Times • New York • Independent (U.K.) • Times (U.K.) • Publishers Weekly • Library Journal • Kirkus Reviews • Booklist • Globe and Mail Her name was Henrietta Lacks, but scientists know her as HeLa. She was a poor Southern tobacco farmer who worked the same land as her slave ancestors, yet her cells—taken without her knowledge—became one of the most important tools in medicine: The first “immortal” human cells grown in culture, which are still alive today, though she has been dead for more than sixty years. HeLa cells were vital for developing the polio vaccine; uncovered secrets of cancer, viruses, and the atom bomb’s effects; helped lead to important advances like in vitro fertilization, cloning, and gene mapping; and have been bought and sold by the billions. Yet Henrietta Lacks remains virtually unknown, buried in an unmarked grave. Henrietta’s family did not learn of her “immortality” until more than twenty years after her death, when scientists investigating HeLa began using her husband and children in research without informed consent. And though the cells had launched a multimillion-dollar industry that sells human biological materials, her family never saw any of the profits. As Rebecca Skloot so brilliantly shows, the story of the Lacks family—past and present—is inextricably connected to the dark history of experimentation on African Americans, the birth of bioethics, and the legal battles over whether we control the stuff we are made of. Over the decade it took to uncover this story, Rebecca became enmeshed in the lives of the Lacks family—especially Henrietta’s daughter Deborah. Deborah was consumed with questions: Had scientists cloned her mother? Had they killed her to harvest her cells? And if her mother was so important to medicine, why couldn’t her children afford health insurance? Intimate in feeling, astonishing in scope, and impossible to put down, The Immortal Life of Henrietta Lacks captures the beauty and drama of scientific discovery, as well as its human consequences.

Author : Kenneth J. Doka,Bruce Jennings,Charles A. Corr
Publisher : Unknown
Page : 374 pages
File Size : 47,5 Mb
Release : 2005
Category : Family & Relationships
ISBN : UOM:39015062871549

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Ethical Dilemmas at the End of Life by Kenneth J. Doka,Bruce Jennings,Charles A. Corr Pdf

Explores a range of issues--including pediatric hospice, historical, religious, spiritual and cultural perspectives on the end of life, hospice in nursing homes, surrogate decision making, physician assisted suicide, organ donation, and our society's legal tenants of end-of-life care. Includes an index.

Author : Rebecca Dresser
Publisher : Oxford University Press
Page : 264 pages
File Size : 52,9 Mb
Release : 2012-03-02
Category : Medical
ISBN : 9780199921102

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Malignant by Rebecca Dresser Pdf

"You have cancer." Words no one wants to hear, but heard by millions every year. Millions more hear the equally shattering news that a loved one has cancer. Both are life-changing messages. For the people writing this book, cancer was not only a personal crisis, it was also an education. Experts on medical ethics, personal experience with cancer showed them how little they understood of the real world of serious illness. Despite years of teaching and writing about treatment decision-making and patient autonomy, they were unprepared for many of the problems they faced. They discovered that the rights and wrongs of cancer care were more complicated than they had anticipated. Ethics outside the hospital walls took on unexpected significance as they discovered the astonishing generosity, and the unintentional cruelty, that cancer provokes in others. Cancer was a test of personal character, too, as patients accustomed to control became dependent on others and caregivers shouldered unfamiliar and difficult responsibilities. In chapters on cancer diagnosis, treatment choices, and research participation, the authors examine medical ethics from the personal point of view. In chapters on family caregiving, cancer interactions, and cancer support groups, they consider ethics outside the medical setting. In chapters on mortality and survivorship, they reflect on cancers personal moral teachings. Cancer is an unavoidable feature of modern life. Readers will come away with a deeper understanding of what it is like to have cancer, better equipped to respond to cancer in their own lives and the lives of others. The book also offers insights to doctors and nurses seeking to improve cancer treatment and to medical ethicists seeking to make their work more relevant to patients and caregivers.

Author : Maggie Watson,David Kissane
Publisher : Oxford University Press, USA
Page : 193 pages
File Size : 55,9 Mb
Release : 2020
Category : Health & Fitness
ISBN : 9780190934033

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Sexual Health, Fertility, and Relationships in Cancer Care by Maggie Watson,David Kissane Pdf

"This book, from the International Psycho-oncology Society, is the second in a series of brief Companion Guides for Clinicians. The series editors identified a need for a guide to focus on the impact of cancer and oncology treatments on sexual health, fertility and relationships. The topic is approached from a psycho-oncology perspective, i.e. placing the emotional, behavioural and social elements at the centre of the topics covered in the chapters.The aim is to describe approaches and treatments that can be utilised by cancer clinicians, mental health professionals, psycho-oncologists in training and allied psychosocial oncology professionals. It emphasises the importance of multidisciplinary care. The guide is not intended to replace national clinical guidelines and policies but gives a more generic international overview of the important factors and elements that need to be considered when dealing with sexual health, fertility and associated relationship issues for cancer patients at all points on the treatment trajectory. Topics include: management of sexual health; onco-fertility care; relationship issues. It covers standards of good practice across all cancer patients, as well as focussing on the needs of individuals, couples, young people and LGBT groups in a pragmatic format for use in everyday practice.Assessment methods are covered, alongside psychological treatments, covering a wide range of patient ages and types of cancer. Policies, service issues, legal, ethical, confidentiality and communication issues are also covered.This brief pocketbook manual can be used for quick reference. This will suit oncology professionals who decide to look further into a topic on a case-by-case or problem-focussed basis as they undertake clinical work"--

Author : Ezekiel J. Emanuel,Christine C. Grady,Robert A. Crouch,Reidar K. Lie,Franklin G. Miller
Publisher : OUP USA
Page : 848 pages
File Size : 51,7 Mb
Release : 2011-02
Category : Medical
ISBN : 9780199768639

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The Oxford Textbook of Clinical Research Ethics by Ezekiel J. Emanuel,Christine C. Grady,Robert A. Crouch,Reidar K. Lie,Franklin G. Miller Pdf

The Oxford Textbook of Clinical Research Ethics is the first comprehensive and systematic reference on clinical research ethics. Under the editorship of experts from the U.S. National Institutes of Health of the United States, the book's 73 chapters offer a wide-ranging and systematic examination of all aspects of research with human beings. Considering the historical triumphs of research as well as its tragedies, the textbook provides a framework for analyzing the ethical aspects of research studies with human beings. Through both conceptual analysis and systematic reviews of empirical data, the contributors examine issues ranging from scientific validity, fair subject selection, risk benefit ratio, independent review, and informed consent to focused consideration of international research ethics, conflicts of interests, and other aspects of responsible conduct of research. The editors of The Oxford Textbook of Clinical Research Ethics offer a work that critically assesses and advances scholarship in the field of human subjects research. Comprehensive in scope and depth, this book will be a crucial resource for researchers in the medical sciences, as well as teachers and students.

Author : David B. Cooper,Jo Cooper
Publisher : Routledge
Page : 404 pages
File Size : 44,9 Mb
Release : 2018-10-10
Category : Medical
ISBN : 9780429879302

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Palliative Care within Mental Health by David B. Cooper,Jo Cooper Pdf

Palliative Care Within Mental Health: Ethical Practice explores the comprehensive concerns and dilemmas that occur surrounding people experiencing mental health problems and disorders. Working beyond narrow, stereotypical definitions of palliative care as restricted to terminal cancer patients, this balanced and thought-provoking volume examines the many interrelated issues that face the individual, families, and caregivers, setting the groundwork for improved, ethical relationships and interventions. Chapters by experts and experienced practitioners detail the challenges, concerns, and best practices for ethical care and responses in a variety of individual and treatment contexts. This is an essential and thoughtful new resource for all those involved in the fast-developing field of palliative mental health.

Author : Arash Naeim,David Reuben,Patricia Ganz
Publisher : Elsevier Health Sciences
Page : 310 pages
File Size : 42,7 Mb
Release : 2011-08-17
Category : Medical
ISBN : 9781455723133

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Management of Cancer in the Older Patient E-Book by Arash Naeim,David Reuben,Patricia Ganz Pdf

Management of Cancer in the Older Patient, by Drs. Arash Naeim, David Reuben, and Patricia Ganz, offers the help you need to effectively diagnose, refer, and manage cancer in geriatric patients. You’ll see how to provide effective cancer screening; refer your patients to the right oncologist; deal with comorbidities, frailties, and other complications; navigate end-of-life issues; and much more. A templated, user-friendly format makes it easy to find and apply the answers you need. See how to best manage geriatric cancer patients with help from leading specialists in both geriatrics and oncology Make informed decisions as to when to refer patients to specialists. Provide the supportive care your patients and their families need on issues such as such as mental health, pain, fatigue, nausea, insomnia. Be prepared to help cancer survivors navigate their after-treatment care including adjuvant therapy, side effects, second cancers, quality of life, and other concerns. Offer accurate guidance on ethical issues like competency, end of life, hospice, the role of the caregiver, and more.

Author : Andrew Jameton
Publisher : Prentice Hall
Page : 356 pages
File Size : 43,5 Mb
Release : 1984
Category : Nursing ethics
ISBN : UOM:39015007146288

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Nursing Practice by Andrew Jameton Pdf