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Ethics in Pharmacy Practice: A Practical Guide
ā Scribed by Dennis M. Sullivan, Douglas C. Anderson, Justin W. Cole
- Publisher
- Springer
- Year
- 2021
- Tongue
- English
- Leaves
- 240
- Category
- Library
No coin nor oath required. For personal study only.
⦠Synopsis
This textbook offers a unique and accessible approach to ethical decision-making for practicing pharmacists and student pharmacists. Unlike other texts, it gives clear guidance based on the fundamental principles of moral philosophy, explaining them in simple language and illustrating them with abundant clinical examples and case studies. The strength of this text is in its emphasis on normative ethics and critical thinking, and that there is truly a best answer in the vast majority of cases, no matter how complex. The authors place high trust in a pharmacistās moral judgment. This teaches the reader how to think, based on ethical principles, not necessarily what to think. This means navigating between the two extremes of overly theoretical and excessively prescriptive. The cogent framework given in this text uses the language of competing duties, identifying the moral principles at stake that create duties for the pharmacist. This is the balancing act of normative ethics, and of deciding which duties should prevail in a given clinical situation. This work presents a clear-cut pathway for resolving ethical dilemmas encountered by pharmacists, based on foundational principles and critical thinking.
Presents a clear-cut pathway for resolving the ethical dilemmas encountered by pharmacists, based on foundational principles and critical thinking.
Jon E. Sprague, RPh, PhD, Director of Science and Research for the Ohio Attorney General
⦠Table of Contents
Foreword
Preface
References
Contents
Chapter 1: Introduction
The Approach toĀ Ethics inĀ This Text
A Short History ofĀ Ethics inĀ Pharmacy Practice
A Preview ofĀ Topics
References
Chapter 2: Basic Ethical Theory
Introductory Concepts
Organizing Ethical Theories
Ethical Theories Based onĀ Human Reason
Kantian Ethics
Natural Law Ethics
Ethical Theories Based onĀ Tradition
Divine Command Theory
Medical Principlism
Ethical Theories Based onĀ Relationships
Classical Utilitarianism
Situation Ethics
Virtue Ethics
Summary
References
Chapter 3: Human Value andĀ Human Dignity
Human Personhood
Human Dignity
References
Chapter 4: Clinical Ethics inĀ Historical Context, Part I
Medical Principlism andĀ theĀ Hippocratic Tradition
Informed Consent andĀ Decision-Making Capacity
Truth Telling inĀ Healthcare
Pediatric Consent andĀ Assent
References
Chapter 5: Clinical Ethics inĀ Historical Context, Part II
The Eugenics Era andĀ Its Influence onĀ Modern Healthcare Ethics
The Era ofĀ Nazi Medicine
References
Chapter 6: Clinical Ethics inĀ Historical Context, Part III
Human Research Ethics: TheĀ Tuskegee Syphilis Study
The Willowbrook Hepatitis Studies
Human Subjects Research inĀ theĀ Belmont Era
Key Ethical Provisions ofĀ theĀ Belmont Report
The Institutional Review Board
References
Chapter 7: Pharmacy Professionalism
The Ethics Code ofĀ Pharmacists
Virtue asĀ theĀ Foundation ofĀ Pharmacy Professionalism
Health andĀ Wellness Promotion
Everyday Professionalism
Recent Developments
Pharmacy Professionalism andĀ theĀ Law
Conclusion
References
Chapter 8: Reproductive Ethics
Contraception
Abortion
Abortion Ethics
Assisted Reproductive Technologies
ART andĀ Surrogacy
Conclusion
References
Chapter 9: Ethics atĀ theĀ End ofĀ LifeĀ ā Part I
Introduction
Case Study
Defining Death
The Persistent Vegetative State
Advance Directives
Conclusion
References
Chapter 10: Ethics atĀ theĀ End ofĀ LifeĀ ā Part II
The Assisted Suicide Debate
Current Legal Context inĀ theĀ United States
Ethical Arguments Against Assisted Suicide
Ethical Arguments inĀ Favor ofĀ Assisted Suicide
Pharmacist Participation inĀ Lethal Injection
Conclusion
References
Chapter 11: Rights ofĀ Conscience
References
Chapter 12: Vaccines, Resource Allocation, andĀ Unproven Treatments
The Ethics ofĀ Vaccines
Ethics During aĀ Pandemic
The Ethics ofĀ Unproven Treatments
Pandemic Update
Conclusion
References
Chapter 13: Case Studies andĀ Policy Scenarios
Clinical Ethics Analysis: Key Steps
What Are theĀ Medical Facts?
What Is theĀ Central Ethical Question?
What Are theĀ Legal andĀ Situational Constraints?
Who Are theĀ Stakeholders, andĀ Who Decides?
What Is theĀ Patientās Quality ofĀ Life?
What Religious, Moral, or Cultural Factors Influence theĀ Outcome?
What Ethical Principles Have aĀ Bearing onĀ theĀ Case?
Based onĀ these Principles, What Ethical Duties Conflict, andĀ What Is Their Best Resolution?
What Is theĀ Ethical Conclusion?
Clinical Case Studies
Case Study #1: Dealing withĀ aĀ Difficult Patient
Case Study #2: Dealing withĀ Cultural Beliefs
Case Study #3: TheĀ Ethics ofĀ Palliative Care
Case Study #4: End-of-Life Decision Making
Case Study #5: Abortion andĀ Malignancy
Case Study #6: Neglect inĀ anĀ 8-Year-Old Boy
Case Study #7: Helping aĀ Patient withĀ Substance Abuse Disorder
Case Study #8: AĀ Patient withĀ aĀ Massive Head Injury
Case Study #9: Should theĀ Pharmacist Dispense this Medication?
Case Study #10: Should This Patient Have Emergency Heart Surgery?
Case Study #11: Medical Marijuana forĀ Chronic Pain
Case Study #12: AĀ Forged Prescription
Case Study #13: Drug Scarcity During aĀ Crisis
Case Study #14: Dispensing aĀ Recalled Medication
Case Study #15: Who Gets theĀ Insulin?
Case Study #16: When Should WeĀ Stop?
Case Study #17: AĀ Handshake Arrangement
Case Study #18: Discontinuing anĀ ICD
Policy Scenarios
Policy Case Study #1: Should theĀ Pharmacist Support This Law?
Policy Case Study #2: Midazolam forĀ Lethal Injection
Policy Case Study #3: Should WeĀ Use Nazi Research Data?
Policy Case #4: Rights ofĀ Conscience
Policy Case #5: Non-Medical Exemptions fromĀ aĀ Vaccine Mandate
Policy Case #6: Testing aĀ New Drug
Policy Case #7: AĀ Grant-Funded Diabetes Study
References
Chapter 14: Genetic Ethics andĀ Other Cutting-Edge Issues
The Genetic Frontier
Gene Editing
Three-Person Embryos
Genetic Information: Testing andĀ Privacy Issues
Precision Medicine
Additional Challenges inĀ Genetic Ethics
Other Cutting-Edge Issues
Machine Learning andĀ Artificial Intelligence (AI)
The Rise ofĀ Telehealth andĀ Telemedicine
The Ethics ofĀ Pharmacy Benefit Managers (PBMs)
Mandatory Preventative Treatments andĀ Health Behaviors
The Continued Opioid Crisis
Conclusion
References
Glossary
Index
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