Bioethics: Legal and Clinical Case Studies

- Introduction
- Chapter 1: Moral Theory in Bioethics
- Consequentialism and Deontology
- Consequentialism
- Kantian Deontology
- Rule Theory
- Case Study: Dr. Mando
- Alternative Approaches
- Principlism
- Particularism
- Virtue Ethics
- Feminist Ethics and the Ethics of Care
- Casuistry
- Conclusion
- Exercises
- Chapter 2: Informed Consent
- IntroductionLegal Cases
- I. Canterbury v Spence
- II. Jandre v Bullis
- III. Gorab v Zook
- Case Studies
- IV. Emergency Room Deliberation after a Critical Monocycle Accident
- V. Protection for a "Decisionally Incapable" Patient
- VI. Patient Coerced into additional Physical Therapy
- VII. Unwanted Procedure during Surgery
- VIII. Elderly Man Denied Informed Consent
- IX. HIV Patient: Confidentiality Hampering Informed Consent
- Chapter 3: Assessing Capacity
- Introduction
- Legal Cases
- I. Lane v. Candura
- II. Morinaga v See Vue
- lll. In Re Conservatorship of Pamela J.
- Case Studies
- IV. Decisional Capacity and Brain Surgery
- V. Dementia and Decisional Capacity
- VI. Capacity after a Motorcycle Accident
- Chapter 4: Informed Refusal of Treatment
- Introduction
- Legal Cases
- I. Cruzan v Director
- II. Vacco and Washington
- III. Carter v Canada
- Case Studies
- IV. The Last Day of Her Life
- V. Family Conflict: To Treat or Not to Treat?
- VII. Family Supports a Child's Rejection of Treatment
- VIII. Patient Fails to Show up for Treatment
- IX. Assisting Death
- X. Terminal Sedation: Is it Death?
- Chapter 5: Medical Futility
- Introduction
- Legal Cases
- I. Futile Treatment of a Newborn?
- II. Physician's Right to Withhold Treatment
- Case Studies
- III. Doctor Orders Aggressive Treatment, Nurse Objects
- IV. Appropriate CPR?
- V. Lake Erie Tragedy
- VI. Heart Failure, Excessive Weight, and CPR
- VII. Family Fights for Mr. Stoer's Life
- Chapter 6: Nursing Ethics
- Introduction
- Legal Cases
- I. Lunsford and Tuma cases
- II. Rogers and Mathias cases
- III. Monahan and Morvillo cases
- IV. Hoffman and Ross cases
- Case Studies
- V. Does the Nurse Know Better?
- VI. Potentially Violent Patient
- VII. Traditional Practice and Child Abuse
- VIII. Nurse Refuses to Administer Pain Medication
- Chapter 7: Privacy and Confidentiality
- Introduction
- Legal Cases
- I. Tarasoff v Regents of the University of California
- II. Reisner and Jarmie cases
- III. Nasser v Parker
- IV. Horne v. Patton
- V. Samms v Pelican
- Case Studies
- VI. Disclosing HIV
- VII. Children Having Babies
- VIII. Betrayal by a Physician?
- IX. Dr. Dorchester's Curiosity
- X. Student Kills his Classmate. Is his Psychologist at Fault?
- Chapter 8: Cultural Competence
- Introduction
- Legal Cases
- I. Commonwealth v. Schaible
- II. Quintero v Encarnacion
- III. Quintanilla v Dunkelmen
- Case Studies
- IV. An Infant in a Persistent Vegetative State
- V. Elder Abuse?
- VI. An Amish Couple Refuses Treatment for their Infant Daughter
- VII. Newly Arrived Immigrant and Adherence to Treatment
- VIII. Three Wives
- Chapter 9: Human Reproduction
- Introduction
- Legal Cases
- I. Roe and Casey
- II. Becker v. Chessin
- III. K.M. v E.G
- IV. Szafranski v Dunston
- Case Studies
- I. Sterilization of a Developmentally Delayed Child
- II. Doubts about Preimplantation Genetic Diagnosis
- III. Human Cloning
- IV. Abortion Advice
- Chapter 10: Clinical Trials
- Introduction
- Legal Cases
- I. Suthers, et al v Amgen, Inc.
- II. Cacchillo v Insmed, Inc
- Case Studies
- I. Mr. Rosewald's Decision
- II. An Incidental Finding from a Brain Scan
- III. Was it Morally Appropriate to Stop Cancer Trial?
- IV. Dr. Rife's Conflict of Interest
- Chapter 11: Transplantation Ethics
- Introduction
- Legal Cases
- I. McFall v Shrimp
- II. Strunk and Pescinski
- III. Hart v Brown
- Case Studies
- I. Drug Dealer Wants a New Heart
- II. Transplantation and Blood Products
- III. Coerced Donation
- Appendix: Basic Law
- The American Legal System
- Statutory Law
- Executive Orders and Agencies
- Constitutional Law
- Criminal and Civil Law
- Lawsuits
- Exercises