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Withholding and Withdrawing Life Prolonging Medical Treatment 3rd ed
ISBN13: 9781405159579
Buy Despatched in 4 to 6 days. This book is the authoritative statement from the BMA Medical Ethics Department on one of the most fundamental and contentious issues for health care professionals, of when to withhold or withdraw life-prolonging treatment. It is used by doctors and nurses throughout the United Kingdom who care for the dying, as well as lawyers and others in the health professions seeking guidance on this controversial issue.
Important new features for the third edition:-
Guidance on the appointment of welfare attorneys to make health care decisions once capacity is lost. The latest policy on advance directives
This book is written by medical ethics professionals in consultation with the appropriate medical and legal experts and in agreement with the General Medical Council's guidelines. It is regarded as the most authoritative advice on this subject in the country. The new edition will bring the information fully up to date from both the legal and the ethical perspective.
Contents: Part 1: How to use this guidance1. Scope, purpose and structure of this guidancePart 2: Defining key terms and concepts2. The primary goal of medicine3. Life-prolonging treatment4. Capacity and incapacity5. Duty of care6. Quality of life7. Benefit8. Harm9. Best interests10. Futility11. Basic care12. Artificial nutrition and hydration13. Oral nutrition and hydration14. Foresight and intention15. Withholding or withdrawing treatment16. Conscientious objection17. Resource managementPart 3: Legal and ethical considerations that apply to all decisions to withhold or withdraw treatment18. Human Rights Act 199819. Fairness and non-discrimination20. Communication21. Confidentiality22. Legal reviewPart 4: Medical considerations that apply to all decisions to withhold or withdraw treatment23. Medical assessment24. Medical decision makingPart 5: Decision making by adults with capacity25. The law26. Communication and informationPart 6: Decision making on behalf of adults who lack capacityEngland and Wales27. Patients with a Lasting Power of Attorney (LPA)28. Patients with an advance decision about medical treatment29. Patients without a Lasting Power of Attorney or advance decision30. Patients in persistent vegetative state (pvs)Scotland31. Patients with a welfare power of attorney or welfare guardian32. Patients with an advance decision about medical treatment33. Patients without a welfare power of attorney or advance decision34. Patients in persistent vegetative state (pvs)Northern Ireland35. Patients with an advance decision about medical treatment36. Patients without an advance decision about medical treatment37. Patients in persistent vegetative state (pvs)All UK jurisdictions38. Capacity and incapacity39. Communication and information40. Assessing best interests41. Dealing with disagreementPart 7: Decision making by young people with capacity42. The law in England,Wales and Northern Ireland43. The law in Scotland44. Assessing capacity45. Communicating with young people46. Dealing with disagreementPart 8: Decision making for children and young people who lack capacity47. The law48. Duties owed to babies and children49. Communicating with parents50. Assessing best interests51. Dealing with disagreementPart 9: Once a decision has been reached52. Keeping others informed53. Recording and reviewing the decision54. Providing support55. Respecting patients' wishes after deathAppendix 1 Useful addressesReferencesIndex