1.

Record Nr.

UNINA9910735784903321

Titolo

Ethics in Intensive Care Medicine / / edited by Andrej Michalsen, Nicholas Sadovnikoff, Jozef Kesecioglu

Pubbl/distr/stampa

Cham : , : Springer International Publishing : , : Imprint : Springer, , 2023

ISBN

3-031-29390-8

Edizione

[1st ed. 2023.]

Descrizione fisica

1 online resource (181 pages)

Collana

Lessons from the ICU, Under the Auspices of the European Society of Intensive Care Medicine, , 2522-5936

Disciplina

174.2

Soggetti

Critical care medicine

Cardiology

Medical ethics

Nursing ethics

Respiratory organs - Diseases

Neurology

Intensive Care Medicine

Medical Ethics

Nursing Ethics

Pneumology

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Foreword -- Preface -- Part I. Principles of clinical ethics in intensive care medicine -- Clinical ethics and ethical principles -- The two pillars of intensive care medicine (I): Indication -- The two pillars of intensive care medicine (II): The Patient’s Wishes and Consent -- Part II. Decision-making -- Inter-professional shared decision-making -- Shared decision-making with patients and families -- Cultural diversity -- Part III -- Goal of therapy and extent of treatment -- Life-sustaining therapies: indication, prognostication, and the patient’s wishes -- Limiting life-sustaining therapies -- Focus topic: resuscitation in the ICU -- Palliative care in the intensive care unit -- Part IV – Appropriateness of care Ethical climate and proportionate care -- Clinical ethics and the law -- Distributive Justice: Ethics during health



care crises -- Part V – Ethics in the ICU: The way ahead -- Making choices in uncertainty. Educating clinicians in clinical ethics.

Sommario/riassunto

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.