Assuntos
Currículo , Educação de Graduação em Medicina , Ética Médica/educação , Ensino , Havaí , Faculdades de MedicinaAssuntos
Transtornos do Desenvolvimento Sexual/cirurgia , Ética Médica , Saúde , Medição de Risco , Caracteres Sexuais , Beneficência , Criança , Pré-Escolar , Transtornos do Desenvolvimento Sexual/diagnóstico , Transtornos do Desenvolvimento Sexual/psicologia , Pesquisa Empírica , Consultoria Ética , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Seleção de Pacientes , Prognóstico , Valores Sociais , Transexualidade/psicologia , Resultado do Tratamento , IncertezaRESUMO
The aim of this essay is to describe and reflect upon the concrete particulars of one academician's work as an expert ethics witness. The commentary on my practices and the narrative descriptions of three cases are offered as evidence for the thesis that it is possible to act honorably within a role that some have considered to be inherently illicit. Practical measures are described for avoiding some of the best known pitfalls. The discussion concludes with a listing of the distinctive competencies and understandings that are useful in serving as an expert ethics witness.
Assuntos
Temas Bioéticos , Eticistas , Consultoria Ética , Ética , Prova Pericial , Função Jurisdicional , Papel Profissional , Transfusão de Sangue/legislação & jurisprudência , Cristianismo , Conflito de Interesses , Consenso , Impressões Digitais de DNA , Bases de Dados de Ácidos Nucleicos , Teoria Ética , Ética Clínica , Eutanásia Passiva/legislação & jurisprudência , Prova Pericial/economia , Prova Pericial/métodos , Prova Pericial/normas , Governo Federal , Havaí , Experimentação Humana , Humanos , Lactente , Consentimento Livre e Esclarecido , Testemunhas de Jeová , Programas Obrigatórios , Militares/legislação & jurisprudência , Pais , Religião e Medicina , Direito a Morrer , Responsabilidade Social , Experimentação Humana Terapêutica , Recusa do Paciente ao Tratamento/legislação & jurisprudência , Suspensão de TratamentoAssuntos
Defesa da Criança e do Adolescente/legislação & jurisprudência , Ciência Cristã , Tutores Legais , Religião e Medicina , Recusa do Paciente ao Tratamento/legislação & jurisprudência , Criança , Proteção da Criança/legislação & jurisprudência , Feminino , Humanos , Masculino , Estados UnidosRESUMO
State of the art in approaching several of the most disturbing problems involving end-of-life decision-making in an intensive care setting is applicable to other contexts as well. Developed as part of the curriculum at the John A. Burns School of Medicine at the University of Hawaii, the material is intended as a reflection of current work in health care ethics, strongly supported by literature, and generally consistent with current legal trends. But it also has developed into something of a consensus document, having been widely circulated in various versions, repeatedly presented to professional audiences dozens of times in Hawaii, and improved by countless comments and suggestions. The focus here is on the standards for withholding and withdrawing treatment. It should be noted that some important types of ethical problems are not covered: In particular, scarce resource problems (including some related questions involving medical futility), maternal-fetal and pediatric issues, and questions involving the notification of potentially affected third parties.
Assuntos
Cuidados Críticos/legislação & jurisprudência , Tomada de Decisões , Ética Médica , Adulto , Diretivas Antecipadas , Havaí , Humanos , Consentimento Livre e Esclarecido , Ordens quanto à Conduta (Ética Médica)RESUMO
Discussions about issues in medical ethics are often frustrated by the failure to distinguish other concerns: legal and institutional rules, personal values, and personal moralities. Progress can be made if the medical profession reaches a prior agreement on its core values--what the good physician ought to care about--and a consensus on how these values are to be respected by physicians facing ethical dilemmas.
