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- BookConrad Fischer, Caterina Oneto.Contents:
ch. 1 Autonomy
ch. 2 Competence and the capacity to make decisions
Definitions
Minors
Psychiatric patients
Capacity to refuse procedures in an otherwise mentally disabled patient
ch. 3 Informed consent
All options must be described
All major adverse effects must be described
Consent is required for each specific procedure
Beneficence is not sufficient to eliminate the need for consent
Decisions made when competent are valid when capacity is lost
Consent is implied in an emergency
The person performing the procedure should obtain consent
Telephone consent is valid
Pregnant women can refuse therapy
Informed consent for a never-competent person
ch. 4 Confidentiality and medical records
Confidentiality
Release of information
Give medical information to the patient first, not the family
Release of information to governmental organizations and the courts
Breaking confidentiality to prevent harm to others
Medical records
Correcting medical record errors
ch. 5 End-of-life issues
Withholding and withdrawal of medical treatment
Advance directives
"Do not resuscitate" (DNR) orders
Fluids and nutrition issues
Physician-assisted suicide
Euthanasia
Terminal sedation of the "Law of double effect"
Futile care
Determination of death and brain death
ch. 6 Reproductive issues
Abortion
Contraception
Sterilization
Minors
Donation of sperm and eggs
ch. 7 Organ and tissue donation
Autonomy of the donor
Organ donor network asks for consent for donation
Payment for donations
Organ donor cards
ch. 8 Reportable illnesses
ch. 9 HIV-related issues
Confidentiality
Partner notification
HIV-positive health-care workers
Refusal to treat HIV-positive patients
ch. 10 Sexually transmitted diseases (STDs)
ch. 11 Malpractice
Definition
Deviation from local standards of care
Informed consent protection against liability
Informed refusal is as important as informed consent
Patients must fully inform the physician of their medical problems
Risk management
Medical errors
ch. 12 Doctor/Patient relationship
Beginning and ending the relationship
Gifts from patients
Doctor/Patient sexual contact
ch. 13 Doctor and society
Child abuse
Elder abuse
Impaired drivers
Physician participation in executions
Torture
Spousal abuse
Gunshot wounds
Gifts and industry funding
ch. 14 Doctor/Doctor relationship
Reporting impaired physicians
Physician disagreements
ch. 15 Experimentation
Research and experimentation-participation consent
Prisoner participation
Institutional review board (IRB)
Financial disclosure.