Bioethics mediation : a guide to shaping shared solutions / Nancy Neveloff Dubler and Carol B. Liebman.
2011
R723.5 .D83 2011 (Map It)
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Author
Title
Bioethics mediation : a guide to shaping shared solutions / Nancy Neveloff Dubler and Carol B. Liebman.
Published
Nashville, Tenn. : Vanderbilt University Press, 2011.
Call Number
R723.5 .D83 2011
Edition
Revised & expanded edition.
ISBN
9780826517715 (cloth edition : alk. paper)
0826517714 (cloth edition : alk. paper)
9780826517722 (pbk. edition : alk. paper)
0826517722 (pbk. edition : alk. paper)
0826517714 (cloth edition : alk. paper)
9780826517722 (pbk. edition : alk. paper)
0826517722 (pbk. edition : alk. paper)
Description
xxiv, 320 pages ; 26 cm
System Control No.
(OCoLC)680587176
Note
"A United Hospital Fund book."
Bibliography, etc. Note
Includes bibliographical references (pages [311-313) and index.
Record Appears in
Added Author
Table of Contents
Foreword / James R. Tallon Jr.
xi
Preface
xiii
Acknowledgments
xxiii
pt. I
A Framework for Understanding Bioethics Mediation
1
1.
Why Mediation?
3
The Angry Family Acting Against the Best Interest of the Patient: Clarence Corning's Case
3
The Isolated Wife Adjusting to Loss: Edward Davidoff's Case
5
Managing Conflict in the Contemporary Medical Context
7
What Is Bioethics?
8
What Is Clinical Ethics Consultation?
9
Mediation
11
Mediation in Health Care Settings
12
Principled Resolutions
14
The Limitations of Mediatio
15
Mediation and Consultation Distinguished
15
The Case for Mediation
16
A Dying Patient and the Issue of Scarce Resources: Alex Barlow's Case
17
2.
What Makes Bioethics Mediation Unique?
21
The Bioethics Mediator Is Generally Employed by the Hospital
22
The Bioethics Mediator and Members of the Treatment Team Are Repeat Players
23
The Bioethics Mediator Provides Information, Enforces Norms, and Ensures That Resolutions Fall within Medical Best-Practice Guidelines
23
Deciding Not to Reach a Resolution Is Not an Option
24
The Playing Field Is Usually Uneven for Patients and Their Families
24
Confidentiality Is Limited to Information Not Relevant to Patient Care
25
Time Is of the Essence
26
Bioethics Mediations Involve Life-and-Death Issues
26
Facts Play a Different Role
26
The Person with the Greatest Stake in the Dispute, the Patient, Is Often Not at the Table
27
There May Be a Sequence of Separate, Prior Meetings in Addition to the Group Mediation
28
Bioethics Mediations Are Almost Always Multiparty Events
28
The Parties Usually Do Not Sign an Agreement to Mediate
28
The Physical Setting May Not Be in the Mediator's Control
29
Bioethics Mediators Are Often Involved in Following Up on Implementation of the Agreement
29
The Clinical Ethics Consultant Enters a Detailed Account of the Mediation in the Patient's Chart
29
All Participants in a Bioethics Mediation Have a Common Interest in the Well-Being of the Patient
30
pt. II
A Practical Guide to Bioethics Mediation
31
3.
Before You Begin a Bioethics Mediation Program
33
What Bioethics Mediators Should Know
33
Who Should Conduct Bioethics Mediations
37
Who Can Request a Bioethics Mediation and Who Must Participate
40
4.
The Stages of Bioethics Mediation
43
Overview of the Stages of Bioethics Mediation
43
How the Process Works: Jennifer's Case
44
Stage 1
Assessment and Preparation
47
Stage 2
Beginning the Mediation
54
Stage 3
Introducing the Patient
57
Stage 4
Presenting and Refining the Medical Facts
58
Stage 5
Gathering Information
61
Stage 6
Problem Solving
66
Stage 7
Resolution
68
Stage 8
Follow-up
71
5.
Techniques for Mediating Bioethics Disputes
73
Stada
74
Summarizing
75
Reframing
78
Questioning
79
Looking beyond Labels
81
Dealing with Power and Power Imbalances
81
An "Old Lady" and her Twelve Cats
83
Generating Movement
85
pt. III
Chart Notes
93
6.
How to Write a Bioethics Mediation Chart Note
95
Introduction
95
The Chart Note
98
Typical Ethical Issues and Analysis
111
pt. IV
Case Analyses
131
7.
Mediation with a Competent Patient: Mr. Samuels's Case
133
8.
Mediation with a Dysfunctional Family: Mrs. Bates's Case
141
9.
A Complex Mediation with a Large and Involved Family: Mrs. Leonari's Case
147
pt. V
Role-Plays: Practicing Mediation Skills
161
10.
Discharge Planning for a Dying Patient: A Role-Play
165
11.
An At-Risk Pregnancy: A Role-Play
173
12.
HIV and Postsurgical Complications in the ICU: A Role-Play
179
13.
Treating the Dying Adolescent: A Role-Play
189
14.
She Didn't Mean It: A Role-Play
197
15.
Don't Tell Mama: A Role-Play
203
pt. VI
Annotated Transcripts of Bioethics Mediation Role-Plays
213
16.
An At-Risk Pregnancy: A Role-Play Transcript
215
17.
HIV and Postsurgical Complications in the ICU: A Role-Play Transcript
227
18.
She Didn't Mean It: A Role-Play Transcript
253
19.
Don't Tell Mama: A Role-Play Transcript
273
Afterword
291
Appendix Charting the Future: Credentialing, Privileging, Quality, and Evaluation in Clinical Ethics Consultation
293
References
311
Suggested Reading on Mediation
315
Index
317