By Ahmed Ammar, Mark Bernstein
Good neurosurgical perform relies not just on facts, talents, and sleek apparatus, but additionally on reliable values. This ebook is the 1st to debate particularly the moral matters that come up through the day-by-day perform of neurosurgery. it really is divided into 3 elements addressing sufferers’ rights, moral matters in terms of the operating setting, and wider societal facets reminiscent of dealings of neurosurgeons with the felony process, the media, and corporations. The authors are well-established neurosurgeons who current the moral difficulties that they've encountered in the course of their careers and clarify what they've got discovered in confronting those difficulties. In all, greater than 50 neurosurgical situations drawn from genuine existence are mentioned and mentioned from a moral viewpoint. This publication could be specially informative for younger neurosurgeons and should supply all who paintings during this very distinctive box with a highway map on easy methods to keep away from violations of clinical ethics in neurosurgical practice.
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Sturdy neurosurgical perform is predicated not just on facts, talents, and glossy apparatus, but additionally on strong values. This ebook is the 1st to debate in particular the moral concerns that come up in the course of the day-by-day perform of neurosurgery. it's divided into 3 components addressing sufferers’ rights, moral matters in terms of the operating setting, and wider societal elements resembling dealings of neurosurgeons with the criminal process, the media, and corporations.
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Additional info for Neurosurgical Ethics in Practice: Value-based Medicine
3. The patient’s religious faith trumps medical recommendation, as there are certain groups who refuse blood transfusion, surgical intervention, or even drug therapy. 4. The patient has a psychiatric problem such as severe depression or frontal lobe syndrome or some other psychological problems. 5. The patient has complete lack of trust in the treating team and/or the medical system. 6. The patient has decided to be treated elsewhere. Refusal of the patient to receive treatment may be of several forms for different reasons (Glod 2010; Pope 2010).
The patient and the family should have the right to complain, at one or more of several levels: (a) The patient may complain to the treating neurosurgeon. The treating consultant should listen and take the complaint very seriously and try to make certain the 42 A. Ammar and G. Seynaeve patient knows he/she has been heard and positively respond to the patient’s concerns. If some corrective action is appropriate, the surgeon should try to take action to rectify the cause of complaint and keep the patient up to date on those actions.
Native communitarians lack written grand theories because their literature is typically oral and their theories embedded in narratives, social norms, and sanctions. Communitarians see their universe as an extension of their own reality – they are a mere speck in its vastness, but its vastness is a real extension of themselves which they may learn properly to engage. The focal entity is neither the individual nor the majority but the community; the tool is not pure reason or rigorous analysis but ongoing culture and tradition.