Foreword |
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xi | |
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Preface |
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xiii | |
Acknowledgments |
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xxiii | |
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PART I A Framework for Understanding Bioethics Mediation |
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1 | (30) |
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3 | (18) |
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The Angry Family Acting Against the Best Interest of the Patient: Clarence Coming's Case |
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3 | (2) |
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The Isolated Wife Adjusting to Loss: Edward Davidoff's Case |
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5 | (2) |
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Managing Conflict in the Contemporary Medical Context |
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7 | (1) |
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8 | (1) |
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What Is Clinical Ethics Consultation? |
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9 | (2) |
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11 | (1) |
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Mediation in Health Care Settings |
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12 | (2) |
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14 | (1) |
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The Limitations of Mediation |
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15 | (1) |
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Mediation and Consultation Distinguished |
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15 | (1) |
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16 | (1) |
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A Dying Patient and the Issue of Scarce Resources: Alex Barlow's Case |
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17 | (4) |
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2 What Makes Bioethics Mediation Unique? |
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21 | (10) |
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The Bioethics Mediator Is Generally Employed by the Hospital |
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22 | (1) |
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The Bioethics Mediator and Members of the Treatment Team Are Repeat Players |
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23 | (1) |
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The Bioethics Mediator Provides Information, Enforces Norms, and Ensures That Resolutions Fall within Medical Best-Practice Guidelines |
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23 | (1) |
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Deciding Not to Reach a Resolution Is Not an Option |
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24 | (1) |
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The Playing Field Is Usually Uneven for Patients and Their Families |
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24 | (1) |
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Confidentiality Is Limited to Information Not Relevant to Patient Care |
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25 | (1) |
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26 | (1) |
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Bioethics Mediations Involve Life-and-Death Issues |
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26 | (1) |
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Facts Play a Different Role |
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26 | (1) |
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The Person with the Greatest Stake in the Dispute, the Patient, Is Often Not at the Table |
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27 | (1) |
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There May Be a Sequence of Separate, Prior Meetings in Addition to the Group Mediation |
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28 | (1) |
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Bioethics Mediations Are Almost Always Multiparty Events |
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28 | (1) |
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The Parties Usually Do Not Sign an Agreement to Mediate |
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28 | (1) |
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The Physical Setting May Not Be in the Mediator's Control |
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29 | (1) |
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Bioethics Mediators Are Often Involved in Following Up on Implementation of the Agreement |
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29 | (1) |
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The Clinical Ethics Consultant Enters a Detailed Account of the Mediation in the Patient's Chart |
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29 | (1) |
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All Participants in a Bioethics Mediation Have a Common Interest in the Well-Being of the Patient |
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30 | (1) |
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PART II A Practical Guide to Bioethics Mediation |
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31 | (62) |
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3 Before You Begin a Bioethics Mediation Program |
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33 | (10) |
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What Bioethics Mediators Should Know |
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33 | (4) |
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Who Should Conduct Bioethics Mediations |
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37 | (3) |
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Who Can Request a Bioethics Mediation and Who Must Participate |
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40 | (3) |
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4 The Stages of Bioethics Mediation |
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43 | (30) |
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Overview of the Stages of Bioethics Mediation |
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43 | (1) |
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How the Process Works: Jennifer's Case |
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44 | (3) |
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Stage 1 Assessment and Preparation |
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47 | (7) |
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Stage 2 Beginning the Mediation |
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54 | (3) |
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Stage 3 Introducing the Patient |
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57 | (1) |
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Stage 4 Presenting and Refining the Medical Facts |
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58 | (3) |
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Stage 5 Gathering Information |
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61 | (5) |
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66 | (2) |
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68 | (3) |
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71 | (2) |
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5 Techniques for Mediating Bioethics Disputes |
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73 | (20) |
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74 | (1) |
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75 | (3) |
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78 | (1) |
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79 | (2) |
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81 | (1) |
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Dealing with Power and Power Imbalances |
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81 | (2) |
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An "Old Lady" and Her Twelve Cats |
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83 | (2) |
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85 | (8) |
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93 | (38) |
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6 How to Write a Bioethics Mediation Chart Note |
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95 | (36) |
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95 | (3) |
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98 | (13) |
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Typical Ethical Issues and Analysis |
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111 | (20) |
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131 | (30) |
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7 Mediation with a Competent Patient: Mr. Samuels's Case |
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133 | (8) |
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8 Mediation with a Dysfunctional Family: Mrs. Bates's Case |
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141 | (6) |
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9 A Complex Mediation with a Large and Involved Family: Mrs. Leonari's Case |
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147 | (14) |
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PART V Role-Plays: Practicing Mediation Skills |
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161 | (52) |
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10 Discharge Planning for a Dying Patient: A Role-Play |
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165 | (8) |
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11 An At-Risk Pregnancy: A Role-Play |
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173 | (6) |
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12 HIV and Postsurgical Complications in the ICU: A Role-Play |
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179 | (10) |
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13 Treating the Dying Adolescent: A Role-Play |
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189 | (8) |
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14 She Didn't Mean It: A Role-Play |
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197 | (6) |
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15 Don't Tell Mama: A Role-Play |
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203 | (10) |
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PART VI Annotated Transcripts of Bioethics Mediation Role-Plays |
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213 | (78) |
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16 An At-Risk Pregnancy: A Role-Play Transcript |
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215 | (12) |
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17 HIV and Postsurgical Complications in the ICU: A Role-Play Transcript |
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227 | (26) |
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18 She Didn't Mean It: A Role-Play Transcript |
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253 | (20) |
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19 Don't Tell Mama: A Role-Play Transcript |
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273 | (18) |
Afterword |
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291 | (2) |
Appendix Charting the Future: Credentialing, Privileging, Quality, and Evaluation in Clinical Ethics Consultation |
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293 | (18) |
References |
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311 | (4) |
Suggested Reading on Mediation |
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315 | (2) |
Index |
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317 | |