Ethics in intensive care medicine / Andrej Michalsen, Nicholas Sadovnikoff, Jozef Kesecioglu, editors.

Other author Michalsen, Andrej, 1957-
Other author Sadovnikoff, Nicholas.
Other author Kesecioglu, Jozef.
Format Electronic
Publication InfoCham : Springer, 2023.
Description1 online resource (181 p.).
Supplemental ContentDirect link to eBook
Subjects
Critical care medicine--Moral and ethical aspects.

SeriesLessons from the ICU
Lessons from the ICU.
Contents Intro -- Foreword -- Preface -- Acknowledgements -- Contents -- About the Editors -- Editors and Contributors -- Contributors -- I: Principles of Clinical Ethics in Intensive Care Medicine -- 1: Clinical Ethics and Ethical Principles -- 1.1 Introduction -- 1.2 Ethical Theory: An Overview -- 1.2.1 Utilitarianism -- 1.2.2 Deontology -- 1.2.3 Virtue Ethics -- 1.2.4 Narrative Ethics -- 1.3 Principlism -- 1.3.1 Beneficence -- 1.3.2 Non-maleficence -- 1.3.3 Distributive Justice -- 1.3.4 Autonomy -- 1.3.5 Limitations to Principlism -- References
Contents 2: The Two Pillars of Intensive Care Medicine (I): Medical Indication -- 2.1 Introduction -- 2.2 Definition of Intensive Care and Intensive Care Patient -- 2.3 Criteria to Admit a Patient -- 2.4 Scoring Systems Regarding the Severity of Disease -- 2.5 The Decision: To Admit or Not to Admit -- 2.6 Exceptional Situations to Admit a Patient -- 2.7 Derogatory Reasons to Admit or Not to Admit -- 2.8 Consequences of Admitting a Patient -- 2.9 Consequences of Not Admitting a Patient -- References -- 3: The Two Pillars of Intensive Care Medicine (II): The Patient's Wishes and Consent -- 3.1 Introduction
Contents 3.2 Respect for Autonomy and Informed Consent -- 3.2.1 Decision-Making Capacity -- 3.2.2 Voluntariness -- 3.3 Paternalism/Parentalism and Shared Decision-Making -- References -- II: Decision-making -- 4: Shared Decision-Making (I): Within the Interprofessional Team -- 4.1 Introduction -- 4.2 Clinical Case Example -- 4.3 Interprofessional Shared Decision-Making: Definition and Scope of Application -- 4.4 Recommendations -- 4.5 Clinical Case Example: Continued -- 4.6 Special Circumstances -- References -- 5: Shared Decision-Making (II): With Patients and Families -- 5.1 Introduction
Contents 5.2 The Relevance of Shared Decision-Making -- 5.3 Shared Decision-Making in Critically Ill Patients at Time of ICU Admission -- 5.4 Families in the ICU: Shared Decision-Making in a Context of High Emotional Distress -- 5.5 Impact of Shared Decision-Making on Families' Well-Being -- 5.6 Team-Centered Challenges -- 5.7 Strategies to Improve Shared Decision-Making -- 5.7.1 Frameworks and Recommendations -- 5.7.2 Family Conferences: The VALUE Approach -- 5.7.3 Support for the Family -- 5.7.4 Dealing with Discordance and Conflict -- 5.7.5 Mediation -- References
Contents 6: The Significance of Cultural Diversity -- 6.1 Introduction -- 6.2 Multiculturalism and Cultural Diversity -- 6.3 Impact of Culture in Critical Care -- 6.3.1 Death and Dying -- 6.3.2 Communication -- 6.3.3 Staff Well-being -- References -- III: Goal of Therapy and Extent of Treatment -- 7: Life-Sustaining Therapies: Indication, Prognostication, and the Patient's Wishes -- 7.1 Introduction -- 7.2 Prognostication -- 7.2.1 Prognostication of Morbidity and Mortality During ICU Treatment -- 7.2.2 Prognostication of Morbidity and Mortality After Discharge from the ICU -- 7.3 Goal-Concordant Care
Abstract In this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, experts in the field of clinical ethics describe basic principles of clinical ethics and ethical reasoning, the fundamental pillars of intensive care medicine as well as the decision-making processes necessary to arrive at appropriate decisions for each individual patient. Specifically, the complex decision-making process, with regard to limiting life-sustaining therapies and integrating palliative care into intensive care, are expounded. Furthermore, the still controversial topics of ethical climate, proportionate care, and prioritization are elaborated upon. The so-called soft skills of inter-professional communication and co-operation are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill. Finally, widely accepted ethical values and principles were challenged by the Covid-19 pandemic, forcing clinicians to elaborate recommendations regarding the prioritization of scarce resources. The book will be an invaluable tool for clinicians to understand ethical principles and reasoning to contend ethical challenges in intensive care medicine across the boundaries of disciplines and professions, in order to provide an appropriate individual plan of treatment for their patients.
General note7.4 Shared Decision-Making
Bibliography noteIncludes bibliographical references and index.
Source of descriptionOnline resource; title from PDF title page (SpringerLink, viewed July 27, 2023).
Issued in other formPrint version: Michalsen, Andrej Ethics in Intensive Care Medicine Cham : Springer International Publishing AG,c2023 9783031293894
ISBN9783031293900 (electronic bk.)
ISBN3031293908 (electronic bk.)
Standard identifier# 10.1007/978-3-031-29390-0

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