Living with Grief: Ethical Dilemmas and End-of-Life Care
Table of Contents
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Foreword Jack D. Gordon
Acknowledgments
SECTION I: HISTORICAL, SPIRITUAL, AND CULTURAL PERSPECTIVES
1. Philosophical Principles of Ethical Judgments
James L.Werth, Jr.
2. Religious, Spiritual, and Ideological Perspectives on Ethics at End of
Life
Cynthia B. Cohen
3. Cultural and Religious Views on
Nonbeneficial Treatment
Noel Tiano and ElizaBeth Beyer
Case Study: “Please don’t
tell her.” Family Opposition to Breaking Bad News
San Diego Hospice and Palliative Care
4.
Ethics, End-of-Life
Care, and the Law: Overview
Alan Meisel and Bruce Jennings
SECTION II: CURRENT ETHICAL ISSUES IN END-OF-LIFE CARE
5. How
Americans Want to Die—Grassroots Values and Cultural Diversity
Bruce Jennings
Case Study: Patient Autonomy, Beneficence, Medical Futility, and
the Hospice Health Care Provider
Hospice of Palm Beach County
6. Autonomy, Consent, and Advance
Directives
William M. Lamers, Jr.
7. Initiating, Facilitating, and Honoring Conversations about Future
Medical Care
Bernard J. Hammes and Linda A. Briggs
Case Study: The Withdrawal of Ventilator Support at Home
San Diego Hospice and Palliative Care
8. When Families Disagree: Family Conflict and Decisions
Samira K. Beckwith
9. Ethical Dilemmas in Surrogate Decision Making
Bruce Jennings
10. Rational Suicide in Terminal Illness: The
Ethics of Intervention and Assistance
Thomas Attig
Case Study: Privileged Information or
Confused Communication?
Hospice and Palliative Care Associates of Central New York
SECTION III: ETHICS AND THE HEALTH SYSTEM
11. Ethical Dilemmas in
Hospice Care
Richard Fife
Case Study: Sarah: Autonomy and Medical
Paternalism
Hospice of the Bluegrass
12. A Life Cut Short: When Children Die
Craig M. Klugman
Case Study: Brian: Autonomy and
Self-Determination of a Minor
The Center for Hospice and Palliative Care
13. Living and Dying in Nursing Homes
Sandra Johnson
14. Organ Donation: Ethical Issues and Issues of Loss and Grief
Charles A. Corr
15. The Ethics of Excess and Deprivation: Implications for End-of-Life
Care
Larry R. Churchill
SECTION IV: CONCLUSION
16. Ethics,
End-of-Life Decisions, and Grief
Kenneth J. Doka
Case Study: Withdrawal of Implantable Cardiac
Devices
Alive Hospice
17. Emerging Ethical Issues in the 21st Century
Robert Kastenbaum
18. Resources
Lisa McGahey Veglahn
