Ethical challenges in oncology : patient care, research, education, and economics /
Gallagher, Colleen,editor.
Ewer, Michael S.,editor.
Academic Press
Front Cover; Ethical Challenges in Oncology; Copyright Page; Contents; List of Contributors; Foreword; Introduction; 1 Ethics and Organizational Identity in a Cancer Care Setting; Introduction; What Makes Cancer Care Ethically Distinct?; Organizational Identity and Ethics; Mission Statements; Codes of Ethics; Institutional Decision-Making Process; The Consequentialist Standard; The Deontological Standard; The Justice Standard; The Common Good Standard; The Character Standard; The Reactive Attitudes Standard; Leadership Structure
Putting an Organization's Ethical Vision into Practice: Some ChallengesConclusion; References; 2 Experience Matters: A Partnership Between Patient and Physician; Introduction; Patient Experience; Leadership in the Face of Clinical Uncertainty; Clinical Scenario; The Predicament: Informed Decision Making in the Face of Clinical Uncertainty; Recommended Action: Be Transparent, Admit Uncertainty; Models of Decision Making; Recommended Action: Educate One Another; Recommended Action: Establish the Roles of the Patient and Physician; Discussion; The Battle of Autonomies in this New Partnership
Clinical ScenarioThe Story Continues; Physician Autonomy Comes With Responsibility; Limits to Appropriate and Beneficial Therapies; Communication; Conclusion; References; 3 Patient Experience and End-of-Life Care: A Discussion and Analysis of Four Patients; Introduction; Person-Centered, Family-Oriented Care, and the Patient Experience; Bioethical Principles and End-of-Life Care; Some Challenging Clinical Situations in End-of-Life Care; When Disclosure and Decision-Making Preferences Differ Among Clinicians, Patient and Family; When Patients and Families Demand Care Outside the Usual System
When the Value Driving Patient or Family Requests for Care is Not RecognizedWhen Support of Patient Autonomy Is Counterintuitive to Beneficence and Nonmaleficence; Ethical Challenges Inherent in End-of-Life care and Strategies to Facilitate Optimal Outcomes; Conclusions; List of Acronyms and Abbreviations; References; 4 Ethical Issues for Children With Cancer; The Ethical Treatment of Children in Research Studies; Direct Benefit to Minor Patients; Proportionality of Risks and Benefits; Parental Permission; Child Assent; Refusal of Care; Religious Objections; Legal Remedies
Physician's Responsibility and RoleParents' Responsibility and Role; Patient's Responsibility and Role; Ethical Issues at the End of Life for Children With Cancer; Prognostic Disclosure; Advance Care Planning; Euthanasia, Physician-Assisted Suicide, and Palliative Sedation; Withholding Nutrition and Hydration; Conclusion; References; 5 Ethical Issues in Cancer Survivorship; Introduction; Vignette 1: I Can Beat This Cancer; Who is a Survivor and What is Survivorship?; Survivors and Providers Worldviews Toward Ethics and Survivorship; Ethical Considerations in Survivorship Care
Oncology
Medical Oncology