Case Studies in Pharmacy Ethics

By:

Robert Veatch

Contributor(s):

Amy Haddad

Material type: Text

TextPublication details: Oxford Oxford University Press 2008Edition: 2nd edition Description: 336 pagesISBN:

9780199885787
0199885788

Subject(s):

DDC classification:

174.2––dc22

LOC classification:

RS100.5.V43 2008
QV 21 .V394c 2007

Contents:

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

Summary: 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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Item type	Current library	Collection	Call number	Status	Barcode
E-BOOKS	MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO	NFIC	174.2 (Browse shelf(Opens below))	-1	EBS11304

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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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