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Critical care is a highly complex area of medicine, in which 30% of patients are expected to die. Developments in law have had a major impact on treatment expected and received in the ICU. However, the law and ethics surrounding clinical practice are not always clear, and generate much concern for those working in intensive care. This book outlines how the law has changed and the impact this has had on the practice of intensive care medicine. Particular clinical scenarios are outlined to illustrate real problems that develop during normal clinical practice, with discussion of the legal and ethical framework that arises from these scenarios, and possible solutions to the problems that are identifed. It also covers issues such as consent, who decides children's rights, living wills, withholding and withdrawing of life-saving care, whether there is a right to insist on treatment, definitions of 'death', ICU funding, and the breaking of bad news. The emphasis is on practical information that will inform all professionals involved with patients admitted to the ICU, including doctors, nurses and allied health professionals.
Chris Danbury, Consultant in Anesthesia and Pain Medicine, Royal Berkshire Hospital, Reading Chris Newdick, Professor of Health Law at the University of Reading Carl Waldmann, Consultant in Anesthesia and Pain Medicine, Royal Berkshire Hospital, Reading Andrew Lawson, Consultant in Anesthesia and Pain Medicine, Royal Berkshire Hospital, Reading
An introduction to ethical models ; Evolution of healthcare law ; SECTION A: ISSUES OF COMPETENCE AND AUTONOMY ; 1. Consent for intensive care - public and political expectations vs. conceptual and practical hurdles ; 2. Adults who lack capacity to consent ; 3. The best interest of babies and children ; SECTION B: A. ISSUES BETWEEN DOCTOR AND PATIENT ; 4. Taking it or leaving It: demanding and refusing treatment in intensive care ; 5. Dying to know: legal and ethical issues surrounding death and Do Not Resuscitate orders ; 6. Diagnosing death ; 7. Research in intensive care ; SECTION C: A. MANAGING THE INTENSIVE CARE UNIT ; 8. NHS governance of critical care ; 9. Reverse triage? Managing scarce resources in intensive care ; 10. Doing what's best: organ donation and intensive care ; 11. Conflicts of interest
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- ID: 9780199562039
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