In clinical environments, all decisions are ethical decisions in that they reflect and impact the values of patients, professionals, and families interacting in the healthcare system. Ethical Decisions in Healthcare: Patients, Families, and Professionals is a casebook that offers real-life clinical ethics cases followed by expert commentary written by the book authors and co-authors. This text is intended as course companion sourcebook that offers narrative accounts of clinical ethics cases. By engaging in applied ethics discourse, learners employ an ethical decision-making framework to assess ethical issues, reflect upon biases, gather facts, analyze stakeholder needs and values, consider options, and develop justified responses. Through this process, learners develop their decision-making skills as moral agents.
The introduction to the text orients the reader to the context of the text: applied healthcare ethics and informed decision-making. Learners are invited to consider their own professional identities as they explore cases from a variety of perspectives as the authors present a framework for informed decision-making. The introduction also provides a brief note for educators in the application of the cases to competency-based assessment. The cases are presented in the third person and offer perspectives from patients, families, students, and healthcare workers. Each case of followed by suggested questions and prompts for discussion and reflection. Commentaries that follow the cases explore some of the ethical issues and provide readers with some things to think about as they enter the discourse. Through these issues, we can analyze the intersections where the professions affect human values and the opportunities that lie between stimulus and response.
Foreword
Acknowledgments xi
About the Authors
Selected Bibliography
The Preliminaries
Eric S. Swirsky, JD MA
Cases
Case 1 – Warm Up: Where Do You Stand?
Eric S. Swirsky, JD MA
Case 2 – Warmup: Fidelity
Eric S. Swirsky, JD MA
Case 3 – ACME ZenApp
Eric S. Swirsky, JD MA
Case 4 – Applesauce
Chandi Edmonds, PT, Eric S. Swirsky, JD MA, and Ann W. Jackson, PT DPT MPH
Case 5 – Blowing Smoke
Hedayah Yehya, BS and Eric S. Swirsky, JD MA
Case 6 – I Want a Say
Kristi Kirschner, MD, and Ann Jackson DPT PT MPH
Case 7 – In re Fetus Brown
Eric S. Swirsky, JD MA
Case 8 – Learning Experience
Mohammed Faraz and Eric S. Swirsky, JD MA
Case 9 – My Neighbor’s Keeper
Amber Brim, DPT PT, Eric S. Swirsky, JD MA, and Ann W. Jackson DPT PT MPH
Case 10 – Policy
Eric S. Swirsky, JD MA
Case 11– A Prescription for Pain
Graham Ikler, BS and Eric S. Swirsky, JD MA
Case 12 – Sharing
Eric S. Swirsky, JA MA
Case 13 – Vignettes: Social Media Shenanigans
Eric S. Swirsky, JD MA
Case 14 – Stand
Eric S. Swirsky, JD MA
Case 15 – Texting Dr. Hinkle
Matthew Byrd, MS and Eric S. Swirsky, JD MA
Case 16 – The Prick
Eric S. Swirsky, JD MA and Ann W. Jackson, PT DPT MPH
Case 17 – The Right to Breathe
Paul Dickerson LSW, Eric S. Swirsky JD MA, and Ann W. Jackson PT DPT MPH
Case 18 – The Screening
Ben Halverson, MS and Eric S. Swirsky, JD MA
Case 19 – The Silent Infection
Weronika A. Ptaszek, BS and Eric S. Swirsky, JD MA
Case 20 – The Social Context
Ryan Nini, MS, Ann W. Jackson, PT DPT MPH, and Eric S. Swirsky, JD MA
Case 21 – The Tourist
Eric S. Swirsky, JD MA
Case 22 – What’s In a Title?
Ann W. Jackson, PT DPT MPH and Eric S. Swirsky, JD MA
Case 23 – Who is Responsible?
Julie Rosen, PT MBA, Eric S. Swirsky, JD MA, and Ann W. Jackson, DPT PT MPH
Addenda
a) Empathy map
b) Wheel of Life