End of life decisions in medical care principles and policies for regulating the dying process 1st Edition by Stephen W Smith ISBN 1107005388 978-1107005389
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Product details:
ISBN 10: 1107005388
ISBN 13: 978-1107005389
Author: Stephen W Smith
Table of contents:
1 Introduction
2 Some definitional concerns
Part I
2 Moral status
1 Introduction
2 Some initial thoughts
3 Species and speciesism
4 Preference based on characteristics
5 Central cases
6 A multi-criterial system for moral status
7 Conclusion
3 The value of life
1 Introduction
2 The sanctity versus quality of life debate
3 The fundamental problem
4 Returning to basics
5 A new way of valuing life
6 Benefits of the new approach
7 Conclusion
4 Killing versus letting die and moral responsibility
1 Introduction
2 The act/omission distinction
3 Intention and foresight
4 Keeping the distinction between killing and letting die
5 Moral responsibility
6 A final criticism
7 Conclusion
5 Autonomy and paternalism
1 Introduction
2 The concept of autonomy
3 Regulating autonomy
4 Conclusion
6 Beneficence, non-maleficence and harm
1 Introduction
2 The concept of harm and the principle of non-maleficence
3 The principle of beneficence
4 Death as a harm or a benefit
5 Conclusion
7 Dignity
1 Introduction
2 Category/definitional issues
3 Philosophical justifications for dignity
4 An alternative justification for dignity
5 Two possible problems
6 Conclusion
8 A comprehensive ethical approach
1 Introduction
2 Moral status
3 Autonomy
4 Harm and benefit
5 The value of life
6 Dignity
7 Moral responsibility
8 Specific practices
9 Conclusions
Part II
9 Introduction to Part II
1 Introduction
2 Important differences between law and ethics
3 Issues specific to law
4 General evidentiary sources
4.1 The Netherlands surveys
4.2 Annual governmental reports
4.3 The Angels of Death study
5 The types of regulatory mechanisms
6 Conclusion
10 Protection of patients
1 Introduction
2 The prevention of suicide
2.1 Rational suicide
2.2 Preventing suicide in practice
2.3 Conclusions about the prevention of suicide
3 The protection of vulnerable groups
3.1 How end-of-life decisions may adversely impact vulnerable groups
3.2 Available evidence
3.3 Argument in favour of assisted dying practices
3.4 Conclusions about the protection of vulnerable groups
4 Conclusions about the protection of patients
11 The impact on health-care practitioners
1 Introduction
2 Direct impact upon health-care practitioners
2.1 ‘Playing God’
2.2 The distrust of health-care professionals
2.3 Psychological effects
2.3.1 The psychological effect of taking part
2.3.2 The pressure to take part
3 Professionalism of the euthanasia underground
4 Professional codes of conduct
5 Conclusion
12 Greater societal issues
1 Introduction
2 The wider community
2.1 Introduction
2.2 Immediate groups
2.3 Regional or national societal groups
2.4 Conclusions about the wider community
3 Investigation and prevention of illegal conduct
3.1 Reporting systems
3.1.1 Description of current reporting systems in the Netherlands and Oregon
3.1.2 Evaluation of reporting systems
3.2 The Dutch reporting rate
3.3 The usefulness of the Oregon reports
3.4 Other problems with reporting systems
3.5 Prosecution and conviction of illegal activity
4 Conclusion
13 Slippery slope arguments
1 Introduction
2 Slippery slope arguments
3 The logical ‘slippery slope’ argument
4 The empirical slippery slope argument
5 Conclusion
14 Necessary procedural protections
1 Introduction
2 The request
3 Procedures leading to death
4 Reporting, investigation and judgment
5 Conclusion
15 Conclusions
1 Introduction
2 Summary of arguments
3 A model for going forward
4 Final conclusions
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Tags: Stephen W Smith, life decisions, medical care, policies for regulating