Medico-Legal and Ethical Issues in Cardiology and General Medicine
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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
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.