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Vol 22 No 12 Dec 17/Jan 18

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McGregor on Damages

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Withholding and Withdrawing Life Prolonging Medical Treatment 3rd ed

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ISBN13: 9781405159579
Published: March 2007
Publisher: Wiley-Blackwell
Country of Publication: UK
Format: Paperback
Price: £34.99

Despatched in 4 to 6 days.

This book is the authoritative statement from the BMA Medical Ethics Department on one of the most fundamental and contentious issues for health care professionals, of when to withhold or withdraw life-prolonging treatment. It is used by doctors and nurses throughout the United Kingdom who care for the dying, as well as lawyers and others in the health professions seeking guidance on this controversial issue.

Use of summary boxes with key recommendations and discussions of real cases interspersed through the text will make the new edition even more practical and easy to use.

Important new features for the third edition:-

  • Inclusion of the provisions of the Mental Capacity Act, which comes into force in April 2007
  • Guidance on the appointment of welfare attorneys to make health care decisions once capacity is lost.
  • The latest policy on advance directives
  • Update on the impact of the Human Rights Act on such decisions
  • Discussion of recent cases, including Burke, baby MB, and Wyatt
This book is written by medical ethics professionals in consultation with the appropriate medical and legal experts and in agreement with the General Medical Council's guidelines. It is regarded as the most authoritative advice on this subject in the country. The new edition will bring the information fully up to date from both the legal and the ethical perspective. .

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Medical Law
Part 1: How to use this guidance
1. Scope, purpose and structure of this guidance
Part 2: Defining key terms and concepts
2. The primary goal of medicine
3. Life-prolonging treatment
4. Capacity and incapacity
5. Duty of care
6. Quality of life
7. Benefit
8. Harm
9. Best interests
10. Futility
11. Basic care
12. Artificial nutrition and hydration
13. Oral nutrition and hydration
14. Foresight and intention
15. Withholding or withdrawing treatment
16. Conscientious objection
17. Resource management
Part 3: Legal and ethical considerations that apply to all decisions to withhold or withdraw treatment
18. Human Rights Act 1998
19. Fairness and non-discrimination
20. Communication
21. Confidentiality
22. Legal review
Part 4: Medical considerations that apply to all decisions to withhold or withdraw treatment
23. Medical assessment
24. Medical decision making
Part 5: Decision making by adults with capacity
25. The law
26. Communication and information
Part 6: Decision making on behalf of adults who lack capacity
England and Wales
27. Patients with a Lasting Power of Attorney (LPA)
28. Patients with an advance decision about medical treatment
29. Patients without a Lasting Power of Attorney or advance decision
30. Patients in persistent vegetative state (pvs)
31. Patients with a welfare power of attorney or welfare guardian
32. Patients with an advance decision about medical treatment
33. Patients without a welfare power of attorney or advance decision
34. Patients in persistent vegetative state (pvs)
Northern Ireland
35. Patients with an advance decision about medical treatment
36. Patients without an advance decision about medical treatment
37. Patients in persistent vegetative state (pvs)
All UK jurisdictions
38. Capacity and incapacity
39. Communication and information
40. Assessing best interests
41. Dealing with disagreement
Part 7: Decision making by young people with capacity
42. The law in England,Wales and Northern Ireland
43. The law in Scotland
44. Assessing capacity
45. Communicating with young people
46. Dealing with disagreement
Part 8: Decision making for children and young people who lack capacity
47. The law
48. Duties owed to babies and children
49. Communicating with parents
50. Assessing best interests
51. Dealing with disagreement
Part 9: Once a decision has been reached
52. Keeping others informed
53. Recording and reviewing the decision
54. Providing support
55. Respecting patients' wishes after death
Appendix 1 Useful addresses