100 cases in clinical ethics and law by Carolyn Johnston, Penelope Bradbury

By Carolyn Johnston, Penelope Bradbury

A 30-year-old Polish girl is admitted in labour. this is often her first being pregnant and he or she is complete time period. She is in loads of ache, her liquor is stained with meconium and the hint of her baby's center is assessed as pathological. Her grab of English is restricted. you've been requested to acquire her consent for a caesarean section…

100 situations in medical Ethics and legislation

explores felony and moral dilemmas via a hundred medical situations commonplace of these encountered via clinical scholars and junior medical professionals within the emergency or outpatient division, at the ward or in the neighborhood surroundings. protecting matters equivalent to consent, skill, withdrawal of therapy, confidentiality and whistle-blowing, each one state of affairs has a pragmatic problem-solving aspect, encouraging readers to discover their very own ideals and values together with those who come up due to differing cultural and spiritual backgrounds. resolution pages spotlight key issues in every one case, offering recommendation on how one can care for the emotive concerns that ensue whilst working towards drugs and assistance on applicable behaviour.

Making quick and acceptable judgements, and selecting the simplest plan of action to take consequently, is likely one of the most crucial and hard elements of teaching to develop into a physician. those true-to-life situations will educate scholars and junior medical professionals to acknowledge moral and criminal dilemmas as they come up, and to reply appropriately.

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An absolute right is one that may not be justifiably overridden in any circumstances. What counts as an absolute right – a right to life? In some countries the death penalty is still used as a form of punishment. Healthcare professionals may decide to withdraw life-supporting treatment from a patient whose quality of life is considered extremely poor. It could be argued that there is no right to a life of intolerable suffering. There are also situations where rights conflict, for example, the right to life and the right to self-defence.

Article 12, European Convention on Human Rights (ECHR) provides a ‘right to found a family’. However, this is not an absolute right. A refusal to fund infertility treatment for women over an age where it is clinically less effective may be justifiable in the light of limited resources. For the vast majority of people the decision to seek fertility treatment demonstrates that they are committed to becoming parents and raising a child. Putting up a barrier to fertility treatment based on social reasons could be perceived as medical professionals making judgements on who would make a fit parent.

It is also a reflection of what happens in common law, where individual cases are examined and judgements are made based on precedent. In deciding whether to restrain Micky, any of the other ethical theories could be used. Deontology may argue that a patient should never be restrained against their will, but consequentialists may argue that it would be ethical to restrain the patient because it would ­prevent the other patients from being upset and prevent possible harm occurring to the patient himself.

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