Patient Autonomy And The Ethics Of Responsibility

Author : Alfred I. Tauber
Publisher : MIT Press (MA)
Page : 354 pages
File Size : 44,5 Mb
Release : 2005
Category : Autonomy (Philosophy)
ISBN : UOM:39015062609162

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Patient Autonomy and the Ethics of Responsibility by Alfred I. Tauber Pdf

The principle of patient autonomy dominates the contemporary debate over medical ethics. In this examination of the doctor-patient relationship, physician and philosopher Alfred Tauber argues that the idea of patient autonomy—which was inspired by other rights-based movements of the 1960s—was an extrapolation from political and social philosophy that fails to ground medicine's moral philosophy. He proposes instead a reconfiguration of personal autonomy and a renewed commitment to an ethics of care. In this formulation, physician beneficence and responsibility become powerful means for supporting the autonomy and dignity of patients. Beneficence, Tauber argues, should not be confused with the medical paternalism that fueled the patient rights movement. Rather, beneficence and responsibility are moral principles that not only are compatible with patient autonomy but strengthen it. Coordinating the rights of patients with the responsibilities of their caregivers will result in a more humane and robust medicine. Tauber examines the historical and philosophical competition between facts (scientific objectivity) and values (patient care) in medicine. He analyzes the shifting conceptions of personhood underlying the doctor-patient relationship, offers a "topology" of autonomy, from Locke and Kant to Hume and Mill, and explores both philosophical and practical strategies for reconfiguring trust and autonomy. Framing the practicalities of the clinical encounter with moral reflections, Tauber calls for an ethical medicine in which facts and values are integrated and humane values are deliberately included in the program of care.

Author : Benjamin Horowitz Levi
Publisher : University of Illinois Press
Page : 240 pages
File Size : 46,5 Mb
Release : 1999
Category : Autonomy (Psychology)
ISBN : 0252067495

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Respecting Patient Autonomy by Benjamin Horowitz Levi Pdf

Shows how dialogue between patients and health care providers can clarify both medical and ethical issues, promoting patient autonomy and advancing health care. Addresses fundamental questions about how medical decisions should be reached, by framing health care issues and decisions in terms of the values and goals they promote. Explores the relationship between patients and health care providers using real clinical situations.

Author : American Nurses Association
Publisher : Nursesbooks.org
Page : 42 pages
File Size : 42,8 Mb
Release : 2001
Category : Business & Economics
ISBN : 9781558101760

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Code of Ethics for Nurses with Interpretive Statements by American Nurses Association Pdf

Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.

Author : Catriona Mackenzie,Natalie Stoljar
Publisher : Oxford University Press
Page : 327 pages
File Size : 48,7 Mb
Release : 2000-01-27
Category : Philosophy
ISBN : 9780195352603

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Relational Autonomy by Catriona Mackenzie,Natalie Stoljar Pdf

This collection of original essays explores the social and relational dimensions of individual autonomy. Rejecting the feminist charge that autonomy is inherently masculinist, the contributors draw on feminist critiques of autonomy to challenge and enrich contemporary philosophical debates about agency, identity, and moral responsibility. The essays analyze the complex ways in which oppression can impair an agent's capacity for autonomy, and investigate connections, neglected by standard accounts, between autonomy and other aspects of the agent, including self-conception, self-worth, memory, and the imagination.

Author : G.J. Agich
Publisher : Springer Science & Business Media
Page : 294 pages
File Size : 54,6 Mb
Release : 2012-12-06
Category : Philosophy
ISBN : 9789400978317

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Responsibility in Health Care by G.J. Agich Pdf

Medicine is a complex social institution which includes biomedical research, clinical practice, and the administration and organization of health care delivery. As such, it is amenable to analysis from a number of disciplines and directions. The present volume is composed of revised papers on the theme of "Responsibility in Health Care" presented at the Eleventh Trans Disciplinary Symposium on Philosophy and Medicine, which was held in Springfield, illinois on March 16-18, 1981. The collective focus of these essays is the clinical practice of medicine and the themes and issues related to questions of responsibility in that setting. Responsibility has three related dimensions which make it a suitable theme for an inquiry into clinical medicine: (a) an external dimension in legal and political analysis in which the State imposes penalties on individuals and groups and in which officials and governments are held accountable for policies; (b) an internal dimension in moral and ethical analysis in which individuals take into account the consequences of their actions and the criteria which bear upon their choices; and (c) a comprehensive dimension in social and cultural analysis in which values are ordered in the structure of a civilization ([8], p. 5). The title "Responsibility in Health Care" thus signifies a broad inquiry not only into the ethics of individual character and actions, but the moral foundations of the cultural, legal, political, and social context of health care generally.

Author : Albert R. Jonsen,Mark Siegler,William J. Winslade
Publisher : McGraw-Hill Companies
Page : 212 pages
File Size : 40,7 Mb
Release : 1992
Category : Medical
ISBN : UOM:39015029194597

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Clinical Ethics by Albert R. Jonsen,Mark Siegler,William J. Winslade Pdf

Clinical Ethics introduces the four-topics method of approaching ethical problems (i.e., medical indications, patient preferences, quality of life, and contextual features). Each of the four chapters represents one of the topics. In each chapter, the authors discuss cases and provide comments and recommendations. The four-topics method is an organizational process by which clinicians can begin to understand the complexities involved in ethical cases and can proceed to find a solution for each case.

Author : Michael Kühler,Veselin L. Mitrović
Publisher : Springer Nature
Page : 218 pages
File Size : 54,5 Mb
Release : 2020-09-29
Category : Philosophy
ISBN : 9783030567033

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Theories of the Self and Autonomy in Medical Ethics by Michael Kühler,Veselin L. Mitrović Pdf

This book engages in a critical discussion on how to respect and promote patients’ autonomy in difficult cases such as palliative care and end-of-life decisions. These cases pose specific epistemic, normative, and practical problems, and the book elucidates the connection between the practical implications of the theoretical debate on respecting autonomy, on the one hand, and specific questions and challenges that arise in medical practice, on the other hand. Given that the idea of personal autonomy includes the notion of authenticity as one of its core components, the book explicitly includes discussions on underlying theories of the self. In doing so, it brings together original contributions and novel insights for “applied” scenarios based on interdisciplinary collaboration between German and Serbian scholars from philosophy, sociology, and law. It is of benefit to anyone cherishing autonomy in medical ethics and medical practice.

Author : Franziska Krause,Joachim Boldt
Publisher : Springer
Page : 298 pages
File Size : 50,5 Mb
Release : 2017-10-24
Category : Social Science
ISBN : 9783319612911

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Care in Healthcare by Franziska Krause,Joachim Boldt Pdf

This book is open access under a CC BY 4.0 license. This book examines the concept of care and care practices in healthcare from the interdisciplinary perspectives of continental philosophy, care ethics, the social sciences, and anthropology. Areas addressed include dementia care, midwifery, diabetes care, psychiatry, and reproductive medicine. Special attention is paid to ambivalences and tensions within both the concept of care and care practices. Contributions in the first section of the book explore phenomenological and hermeneutic approaches to care and reveal historical precursors to care ethics. Empirical case studies and reflections on care in institutionalised and standardised settings form the second section of the book. The concluding chapter, jointly written by many of the contributors, points at recurring challenges of understanding and practicing care that open up the field for further research and discussion. This collection will be of great value to scholars and practitioners of medicine, ethics, philosophy, social science and history.

Author : Onora O'Neill
Publisher : Cambridge University Press
Page : 232 pages
File Size : 47,7 Mb
Release : 2002-04-18
Category : Medical
ISBN : 0521894530

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Autonomy and Trust in Bioethics by Onora O'Neill Pdf

Argues against the conceptions of individual autonomy which are widely relied on in bioethics.

Author : J. Bergsma,David C. Thomasma
Publisher : Springer Science & Business Media
Page : 202 pages
File Size : 45,5 Mb
Release : 2013-03-14
Category : Medical
ISBN : 9789401708210

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Autonomy and Clinical Medicine by J. Bergsma,David C. Thomasma Pdf

This book arises from a two-fold conviction. The first is that autonomy, despite recent critiques about its importance in bioethics and philosophy of medicine, and the traditional resistance of medicine to its "intrusion" into the doctor-patient relation, is a fundamental building block of an individual's identity and mechanisms for dealing with illness, disease, and incapacity. As such it is an essential component in the health care professional's armamentarium employed to bring about healing. Furthennore, it functions in a similar way to assist the health professional in his or her relations to the sick and injured. The second conviction follows from the fITst. Autonomy is far more complex than appears from the philosophical use of the concept. In this conviction we join those who have criticized the over-reliance on autonomy in modem, secular bioethics originating in the United States, but gaining ascendancy in other cultures. This critique relies on appeals to the richer contexts of persons' lives. Elsewhere the contemporary critique of autonomy appears in a variety of alternative ethical models like narrative ethics, casuist ethics, and contextualism. Indeed, postmodern criticism of all bioethics argues that there is no defensible foundation for claims that one ought to respect autonomy or any other principle as a way of ensuring that one is ethical.

Author : Tom Walker
Publisher : Routledge
Page : 242 pages
File Size : 42,9 Mb
Release : 2019-04-17
Category : Philosophy
ISBN : 9780429559884

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Ethics and Chronic Illness by Tom Walker Pdf

This book provides an account of the ethics of chronic illness. Chronic illness differs from other illnesses in that it is often incurable, patients can live with it for many years, and its day-to-day management is typically carried out by the patient or members of their family. These features problematise key distinctions that underlie much existing work in medical ethics including those between beneficence and autonomy, between treatment and prevention, and between the recipient and provider of treatment. The author carries out a detailed reappraisal of the roles of both autonomy and beneficence across the different stages of treatment for a range of chronic illnesses. A central part of the author’s argument is that in the treatment of chronic illness, the patient and/or the patient’s family should be seen as acting with healthcare professionals to achieve a common aim. This aspect opens up unexplored questions such as what healthcare professionals should do when patients are managing their illness poorly, the ethical implications of patients being responsible for parts of their treatment, and how to navigate sharing information with those directly involved in patient care without violating privacy or breaching confidentiality. The author addresses these challenges by engaging with philosophical work on shared commitments and joint action, responsibility and justice, and privacy and confidentiality. The Ethics of Chronic Illness provides a new, and much needed, critical reappraisal of healthcare professionals’ obligations to their patients. It will be of interests to academics working in bioethics and medical ethics, philosophers interested in the topics of autonomy, responsibility, and consent, and medical practitioners who treat patients with chronic illness.

Author : Christopher Dowrick,Lucy Frith
Publisher : Routledge
Page : 180 pages
File Size : 43,8 Mb
Release : 2012-11-12
Category : Philosophy
ISBN : 9781134710119

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General Practice and Ethics by Christopher Dowrick,Lucy Frith Pdf

Explores the ethical issues faced by GPs in their everyday practice, addressing two central themes; the uncertainty of outcomes and effectiveness in general practice and the changing pattern of general practitioners' responsibilities.

Author : Gørill Haugan,Monica Eriksson
Publisher : Springer Nature
Page : 382 pages
File Size : 55,6 Mb
Release : 2021-03-11
Category : Medical
ISBN : 9783030631352

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Health Promotion in Health Care – Vital Theories and Research by Gørill Haugan,Monica Eriksson Pdf

This open access textbook represents a vital contribution to global health education, offering insights into health promotion as part of patient care for bachelor’s and master’s students in health care (nurses, occupational therapists, physiotherapists, radiotherapists, social care workers etc.) as well as health care professionals, and providing an overview of the field of health science and health promotion for PhD students and researchers. Written by leading experts from seven countries in Europe, America, Africa and Asia, it first discusses the theory of health promotion and vital concepts. It then presents updated evidence-based health promotion approaches in different populations (people with chronic diseases, cancer, heart failure, dementia, mental disorders, long-term ICU patients, elderly individuals, families with newborn babies, palliative care patients) and examines different health promotion approaches integrated into primary care services. This edited scientific anthology provides much-needed knowledge, translating research into guidelines for practice. Today’s medical approaches are highly developed; however, patients are human beings with a wholeness of body-mind-spirit. As such, providing high-quality and effective health care requires a holistic physical-psychological-social-spiritual model of health care is required. A great number of patients, both in hospitals and in primary health care, suffer from the lack of a holistic oriented health approach: Their condition is treated, but they feel scared, helpless and lonely. Health promotion focuses on improving people’s health in spite of illnesses. Accordingly, health care that supports/promotes patients’ health by identifying their health resources will result in better patient outcomes: shorter hospital stays, less re-hospitalization, being better able to cope at home and improved well-being, which in turn lead to lower health-care costs. This scientific anthology is the first of its kind, in that it connects health promotion with the salutogenic theory of health throughout the chapters. the authors here expand the understanding of health promotion beyond health protection and disease prevention. The book focuses on describing and explaining salutogenesis as an umbrella concept, not only as the key concept of sense of coherence.

Author : James F. Childress
Publisher : Oxford University Press, USA
Page : 364 pages
File Size : 53,5 Mb
Release : 1983
Category : Bioethics
ISBN : 0195032861

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Principles of Biomedical Ethics by James F. Childress Pdf

Author : Helena Leino-Kilpi
Publisher : IOS Press
Page : 180 pages
File Size : 40,5 Mb
Release : 2000
Category : Confidential communications
ISBN : 1586030396

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Patient's Autonomy, Privacy and Informed Consent by Helena Leino-Kilpi Pdf

In this text an overview of the literature in patients' autonomy, privacy and informed consent has been made. This is important for many groups, and patients' rights were emphasized during the 1990s in many countries. The volume contains the laws and ethical codes referring to the topic.