Medico-Legal and Ethical Issues in Cardiology and General Medicine

1st Edition
0071312900 · 9780071312905
Overview With rapid advancement in medical science, technology, and skills comes a myriad of legal, ethical, and moral problems. Almost daily, items of ethical and medico-legal significance are appearing in the media. A basic understanding of the med… Read More
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Foreword I

Foreword II

Preface

About the Authors

Case Scenarios

1 Driving after a Heart Attack

2 Driving When Medically Unfit – Should the Authorities Be Informed?

3 Medical Assistance on Board a Plane

4 Fitness to Fly – What Are the Guidelines?

5 Air Travel during Pregnancy – Fitness to Fly

6 Assisting in a Road Traffic Accident

7 Family Involvement in Informed Consent – Is it Appropriate?

8 Issues on Treating a Mentally Incompetent Patient

9 Advance Medical Directive

10 Underage Termination of Pregnancy

11 Operating on a Jehovah’s Witness – Refusal of Blood Transfusion

12 Jehovah’s Witnesses and Their Children – Can Parents Refuse a Blood Transfusion?

13 Self-discharge – Is the Patient Competent?

14 A & E Assessment of Chest Pain – Negligence

15 Bed Shortage – A Physician’s Obligation

16 A Non-compliant Patient

17 Unable to Afford Medical Treatment – Financial Issues

18 Refusal to Leave Hospital after Being Fit for Discharge

19 Do Not Resuscitate Orders

20 A Family’s Request to Continue a Futile Resuscitation – What Should You Do?

21 A Child’s “Right to Die” – Does This Right Exist?

22 Withdrawal of Treatment

23 Tourist without Medical Insurance – Your Duty to Treat

24 Withdrawal of Financial Support

25 Obtaining Informed Consent in Clinical Trials

26 Missed Diagnosis – Who Is Liable?

27 HIV and Doctor–Patient Confidentiality – Can It Be Breached?

28 Issues Surrounding HIV Testing

29 HIV Testing in Children without Parental Consent – Is It Ethical?

30 Breaking Doctor–Patient Confidentiality in Illicit Drug Use and HIV Testing

31 Wrong-side and/or Wrong-site Procedure – Are You Liable?

32 A Drunken Colleague at Work – What Should You Do?

33 Prescribing for Colleagues – Drug Dependence?

34 Informing a Patient about a Colleague’s Inappropriate Treatment

35 Bleeding Following Anticoagulation – Is It Medical Negligence?

36 Failure to Screen Family Members

37 Sudden Death during Military Service – Are You Liable?

38 Pre-enlistment Screen Failure – Who Is Liable?

39 Exceptions to Patient Confidentiality

40 Breaking Bad News – The Essence of Good Communication

41 Patient’s Relatives – Can You Treat or Offer Advice?

42 Withholding Information and Diagnosis – Is it Ethical?

43 Failure to Refer

44 Human Organ Transplantation

Appendices

Appendix 1 Declaration of Geneva Physician’s Oath

Appendix 2 Hippocratic Oath – Modern Version

Appendix 3 Government Proceedings Act (Chapter 121)

Appendix 4 Singapore Armed Forces Act (Chapter 295)

Appendix 5 Misuse of Drugs Act (Chapter 185)

Appendix 6 Declaration of Helsinki

Appendix 7 The Belmont Report 1979 (USA)

Appendix 8 Notification of Infectious Diseases Form

Index
Overview

With rapid advancement in medical science, technology, and skills comes a myriad of legal, ethical, and moral problems. Almost daily, items of ethical and medico-legal significance are appearing in the media. A basic understanding of the medico-legal and ethical issues in healthcare is essential for safe, responsible, and ethical practice in daily clinical work. This book looks at such issues, in those areas where law and medicine commonly meet. The doctor-lawyer team uses a novel question-and-answer format, with a special emphasis on problem-solving, to make learning about medico-legal and ethical principles effortless and educational. The practical and realistic case scenarios featured are commonly faced by cardiologists, internists and family physicians.


Features of This Book
• Interesting presentation through a case scenario-based question-and-answer format.
• "Take-home Messages" and "Clinical Considerations" crystallise the key points discussed in the case scenarios.