Legal and Ethical Concerns in Treating Kidney Failure: Case Study Workbook (Legal and Ethical Concerns in Medicine 1)

Front Matter....Pages i-15 Withdrawal from Dialytic Therapy....Pages 17-29 Failure to Understand Dialytic Therapy....Pages 30-41 Disruptive Patient....Pages 42-50 Active Heroin Abuse....Pages 51-59 No Dialysis for Aids Nephropathy....Pages 60-70 Futile Dialysis....Pages 71-78 Physician Bias....Pages 79-84 Self Referral of Dialysis Patients....Pages 85-91 Game Playing Families....Pages 92-96 Physician Refusal of HIV+ Patients....Pages 97-103 Religious Control of Patient....Pages 104-111 Emotionally Related Organ Donation....Pages 112-117 Discrimination in Organ Donation....Pages 118-123 “Gift” for Transplant Priority....Pages 124-130 Child to Parent Kindey Transplant....Pages 131-136 Purchased Kidney....Pages 137-142 Suspected Subterfuge in Proposing Kidney Donor....Pages 143-148 Accepting Organ from Mentally Deficient Donor....Pages 149-157 Consent from Child for Organ Donation....Pages 158-166 Donor Kidney Allocation to High Risk Patient....Pages 167-175 Politician’s Priority for Cadaver Donor Kidneys....Pages 176-183 Cadaver Donor Kidney for Non-Compliant Dialysis Patient....Pages 184-191 Organ Donation/Acceptance by Orthodox Jews....Pages 192-198 Hopeless Prognosis....Pages 199-207 Back Matter....Pages 209-213 "Once dialysis treatment, in 1960, permitted life prolongation for some but not all patients in kidney failure, an "ethical genie" was released." "Introduction of peritoneal dialysis and kidney transplantation confounded the physician's dilemma by underscoring those left untreated. Who should be selected for uremia therapy? Should exclusion from treatment be properly relegated to administrators, physicians, or better left to a committee? Are some candidates more worthy than others? As examples: Do Presidents and Kings warrant priority in cadaver organ allocation over ordinary citizens? Are rich people more deserving than the poor? Is it ethical to choose a younger over an older patient? Can children and/or mentally incompetent persons serve as living organ donors? Is it proper to market organs under controlled circumstances?" "Eli A. Friedman, an experienced nephrology training program director, and Medical Advisor to the American Association of Kidney Patients has collected 24 difficult cases that focus on these and other vexing though common stressful issues faced by those who manage kidney patients. Using a novel approach to each case, the opinions of lawyers, nephrologists, patients, and a transplant surgeon are proffered sequentially. Friedman asks and then answers searching questions arising from the debate. The quality of information presented is positively flavored by the fact that three of the respondents (one an attorney) are kidney transplant recipients." "Members of the kidney team, those emersed in seeking truth in medical ethics, and all participating in exploring the legality or ethical basis of organ replacement will find this book pertinent to their effort."--BOOK JACKET. Once dialysis treatment, in 1960, permitted life prolongation for some but not all patients in kidney failure, an `ethical genie' was released. The introduction of peritoneal dialysis and kidney transplantation compounded the physician's dilemma by underscoring those left untreated. Who should be selected for uremia therapy? Should exclusion from treatment be properly delegated to administrators or physicians, or better left to a committee? Are some candidates more worthy than others? As examples: Do Presidents and Kings warrant priority in cadaver organ allocation over ordinary citizens? Are rich people more deserving than the poor? Is it ethical to choose a younger over an older patient? Can children and/or mentally incompetent persons serve as living organ donors? Is it proper to market organs under controlled circumstances? Eli A. Friedman, an experienced nephrology training program director, and Medical Advisor to the American Association of Kidney Patients, has collected 24 difficult cases that focus on these and other vexing though common stressful issues faced by those who manage kidney patients. Using a novel approach to each case, the opinions of lawyers, nephrologists, patients, and a transplant surgeon are proffered sequentially. Friedman asks and then answers searching questions arising from the debate. The quality of information presented is positively flavored by the fact that three of the respondents (one an attorney) are kidney transplant recipients. Members of the kidney team, those immersed in seeking truth in medical ethics, and all participating in exploring the legality or ethical basis of organ replacement will find this book pertinent to their effort.