The Silent World of Doctor and Patient

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The Silent World of Doctor and Patient by Jay Katz Summary

Historically, the doctor-patient relationship has been based on a one-way trust--despite recent judicial attempts to give patients a greater voice. Seeing a growing need for more honest and complete communication between physician and patient, Dr. Jay Katz advocates a new, informed dialogue that respects the rights and needs of both sides. A new Preface outlines changes since the book's publication in 1984.

Out of Practice

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Out of Practice by Frederick M. Barken Summary

Primary care medicine, as we know and remember it, is in crisis. While policymakers, government administrators, and the health insurance industry pay lip service to the personal relationship between physician and patient, dissatisfaction and disaffection run rampant among primary care doctors, and medical students steer clear in order to pursue more lucrative specialties. Patients feel helpless, well aware that they are losing a valued close connection as health care steadily becomes more transactional than relational. The thin-margin efficiency, rapid pace, and high volume demanded by the new health care economics do not work for primary care, an inherently slower, more personal, and uniquely tailored service. In Out of Practice, Dr. Frederick Barken juxtaposes his personal experience with the latest research on the transformations in the medical field. He offers a cool critique of the "market model of medicine" while vividly illustrating how the seemingly inexorable trend toward specialization in the last few decades has shifted emphasis away from what was once the foundation of medical practice. Dr. Barken addresses the complexities of modern practice—overuse of diagnostic studies, fragmentation of care, increasing reliance on an array of prescription drugs, and the practice of defensive medicine. He shows how changes in medicine, the family, and society have left physicians to deal with a wide range of geriatric issues, from limited mobility to dementia, that are not addressed by health care policy and are not entirely amenable to a physician’s prescription. Indeed, Dr. Barken contends, the very survival of primary care is in jeopardy at a time when its practitioners are needed more than ever. Illustrated with case studies gleaned from more than twenty years in private practice and data from a wide range of sources, Out of Practice is more than a jeremiad about a broken system. Throughout, Dr. Barken offers cogent suggestions for policymakers and practitioners alike, making clear that as valuable as the latest drug or medical device may be, a successful health care system depends just as much on the doctor-patient relationship embodied by primary care medicine.

Ethics and the Acquisition of Organs

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Ethics and the Acquisition of Organs by T. M. Wilkinson Summary

Transplantation is a medically successful and cost-effective way to treat people whose organs have failed--but not enough organs are available to meet demand. Ethics and the Acquisition of Organs is concerned with the major ethical problems raised by policies for acquiring organs. The main topics are the rights of the dead, the role of the family, opt in and opt out systems, the conscription of organs, living organ donation from adults and children, directed donation and priority for donors, and the sale of organs. In this ground-breaking work, T. M. Wilkinson uses concepts from moral and political theory such as autonomy, rights, posthumous interests, justice, and well-being, in a context informed by the clinical, legal, and policy aspects of transplantation. The result is a rigorous philosophical exploration of real problems and options. He argues that the ethics of acquiring organs for transplantation is not only of great intellectual interest, but also of practical importance. As such, this book will be of profit not only to students and academics who work in applied ethics and bioethics, but also to the lawyers, policy-makers, clinicians, and lobby groups interested in transplantation.

Dans son silence

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Dans son silence by Alex Michaelides Summary

LE THRILLER PSYCHANALYTIQUE QUI VOUS LAISSERA SANS VOIX Alicia, jeune peintre britannique en vogue, vit dans une superbe maison près de Londres avec Gabriel, photographe de mode. Quand elle est retrouvée chez elle, hagarde et recouverte de sang devant son mari défiguré par des coups de couteau fatals, la presse s’enflamme. Aussitôt arrêtée, Alicia ne prononce plus jamais le moindre mot, même au tribunal. Elle est jugée mentalement irresponsable et envoyée dans une clinique psychiatrique. Six ans plus tard, le docteur Theo Faber, ambitieux psychiatre, n’a qu’une obsession : parvenir à faire reparler Alicia. Quand une place se libère dans la clinique où elle est internée, il réussit à s’y faire embaucher, et entame avec elle une série de face-à-face glaçants dans l’espoir de lui extirper un mot. Et alors qu’il commence à perdre espoir, Alicia s’anime soudain. Mais sa réaction est tout sauf ce à quoi il s’attendait... Dans la veine de Mensonges sur le divan d’Irvin Yalom, un redoutable mélange de suspense et de psychanalyse qui ravira tous les lecteurs avides d’histoires prenantes.« Je n’avais pas lu un suspense aussi inspiré depuis La Vérité sur l’affaire Harry Québert. Du grand art ! » Yves Grannonio, la Librairie du Château, Brie-Comte-Robert « Un suspense maintenu tout au long du livre et une fin qui retourne complètement tant le dénouement est explosif et inattendu ! Quel sentiment délicieux de se faire autant manipuler ! » Caroline Vallat, Fnac Rosny 2 Alex Michaelides est un scénariste britannique de trente-neuf ans. Il a aussi étudié la psychanalyse, et a travaillé deux ans dans une clinique psychiatrique pour jeunes. Dans son silence, son premier roman, est sur le point de devenir un phénomène dans le monde entier.

The Jewish Law Annual

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The Jewish Law Annual by Bernard S. Jackson Summary

Most bioethicists concern themselves with common law when considering the mores that inform practitioners operating in the framework of medical institutions. These questions are generally addressed from the perspective of secular ethics. Many Jewish physicians, however Contributors to this volume address medical issues such as organ transplantation, physician's fees, new reproductive technologies, informed consent, and medical confidentiality in the context of Jewish law. Jewish thought is presented as of great relevance to both the history of medical ethics and contemporary medico-legal issues. The volume concludes with a chronicle of Jewish Law in the State of Israel and a survey of recent literature.

Death before Dying

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Death before Dying by Gary Belkin Summary

Brain death-the condition of a non-functioning brain, has been widely adopted around the world as a definition of death since it was detailed in a Report by an Ad Hoc Committee of Harvard Medical School faculty in 1968. It also remains a focus of controversy and debate, an early source of criticism and scrutiny of the bioethics movement. Death before Dying: History, Medicine, and Brain Death looks at the work of the Committee in a way that has not been attempted before in terms of tracing back the context of its own sources-the reasoning of it Chair, Henry K Beecher, and the care of patients in coma and knowledge about coma and consciousness at the time. That history requires re-thinking the debate over brain death that followed which has tended to cast the Committee's work in ways this book questions. This book, then, also questions common assumptions about the place of bioethics in medicine. This book discusses if the advent of bioethics has distorted and limited the possibilities for harnessing medicine for social progress. It challenges historical scholarship of medicine to be more curious about how medical knowledge can work as a potentially innovative source of values.

Argumentation and Health

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Argumentation and Health by Sara Rubinelli,A. Francisca Snoeck Henkemans Summary

In recent years, there has been a growing interest in the role of argumentation in the health care domain. Argumentation and Health is a collection of essays by argumentation theorists reflecting on the way in which the institutional context of health care shapes the argumentative interaction. The volume provides for the first time an overview of the most important recent developments and achievements of the study of argumentation in medical and public oriented health communication. In Argumentation and Health , attention is paid to argumentation in different forms of health communication, such as the medical consultation, direct-to-consumer drug advertising, health brochures and health risk communication. This book is of interest to argumentation theorists, (health) communication scholars, healthcare practitioners, students of medicine and health-related fields, and all other researchers and practitioners interested in the function and characteristics of argumentation in health communication. Originally published in Journal of Argumentation in Context, Vol. 1:1 (2012).

Doctors and Patients

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Doctors and Patients by J. Bergsma Summary

Patients have personal strategies in solving the problems concerning their illness. Doctors have personal and professional strategies in solving the problems with their patients. This book explores the problematic triangle between doctors, patients and the illness, using illustrations from internal medicine, nephrology, cardiology, oncology and neurology. Enhancement of the doctor-patient interaction is an important contribution to the mutual reduction of stress and therefore the improvement of the course of (long-term) illness. The first part of the book describes reasons why the partnership between doctor and patient should be improved. The second part offers concrete and practical options to achieve that improvement.

Encyclopedia of Phenomenology

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Encyclopedia of Phenomenology by Lester Embree Summary

This encyclopedia presents phenomenological thought and the phenomenological movement within philosophy and within more than a score of other disciplines on a level accessible to professional colleagues of other orientations as well as to advanced undergraduate and graduate students. Entries average 3,000 words. In practically all cases, they include lists of works "For Further Study." The Introduction briefly chronicles the changing phenomenological agenda and compares phenomenology with other 20th Century movements. The 166 entries are a baut matters of seven sorts: ( 1) the faur broad tendencies and periods within the phenomenological movement; (2) twenty-three national traditions ofphenomenology; (3) twenty-two philosophical sub-disciplines, including those referred to with the formula "the philosophy of x"; (4) phenomenological tendencies within twenty-one non-philosophical dis ciplines; (5) forty major phenomenological topics; (6) twenty-eight leading phenomenological figures; and (7) twenty-seven non-phenomenological figures and movements ofinteresting sim ilarities and differences with phenomenology. Conventions Concern ing persons, years ofbirth and death are given upon first mention in an entry ofthe names of deceased non-phenomenologists. The names of persons believed tobe phenomenologists and also, for cross-referencing purposes, the titles of other entries are printed entirely in SMALL CAPITAL letters, also upon first mention. In addition, all words thus occurring in all small capital letters are listed in the index with the numbers of all pages on which they occur. To facilitate indexing, Chinese, Hungarian, and Japanese names have been re-arranged so that the personal name precedes the family name.

The Physician as Captain of the Ship

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The Physician as Captain of the Ship by N.M. King,L.R. Churchill,Alan W. Cross Summary

"The fixed person for fixed duties, who in older societies was such a godsend, in the future ill be a public danger." Twenty years ago, a single legal metaphor accurately captured the role that American society accorded to physicians. The physician was "c- tain of the ship." Physicians were in charge of the clinic, the Operating room, and the health care team, responsible - and held accountabl- for all that happened within the scope of their supervision. This grant of responsibility carried with it a corresponding grant of authority; like the ship's captain, the physician was answerable to no one regarding the practice of his art. However compelling the metaphor, few would disagree that the mandate accorded to the medical profession by society is changing. As a result of pressures from a number of diverse directions - including technological advances, the development of new health professionals, changes in health care financing and delivery, the recent emphasis on consumer choice and patients' rights - what our society expects phy- cians to do and to be is different now. The purpose of this volume is to examine and evaluate the conceptual foundations and the moral imp- cations of that difference. Each of the twelve essays of this volume assesses the current and future validity of the "captain of the ship" metaphor from a different perspective. The essays are grouped into four sections. In Section I, Russell Maulitz explores the physician's role historically.

Safety and Reliability in Pediatrics, An Issue of Pediatric Clinics - E-Book

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Safety and Reliability in Pediatrics, An Issue of Pediatric Clinics - E-Book by Brian Jacobs,Max J. Coppes Summary

The Guest Editors have assembled an international list of top experts to present the most current information to pediatricians about patient safety. The issue has a primarily clinical focus with a few articles addressing the business and practice of patient safety. Articles are devoted to the following topics: Developing performance standards and expectations for safety; The role of CPOE in patient safety; The role of smart infusion pumps on patient safety; Abstracted detection of adverse events in children; The role of effective communication (including handoffs) in patient safety; Reducing mortality resulting from adverse events; Optimizing standardization of case reviews (morbidity and mortality rounds) to promote patient safety; Impact of (resident) duty work hours on patient safety; Role of simulation in safety; The role of diagnostic errors in patient safety; The role of collaborative efforts to reduce hospital acquired conditions; Patient safety in ambulatory care; Role of FDA and pediatric safety; and Patient safety through the eyes of a parent.

Intensive Care

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Intensive Care by Robert Zussman Summary

In riveting case studies, Robert Zussman describes how medical decisions in ICUs are considered and reconsidered, made and remade, negotiated and renegotiated. He concentrates on the practice of medical ethics, on the ways in which right and wrong are interpreted and used in the ward—how definitions of right and wrong emerge from the social situations of patients, families, doctors, and nurses and from the workings of hospitals and the courts. His book is a portrait of the way careful planning is undermined by the unpredictability of illness and the persistence of self-interest, by high principle and curious compromise.

Understanding and Using Health Experiences

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Understanding and Using Health Experiences by Sue Ziebland,Angela Coulter,Joseph D. Calabrese,Louise Locock Summary

Improving patient experience is a global priority for health policy-makers and care providers. The need to look at healthcare delivery through the eyes of patients is widely accepted, but how should it be done? What use can be made of this information, and what evidence is there that such exercises lead to better care? Understanding and Using Health Experiences: Improving patient care examines a broad range of different sources and techniques for gathering and analyzing health experiences. Providing an accessible and pragmatic overview of the diversity and richness of research in the field this book explores the strengths and limitations of different approaches, and assesses what each method can contribute to improving people's experience of illness, and the way that health services are delivered. The book looks at topics such as using focus groups to understand experiences of health and illness, patient surveys, and the internet as a source of information on people's experience. Using clear and engaging examples throughout, the book is accessibly written by experts in social science, health services, and health policy, and will be valuable to postgraduate students, healthcare practitioners, and individuals working in health and social policy, public sector management, and research.

Empathy in Patient Care

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Empathy in Patient Care by Mohammadreza Hojat Summary

Human beings, regardless of age, sex, or state of health, are designed by evolution to form meaningful interpersonal relationships through verbal and nonverbal communication. The theme that empathic human connections are beneficial to the body and mind underlies all 12 chapters of this book, in which empathy is viewed from a multidisciplinary perspective that includes evolutionary biology; neuropsychology; clinical, social, developmental, and educational psychology; and health care delivery and education.

Speaking Honestly with Sick and Dying Children and Adolescents

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Speaking Honestly with Sick and Dying Children and Adolescents by Dietrich Niethammer Summary

Niethammer's compelling personal experiences combined with the latest research make this a compassionate and invaluable resource for physicians, nurses, social workers, teachers, parents—for all who care for sick and dying children and adolescents.

Ethical Issues in Cancer Patient Care

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Ethical Issues in Cancer Patient Care by Peter Angelos Summary

This book addresses a variety of ethical issues that arise in the care of oncology patients. Many volumes have been written on medical ethics in the past 30 years. However, few have focused on ethical issues specific to the care of cancer patients. This book brings together such a focused examination. The contributors are experienced clinicians, ethicists, medical humanists, and medical educators. The issues raised have direct relevance to the care of oncology patients in treatment as well as research settings. The chapters address issues that are central to contemporary medical practice and medical ethics inquiry. Any practicing clinician will be well aware of the problems of communication and how uncertainty, cross-cultural issues, and religious influences can impact patient care. The limits of care and the role of advance directives and palliative care are common issues that must be addressed in treating patients at the end of life. For oncologists and oncology patients, participation in clinical trials may be a thomy topic, especially when phase I clinical trials are being considered. The impact of managed care and reimbursement issues cannot be avoided in the contemporary patient care and similarly cannot be neglected when considering the ethical ramifications raised. No discussion of ethics in oncology can be complete without attention to the specific challenges raised by the pediatric patient with cancer. All of these topics are explored by the contributors to this book.

Autonomy and Clinical Medicine

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Autonomy and Clinical Medicine by J. Bergsma,David C. Thomasma Summary

This book arises from a two-fold conviction. The first is that autonomy, despite recent critiques about its importance in bioethics and philosophy of medicine, and the traditional resistance of medicine to its "intrusion" into the doctor-patient relation, is a fundamental building block of an individual's identity and mechanisms for dealing with illness, disease, and incapacity. As such it is an essential component in the health care professional's armamentarium employed to bring about healing. Furthennore, it functions in a similar way to assist the health professional in his or her relations to the sick and injured. The second conviction follows from the fITst. Autonomy is far more complex than appears from the philosophical use of the concept. In this conviction we join those who have criticized the over-reliance on autonomy in modem, secular bioethics originating in the United States, but gaining ascendancy in other cultures. This critique relies on appeals to the richer contexts of persons' lives. Elsewhere the contemporary critique of autonomy appears in a variety of alternative ethical models like narrative ethics, casuist ethics, and contextualism. Indeed, postmodern criticism of all bioethics argues that there is no defensible foundation for claims that one ought to respect autonomy or any other principle as a way of ensuring that one is ethical.

The Elephant in the Room

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The Elephant in the Room by Eviatar Zerubavel Summary

The fable of the Emperor's New Clothes is a classic example of a conspiracy of silence, a situation where everyone refuses to acknowledge an obvious truth. But the denial of social realities--whether incest, alcoholism, corruption, or even genocide-is no fairy tale. In The Elephant in the Room, Eviatar Zerubavel sheds new light on the social and political underpinnings of silence and denial-the keeping of "open secrets." The author shows that conspiracies of silence exist at every level of society, ranging from small groups to large corporations, from personal friendships to politics. Zerubavel shows how such conspiracies evolve, illuminating the social pressures that cause people to deny what is right before their eyes. We see how each conspirator's denial is symbiotically complemented by the others', and we learn that silence is usually more intense when there are more people conspiring-and especially when there are significant power differences among them. He concludes by showing that the longer we ignore "elephants," the larger they loom in our minds, as each avoidance triggers an even greater spiral of denial. Drawing on examples from newspapers and comedy shows to novels, children's stories, and film, the book travels back and forth across different levels of social life, and from everyday moments to large-scale historical events. At its core, The Elephant in the Room helps us understand why we ignore truths that are known to all of us.

Oncology of Infancy and Childhood E-Book

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Oncology of Infancy and Childhood E-Book by Stuart H. Orkin,David E. Fisher,A. Thomas Look,Samuel Lux,David Ginsburg,David G. Nathan Summary

To address the growing complexities of childhood cancer, Nathan and Oski’s Hematology and Oncology of Infancy and Childhood has now been separated into two distinct volumes. With this volume devoted strictly to pediatric oncology, and another to pediatric hematology, you will be on the cutting edge of these two fields. This exciting new, full-color reference provides you with the most comprehensive, authoritative, up-to-date information for diagnosing and treating children with cancer. It brings together the pathophysiology of disease with detailed clinical guidance on diagnosis and management for the full range of childhood cancers, including aspects important in optimal supportive care. Written by the leading names in pediatric oncology, this resource is an essential tool for all who care for pediatric cancer patients. Offers comprehensive coverage of all pediatric cancers, including less common tumors, making this the most complete guide to pediatric cancer. Covers emerging research developments in cancer biology and therapeutics, both globally and in specific pediatric tumors. Includes a section on supportive care in pediatric oncology, written by authors who represent the critical subdisciplines involved in this important aspect of pediatric oncology. Uses many boxes, graphs, and tables to highlight complex clinical diagnostic and management guidelines. Presents a full-color design that includes clear illustrative examples of the relevant pathology and clinical issues, for quick access to the answers you need. Incorporates the codified WHO classification for all lymphomas and leukemias.

Promoting Legal and Ethical Awareness

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Promoting Legal and Ethical Awareness by Ronald W. Scott Summary

Combining the best of author Ron Scott’s books, Promoting Legal Awareness in Physical and Occupational Therapy and Professional Ethics: A Guide for Rehabilitation Professionals, his newest text Promoting Legal and Ethical Awareness: A Primer for Health Professionals and Patients includes the latest case, regulatory, and statutory law. This valuable ethical and legal resource also includes an alphabetized section on HIPAA, current information on the reauthorized IDEA (Individuals with Disabilities Act), and expanded coverage of alternative dispute resolution and attorney-health professional-client relations. Cases and Questions allow you to apply key legal and ethical principles to a rehabilitation practice situation. Special Key Term boxes introduce and define important vocabulary to ensure your understanding of chapter content. Additional resource lists in each chapter include helpful sources for articles, books, and websites to further your learning. Case Examples let you put new ideas and concepts into practice by applying your knowledge to the example. Legal Foundations and Ethical Foundations chapters introduce the basic concepts of law, legal history, the court system, and ethics in the professional setting to provide a solid base for legal and ethical knowledge. An entire chapter devoted to healthcare malpractice provides vital information on practice problems that have legal implications, the claim process, and claim prevention. An extended discussion of the Americans with Disabilities Act informs you of your rights as an employee as well as the challenges faced in the workforce by your rehabilitation patients. Content on employment legal issues includes essential information for both employees and employers on patient interaction and the patient’s status in the workplace. Coverage of end-of-life issues and their legal and ethical implications provides important information for helping patients through end-of-life decisions and care.