This book addresses new and evolving thorny issues in clinical ethics consultation. It is a book for our time. The contributors provide essential critical reflection on the standards and methods of training clinical ethics consultants as the field seeks to professionalize. This collection incorporates both North American and European experts, offering different perspectives on issues such as marginalized populations, the opioid epidemic, complex discharge, micro-managing families, and continually challenging issues at the end-of-life, such as determinations of brain death, physician-assisted death, and futility. The authors engage the complexities of choosing for others when making decisions for incapacitated adults and pediatric patients. This volume engages with the growing literature in these debates and offers new perspectives from both academics and practitioners. The readings are of particular interest to bioethicists, clinicians, ethics committees, and students in bioethics and beyond. These new essays advance discussions in the professionalization and certification of ethics consultants and offer crucial insights on new and evolving thorny issues in the practice of clinical ethics consultation.
Inhaltsverzeichnis
Part 1: History and Development of the Formation and Training of Clinical Ethics Consultants. - Chapter 1. A Brief Introduction to the History of Clinical Ethics in the United States (Robert Baker). - Chapter 2. Clinical Ethics Consultation in the United States: Current Standards in the Field (Anita Tarzian). - Chapter 3. What Does Competency Have to Do with It? Ethics fellowship training and the experience of a hospital-based program in Canada (Dave Langlois). - Chapter 4. Models of Training Clinical Ethics Consultants and Approaches to Quality Assessment and Improvement (Katherine Wasson). - Chapter 5. New Approaches for Advancing Ethics Quality: Assessment of the Ethics Consultation Record (David Alfandre). - Chapter 6. Historical Development of Clinical Ethics Consultation in Europe (Ralf Jox). - Chapter 7. Clinical Ethics Consultation in Germany: History, Current Status and Models of Training Europe (Gerald Neitzke). - Chapter 8. Innovation or Stagnation: The State of Art of Clinical Ethics Support in Switzerland (Rouven Porz). - Part 2: Emerging and Thorny Clinical Ethical Issues. - Chapter 9. Clinical Ethics Consultation and Marginalized Populations (Marion Danis). - Chapter 10. Vulnerable populations, the Law of the Dynamics of Inverse Care, and the role of the Clinical Ethics Consultant: Experiences from Switzerland (Tonja Krones). - Chapter 11. Clinical Ethics Consultations regarding Patients with Opioid Use Disorders (Mark Kuczewski). - Chapter 12. The Opioid Crisis: An European Perspective (Ralf Jox). - Chapter 13. Ethical Issues in Complex Discharge Cases (Kayhan Parsi). - Chapter 14. How Clinical Ethics Consultants Navigate Complex Acute Care Discharge Cases in Ontario (Sally Bean). - Chapter 15. Thorny Issues in Clinical Ethics Consultation: When Surrogates Refuse Basic Care (Sarah Vittone). - Chapter 16. Families Who Micromanage (Patricia Mayer). - Part 3: Persistent and Thorny Ethical Issues. - Chapter 17. Neuroethics in the Clinic: Amplifying patient perspectives through enhanced decision-making frameworks (Sharon L. Feldman). - Chapter 18. Brain Death/Death by Neurological Criteria in the United States: What Every Clinical Ethics Consultant Should Know (Sok Lee). - Chapter 19. When patients still hope, but doctors see no more therapeutic options: Ethical debates on futility and potentially inappropriate treatment (Christoph Mandry). - Chapter 20. Physician Aid in Dying in the United States: A Prescription for Death or Control? (Felicia Cohn). - Chapter 21. Medical Aid in Dying in Canada: Undertaking Clinical Ethics Consultations in a Rapidly Evolving Regulatory Landscape (Benjamin Zolf). - Chapter 22. Physician Assisted Suicide and Euthanasia in the European Context (Charlotte Wetterauer). - Chapter 23. Pediatric Ethical Issues and Clinical Ethics Consultation in the United States (Micah Hester). - Chapter 24. Ethical Issues and Decision Making for Children: An European Perspective (Helen Turnham). - Chapter 25. The Adolescent Transplant Candidate: Thorny Issues in Assessment and Allocation from a Canadian Perspective (Aviva Goldberg). - Chapter 26. Classifying the Contradiction: A Practical Approach When Surrogates Appear to Contradict a Patient s Wishes (Hilary Mabel). - Chapter 27. Thorny Issues in Clinical Ethics Consultation: A Canadian Perspective on Surrogate Decision Making Concerning Potentially Non-Beneficial Care (Katarina Lee-Ameduri). - Part 4: Organizational Issues in United States Ethics Consultation. - Chapter 28. Moving Ethics Upstream: Shifting Clinical Ethics Consultation from Volume to Value (Mark Repenshek). - Chapter 29. The Tension between Margin and Mission as an Ethical Issue in Health Care (Patrick McCruden).
