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The Way of Medicine : Ethics and the Healing Profession
Today’s medicine is spiritually deflated and morally adrift; this book explains why and offers an ethical framework to renew and guide practitioners in fulfilling their profession to heal. What is medicine and what is it for? What does it mean to be a good doctor? Answers to these questions are essential both to the practice of medicine and to understanding the moral norms that shape that practice.The Way of Medicine articulates and defends an account of medicine and medical ethics meant to challenge the reigning provider of services model, in which clinicians eschew any claim to know what is good for a patient and instead offer an array of “health care services” for the sake of the patient’s subjective well-being.Against this trend, Farr Curlin and Christopher Tollefsen call for practitioners to recover what they call the Way of Medicine, which offers physicians both a path out of the provider of services model and also the moral resources necessary to resist the various political, institutional, and cultural forces that constantly push practitioners and patients into thinking of their relationship in terms of economic exchange. Curlin and Tollefsen offer an accessible account of the ancient ethical tradition from which contemporary medicine and bioethics has departed.Their investigation, drawing on the scholarship of Leon Kass, Alasdair MacIntyre, and John Finnis, leads them to explore the nature of medicine as a practice, health as the end of medicine, the doctor-patient relationship, the rule of double effect in medical practice, and a number of clinical ethical issues from the beginning of life to its end.In the final chapter, the authors take up debates about conscience in medicine, arguing that rather than pretending to not know what is good for patients, physicians should contend conscientiously for the patient’s health and, in so doing, contend conscientiously for good medicine.The Way of Medicine is an intellectually serious yet accessible exploration of medical practice written for medical students, health care professionals, and students and scholars of bioethics and medical ethics.
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Public Health Ethics
The study of public health aims to protect and promote the wellbeing of the public as well as reduce health inequalities.Public health ethics asks how far we should go to achieve these goals, balancing the rights and needs of individuals against those of the community.But what are these and how much weight should be given to each of them?In the third edition of his well-loved textbook, Stephen Holland shows how philosophy is key to evaluating the suitability of public health interventions.Holland explores the key goals of public health ethics in relation to both moral and political philosophy, reflecting on our everyday intuitions about which public health policies are justified.In light of recent developments, he includes new content exploring equity and health inequalities, and on how public health information is gathered and used.The book is updated throughout with material on contemporary cases, such as the COVID-19 pandemic. Public Health Ethics continues to provide a lively, accessible and philosophically informed introduction.As well as being an ideal student text, Holland’s systematic discussion will engage the more advanced reader and inform scholarship in the field.
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Global Mental Health Ethics
This volume addresses gaps in the existing literature of global mental health by focusing on the ethical considerations that are implicit in discussions of health policy.In line with trends in clinical education around the world today, this text is explicitly designed to draw out the principles and values by which programs can be designed and policy decisions enacted.It presents an ethical lens for understanding right and wrong in conditions of scarcity and crisis, and the common controversies that lead to conflict.Additionally, a focus on the mental health response in “post-conflict” settings, provides guidance for real-world matters facing clinicians and humanitarian workers today.Global Mental Health Ethics fills a crucial gap for students in psychiatry, psychology, addictions, public health, geriatric medicine, social work, nursing, humanitarian response, and other disciplines.
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Ethics in Intensive Care Medicine
In this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, experts in the field of clinical ethics describe basic principles of clinical ethics and ethical reasoning, the fundamental pillars of intensive care medicine as well as the decision-making processes necessary to arrive at appropriate decisions for each individual patient.Specifically, the complex decision-making process, with regard to limiting life-sustaining therapies and integrating palliative care into intensive care, are expounded.Furthermore, the still controversial topics of ethical climate, proportionate care, and prioritization are elaborated upon.The so-called “soft skills” of inter-professional communication and co-operation are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill.Finally, widely accepted ethical values and principles were challenged by the Covid-19 pandemic, forcing clinicians to elaborate recommendations regarding the prioritization of scarce resources. The book will be an invaluable tool for clinicians to understand ethical principles and reasoning to contend ethical challenges in intensive care medicine across the boundaries of disciplines and professions, in order to provide an appropriate individual plan of treatment for their patients.
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Research Ethics for Environmental Health
Research Ethics for Environmental Health explores the ethical basis of environmental health research and related aspects of risk assessment and control.Environmental health encompasses the assessment and control of those environmental factors that can potentially affect human health, such as radiation, toxic chemicals and other hazardous agents.It is often assumed that the assessment part is just a matter of scientific research, and that control is a matter of implementing standards that unambiguously follow from that research.But it is less commonly understood that environmental health also requires addressing questions of an ethical nature.Coming from multiple disciplines and nine different countries, the contributors to this book critically examine a diverse range of ethical concerns in modern environmental health research.This book will be of great interest to scholars and practitioners of environmental health, as well as researchers in applied ethics, environmental ethics, medical ethics, bioethics and those concerned with chemical and radiation protection.
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Data Ethics and Digital Privacy in Learning Health Systems for Palliative Medicine
Though algorithms are chosen to eliminate bias in the Learning Health Systems (LHS) that support medical decision making, we are left with unconscious bias present in data due to lack of representation for marginalized populations, particularly in palliative care.Medical practitioners often lack historical foundations for decision making for patients in underrepresented populations, which lead to palliative patients being subjected to uneven quality of care and an absence of treatment goals due to a lack of advocacy and other challenges.Data Ethics and Digital Privacy in Learning Health Systems for Palliative Medicine reviews the ethical foundations that drive our approach, data collection (public data, private data and data privacy), data stratification methodologies to support marginalized and intersectional populations, analysis techniques, algorithmic development to maintain privacy, survival analysis, result interpretation, LHS development, and LHS implementation.These methodologies address the HIPAA Privacy Rule, which clearly establishes the standard to protect digitally held health care data. Informing both research and practice, Data Ethics and Digital Privacy in Learning Health Systems for Palliative Medicine brings attention to an important issue that lies at the intersection of medicine, science, and digital technology and communication.
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Ethics for Health Promotion and Health Education
Ethics for Health Promotion and Health Education discusses ethical principles and interpretations by classical ethicists as they apply to health promotion and health education.The book unpacks ethical expectations in promoting and teaching health in both the classroom and as a researcher or practitioner and then applies the code of ethics using case study methods throughout.This informative text was written by health educators and practitioners to assist health educator and practitioner communities.
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The Vitamins : Fundamental Aspects in Nutrition and Health
The Vitamins: Fundamental Aspects in Nutrition and Health, Sixth Edition presents both overviews and in-depth discussions of the sources, chemistry, metabolism and functions of these essential nutrients in physiology and health.Sections cover perspectives (history of discovery, general properties and impacts), individual Vitamins (their respective chemistries, metabolism), and their dietary sources and global needs.In addition, the inclusion and interpretation of recent clinical research findings relevant to all vitamins, particularly vitamins A, D, E, K, C, thiamin, folate and vitamin B12 is included, along with an expanded discussion on single-carbon metabolism), implications to neuropathies, and more.
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