Case Studies in Pharmacy Ethics
- 2nd edition
- Oxford Oxford University Press 2008
- 336 pages
Contents:
Cases
Pharmacists may believe that normally their professional practice
A Model for Ethical Problem Solving
Values in Health and Illness
Distinguish Between Moral and Nonmoral Evaluations
What Is the Source of Moral Judgments?
Benefiting the Patient and Others The Duty to Do Good
Justice The Allocation of Health Resources
Sterilization of an Economically Deprived Woman
Transdermal Contraceptive Patches
Genetics Birth and the Biological Revolution
Genetic Counseling Explaining Ambiguous Results
In Vitro Fertilization Assessing a New Technology
Mental Health and Behavior Control
Mentally Ill or Just a Troublemaker? The Concept
The Case of the Hostile Bag Lady Mental Illness
The Hypochondriac and the Patient in Crisis Whose
Justice Versus Fidelity
Autonomy
Compulsory Education About STDs
Veracity Dealing Honestly with Patients
Placebos for Addiction Withdrawal
Fidelity PromiseKeeping and Confidentiality
Keeping a Promise to a Medical Colleague
The Impaired Colleague The Colleague in an Emotional
Avoidance of Killing
Prescriptions for Suicide Forming a Policy for Pharmacy
Withdrawing an Antibiotic Is It Active Killing?
Can an Antibiotic Be an Extraordinary Means of Saving
Participation in Capital Punishment
Abortion Sterilization and Contraception
Abortion for Teratogenic Indications
Abortion to Save a Pregnant Womans Life
A Shocking Ambivalence ECT Without Consent
Formularies and Drug Distribution Systems
Avastin for Breast Cancer Eliminating Unproven
Marginal Benefit from an Additional Antiemetic Agent
Counseling Patients Using MailOrder Pharmacies
Experimentation on Human Subjects
An Experiment of Last Resort Calculating Risks
Recruiting Subjects from the Clinic for Indigents
Consent for Randomized Assignment of ACE Inhibitors
Consent and the Right to Refuse Treatment
Therapeutic Privilege The Case of the Placebo
Consenting to the Risks of an Antipsychotic Capacity
Consent for Incompetents
Death and Dying
His Brain Is Gone but Is He Dead?
Appendix
Pharmacists face ethical choices constantly -- sometimes dramatic life-and-death decisions, but more often subtle, less conspicuous choices that are nonetheless important. Among the topics confronted are assisted suicide, conscientious refusal, pain management, equitable distribution of drug resources within institutions and managed care plans, confidentiality, and alternative and non-traditional therapies. Veatch and Haddad's book, first published in 1999, was the first collection of case studies based on the real experiences of practicing pharmacists, for use as a teaching tool for pharmacy students. The second edition accounts for the many changes in pharmacy since 1999, including assisted suicide in Oregon, the purchasing of less expensive drugs from Canada, and the influence of managed care on prescriptions. The presentation of some cases is shortened, most are revised and updated, and two new chapters have been added. The first new chapter presents a new model for analyzing cases, while the second focuses on the ethics of new drug distribution systems, for example hospitals where pharmacists are forced to choose drugs based on cost-effectiveness, and internet based pharmacies. Common terms and phrases: abortion ACE inhibitors action active killing American Pharmaceutical Association antibiotic APhA Code aprepitant asked assisted suicide behavior believe beneficence and nonmaleficence benefit the patient benefits and harms bevacizumab Bioethics Blash cancer chapter chemotherapy choice claim clinical clinical pharmacist clinician Code of Ethics colleagues Commentary commitment committee competent concerned confidentiality conflict consequences consider contraceptive patches contraceptives controversial cost counseling death decide decisionmaking decisions disclose disease dispensing dose drug duty esmolol ethical principle ethical problems evaluations Farney fetus fidelity formulary gene genetic health professional Hippocratic ethic Hippocratic Oath hospital incompetent informed consent involved issues judgments justified NSAIDs one’s options participate person Pharm.D pharmacy physician possible potential pregnancy prescription principle of autonomy promise question reason refuse requires responsible risks rules seems side effects someone substantially autonomous surrogate tell terminal sedation therapy traditional treatment utilitarian welfare wellbeing woman wrong
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