ISSN:0093-0334    

DOI:10.2307/3563190

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3563172

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3563173

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3563174

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Within the next few years scientists will almost certainly have pieced together a broad map of the major gene locations on the twenty‐three human chromosomes. The rapid unfolding of this new knowledge raises new questions: What limits, if any, should be imposed on its acquisition? Who should control the wealth of resulting data? How should it be used? If, because of a deep‐seated need for certitude, many persons are likely to perceive a positive gene probe test as an indicator of biologic destiny, probes may acquire a misleading status in our medical armamentar

ISSN:0093-0334    

DOI:10.2307/3563175

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

In a strike to permit extra billing, physicians in Ontario, Canada, sought to balance their concerns for professional autonomy with their primary call to beneficence. But the right to reasonable compensation within a nationalized health care system is not on the same moral plane as the public's right to health care. Having failed to convince either the provincial government or the public of the soundness of their position, Ontario's doctors must now repair the damage done to the relationship with their patients.

ISSN:0093-0334    

DOI:10.2307/3563176

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

From a medical perspective, patients who do not comply with the doctor's orders are usually seen as deviant and deviance requires correction. But many chronically ill people view their behavior differently, as a matter of self‐regulation. In this light noncompliance supports people's desires for independence and autonomy, desires that align closely with the therapeutic goals of caregiver

ISSN:0093-0334    

DOI:10.2307/3563177

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Mrs. P is a seventy‐six‐year old woman with osteoporosis and a failed left hip prosthesis. In addition, she has severe chronic asthmatic bronchitis. The management of her lung disease has been hampered by her allergy to theophylline, which is one of the mainstays of treatment. As a result, she has had increasing difficulty walking and confinement to a wheelchair is imminent.When surgery to replace the prosthesis was recommended, Mrs. P expressed concern about the possibility of ending up after the operation dependent on a ventilator, possibly comatose. She feared that her resources would be depleted for medical expenses. Little or nothing would be left to pass on to her children.She was willing to have an operation only if she could prepare a legal document that, in the event of prolonged ventilator dependence, would require her physician to remove her from the ventilator after a specified time (for example, two weeks). Should the surgeon agree to be bound by Mrs. P's instructions, or should he refuse her request even if doing so means that she will not have the surgery that might prevent increasing disabil

ISSN:0093-0334    

DOI:10.2307/3563178

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0093-0334    

DOI:10.2307/3563179

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Ethical and legal traditions recognize prenatal duties to avoid harm to offspring. However, applying the harm principle to pregnancy requires a careful balancing of a baby's welfare with a pregnant woman's interest in liberty and bodily integrity. In the case of maternal PKU the mother can prevent harm to her baby by returning to the admittedly unpleasant diet that prevented her from being retarded. Informing, counseling, and access to medical care should be the primary policy. Seizures and forced treatment cannot be justified in this case, and only rarely in other situations.

ISSN:0093-0334    

DOI:10.2307/3563180

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY