Ethical Issues in Neurology

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Author: James L. Bernat
Published: November 1994
Publisher: Butterworth-Heinemann
ISBN: 0750695013
Paperback Book
Number of Pages: 364

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Ethical Issues in Neurology

Offers a balanced, objective view alongside Dr. Bernat's personal and professional perspectives
Includes an expanded professional ethics chapter
Extensively revised sections on physician-assisted suicide and futility
Current and comprehensive, this significant text covers the ethical dilemmas you face in daily practice. While exploring and analyzing each ethical issue, it reviews existing guidelines and scholarly opinions and offers you balanced and objective approaches. Updated and revised, this new edition includes new chapters on controversial issues including palliative care, withholding and withdrawing life-sustaining treatment, and clinical research. Topics include ethical theory and practice, professional conduct, physician-assisted suicide, brain death, persistent vegatative, neonates with severe brain damage, dementia mental retardation, neurogenetics, and AIDS. Author Biography: James L. Bernat, MD, is Professor of Medicine (Neurology), Dartmouth Medical School, Hanover, New Hamphire; Associate Chief, Neurology Section and Director, Program in Clinical Ethics, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire This is a comprehensive account of the ethical issues facing physicians treating patients affected by neurological disorders. The purpose is to provide neurologists, neurosurgeons, and physicians a review of the fundamental vocabulary of ethics, to discuss the relationship between ethics and law, and to approach clinical ethical problems in dealing with patients suffering from neurological disorders. The audience is the neurologist and the neurosurgeon, although the book will also be useful for medical students and physicians dealing with issues of cerebral death, vegetative states, and other neurological disorders. The controversial issues of withholding or withdrawing treatment in patients with various diseases is also discussed. The relationship between the physician, the patient, and the caregivers are well outlined. This is a well-written comprehensive book dealing with the various facets of ethics in neurology. The references are up-to-date and presented in the note format, permitting the authors to annotate the text and to provide a comment and, at times, a guideline on the references. The strength of the book is the author's accessible writing style and the evenness of the content. Dr. Bernat's knowledge of the material makes reading pleasant, but the best feature of the book is his ability to present the various sides of a controversy with equanimity and compassion. This is a must-have book for neurologists and neurosurgeons and a highly recommended book for physicians dealing with patients suffering from neurological disorders. The contents are subdivided into progressive levels of specificity and the index is excellent, permitting easy access to key material. ...an excellent reference for practitioners and trainees in neurologically related clinical fields. A monograph that provides neurologists, neurosurgeons, and other physicians who treat neurological patients with a comprehensive, current account of some of the important ethical problems they face in their daily practices. The volume is divided into four sections: the theory and practice of clinical ethics; termination of medical treatment for incompetent patients; ethical issues in neurological syndromes; and other clinical ethical issues (physician-assisted suicide, euthanasia, and medical futility).

Table of Contents
Preface
The Theory and Practice of Clinical Ethics 1
1 Ethical Theory 3
2 Ethical Practice 23
3 Professional Ethics 41
4 Clinical Ethics and the Law 65
5 The Hospital Ethics Committee and the Ethics Consultant 89
Termination of Medical Treatment for Incompetent Patients 111
6 Brain Death 113
7 The Persistent Vegetative State and Other States of Profound Brain Damage 145
8 Neurologically Defective Neonates 175
Ethical Issues in Neurological Syndromes 199
9 States of Profound Paralysis with Intact Cognition 201
10 Dementia 221
11 Mental Retardation 245
12 Neurogenetic Diseases 265
13 Acquired Immunodeficiency Syndrome 287
Other Clinical-Ethical Issues 311
14 Physician-Assisted Suicide and Voluntary Active Euthanasia 313
15 Medical Futility 333
Index 355

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