Search results for: the-ethics-of-shared-decision-making

The Ethics of Shared Decision Making

Author : John D. Lantos
File Size : 36.46 MB
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"There are some paradoxes in the way doctors and patients make medical decisions today. Today's patients are more empowered than were patients in the past. They have the right to see their medical records. The law requires doctors to obtain their informed consent for treatment. Patients are told about the options for treatment and the risks and benefits of each option. Their values and preferences are elucidated in order to guide the treatments that are provided"--

The Ethics of Shared Decision Making

Author : John D. Lantos
File Size : 40.93 MB
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"There are some paradoxes in the way doctors and patients make medical decisions today. Today's patients are more empowered than were patients in the past. They have the right to see their medical records. The law requires doctors to obtain their informed consent for treatment. Patients are told about the options for treatment and the risks and benefits of each option. Their values and preferences are elucidated in order to guide the treatments that are provided"--

Searching for Consensus

Author : Meghan Estell Bungo
File Size : 40.78 MB
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The focus of this dissertation is the search for consensus in the context of clinical ethics--physician-patient interactions, ethics consultations, and ethics committee meetings focused on a particular patient's care. I argue that consensus, when achieved through a process of shared deliberation that I outline, is the hallmark of the morally correct decision. While philosophers have generally denigrated consensus as a guide to morally correct decisions, hospital ethics committees and President's Councils charged with making recommendations about how to resolve moral conflicts in the clinical setting have clearly valued and aimed at the achievement of consensus. Assuming this search for consensus is not wrong-headed, bioethicists owe clinicians an account of the proper role of consensus in clinical decisions. My aim in this project is to carefully examine and define the role that consensus ought to play in guiding our moral decision-making. In this project, I define and defend clinical pragmatism, a consensus oriented approach to clinical ethics. Following a critical examination of two approaches that defend consensus as centrally important in ethical deliberations, I define consensus and distinguish it from other types of agreements to clarify the kind of agreement I wish to defend. Consensus can be reached in various ways, and not all are morally defensible. So, I develop an account of the necessary conditions--shared deliberation, tempered equality, freedom from undue influence, and mutual respect--for arriving at a consensus that is the morally correct decision in the clinical setting. I argue that, when pursued in this way, the search for consensus has moral value even when consensus proves elusive. I defend the thesis that in a clinical moral conflict, the procedure I outline is both necessary and sufficient for full moral justification of the resulting decision. If the committee followed this procedure, their decision is the morally correct one for them to make given the resources available to them--it was the best decision they could have made at the time. An appropriate consensus defines the morally correct decision. Merely arguing for our preferred ethical theory is not enough; some sort of truly shared decision-making is needed.

The Different Faces of Autonomy

Author : M. Schermer
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Patient autonomy is a much discussed and debated subject in medical ethics, as well as in healthcare practice, medical law, and healthcare policy. This book provides a detailed and nuanced analysis of both the concept of autonomy and the principle of respect for autonomy, in an accessible style. The unique feature of this book is that it combines empirical research into hospital practice with thorough philosophical analyses. As such, it is an example of a new movement in applied ethics, that of 'empirical ethics'. The key themes are informed consent and medical decision making, personal well-being, competence, paternalism and decision making for incompetent patients. Much attention is also devoted to autonomy in non-decision making situations - patient control over small everyday aspects of care, authenticity and existential aspects of illness, autonomy and the 'ethics of care', and the relationship between autonomy and trust in the physician-patient relationship. This book will be of interest to those working or studying in the field of medical ethics and applied ethics but also to healthcare professionals and health policy makers.

Helping people share decision making

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Shared Decision Making in Adult Critical Care

Author : Matthew Jaffa
File Size : 30.80 MB
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The adult critical care setting requires complex clinical decisions to be made that have a dramatic impact on the lives of patients and their families. This textbook offers evidence-based case histories around shared decision making, providing practical advice to clinicians who are trying to navigate routine clinical scenarios in adult critical care. Early chapters explore the definition of the shared decision making process and practical steps that aid its implementation. The greater part of the book focuses on how shared decision making can be practiced in specific situations that are common in adult critical care, highlighting the relevant knowledge base necessary to manage each situation. Do-not-resuscitate and do-not-intubate orders, ECMO, and resolving conflicts regarding potentially inappropriate treatment are among the topics covered. An essential resource for healthcare professionals working in critical care and those looking for a framework for the use of shared decision making in this setting.

Ethical Decision Making in School Mental Health

Author : James C. Raines
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"Knowing yourself and your responsibilities requires understanding your ethical assumptions and frameworks. This chapter identifies four major ethical theories that inform professional codes of ethics, including deontology, consequentialism, ethics of care, and virtue ethics. It also provides a typology for the mental health professional's use of self that includes (1) negative underinvolvement, (2) positive underinvolvement, (3) positive overinvolvement, and (4) negative overinvolvement. It ties each of these positions to the use of a hierarchy of professional influence, ranging from persuasion, leverage, inducement, and threat, to compulsion"--

Shared Decision making in Health Care

Author : Adrian Edwards
File Size : 75.24 MB
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When the first edition of this book came out in 2001 (under the title Evidence-based Patient Choice: Inevitable or Impossible?), it examined the emerging themes of patient choice and clinical decision-making, and looked at how these might develop in the future. Since then, these issues have become even more topical. Evidence-based medicine is deeply ingrained in the practice of modern medicine, whilst patient choice is increasingly high on the political agenda.But can the two trends co-exist? 'Shared decision-making' has developed in response to the sometimes uneasy relationship between a patient's right to have input into their treatment options, and a clinician's responsibility to provide the best evidence-based health care. Thistimely book explores shared decision-making by examining from practical and theoretical perspectives what should be part of the decision-making process, what the benefits and potential difficulties are when it is attempted, and examples of how this is achieved in real health care practice for several health conditions. Finally, it also examines how this type of health care is likely to become more common place in the future.

The Oxford Handbook of Psychotherapy Ethics

Author : Manuel Trachsel
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The Oxford Handbook of Psychotherapy Ethics explores a whole range of ethical issues in the heterogenous field of psychotherapy. It will be an essential book for psychotherapists in clinical practice and valuable for those professionals providing mental health services beyond psychology and medicine, including counsellors and social workers

Guidance for Healthcare Ethics Committees

Author : D. Micah Hester
File Size : 48.71 MB
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"In 1992, The Joint Commission on Hospital Accreditation (The Joint Commission) began requiring every accredited hospital to have a mechanism to handle ethical concerns within its institution. In response to this (and other cultural forces in medicine), hospitals across America have come to satisfy the requirement by constituting an institutional Healthcare Ethics Committee (HEC)1. Physicians, nurses, administrators, social workers, chaplains, community volunteers and others populate these committees. Yet by their own admission, many of these individuals, while well intentioned and personally invested, have neither training in ethics nor have the tools at their disposal to aid in their ethical considerations. Even more basically, many members of an HEC, not to mention a healthcare institution writ-large, are comfortable explaining what constitutes an ethical consideration. So, while these individuals are the people both medical professionals and patients turn to for ethical insight into the complexities of medical decision-making, they themselves recognize that they are often underprepared to handle the depth and complexity of many moral2 problems raised by health care"--