Ethics and Palliative Care: A Case-based ManualRadcliffe Publishing, 2005 - 129 ページ The NHS needs to change its approach to clinical audit and this book sets out the principles that should guide those changes. All NHS organisations are required to have a comprehensive programme of quality improvement activity that includes clinicians participating fully in audit. As a quality improvement tool audit can demonstrate that real efforts are being made by a dedicated hard-pressed staff to deliver high-quality professional care to all their patients. Clinical governance presents a new challenge - to take audit 'at its best' and incorporate it within organisation-wide approaches to quality. This book will help NHS organisations create the environment and use the methods to support best practice in clinical audit throughout the NHS. The book also includes a CD-ROM containing the full text with hyperlinks and a review of the evidence. |
目次
An explanation of ethical theory | 9 |
moving from theory to practice | 27 |
Questions of autonomy and rights | 49 |
Case histories and clinical scenarios | 87 |
| 118 | |
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active treatment Adair advance statements alfentanil analysis analytic jurisprudence appropriate assessment benefits best interests Bowen brain metastasis British Medical Association buspirone cancer capacity cardiopulmonary resuscitation Chapter chemotherapy Chlorpromazine clinical decision clinician Clinician's comments Clinician's thoughts concerned condition consent considered context Deakin death decision-making defined Diazepam discussion disease distress doctrine of double doses drug Dyspnoea effect end-of-life euthanasia Evans Fainsinger Fatah felt game theory Gifford Haloperidol harm healthcare professionals Herceptin hospital individual intervention involved issues jurisprudence justice Karen medical ethics metaphysics method midazolam moral Morita morphine multi-professional team nonetheless oncologist opioid outcome Oxford pain palliative care team patient autonomy person phenobarbitone philosophy physician potential practice principles prognosis propofol proxy question radiotherapy reasoning recognised relief respect risk role sedation sedative shortening sion situation social Sonia specialist staff studies surgery symptoms teleology theory tion tive views wishes