Ethics and Oncology

Monika Bobbert; Beate Herrmann; Wolfgang U. Eckart

doi:10.5771/9783495813430

Summary

The advances in oncological therapy as well as the knowledge of the limitations to what is possible pose major ethical challenges for doctors, nurses and patients: The possibilities for treatment in oncology are expanding continuously. As a result patients are involved with increasingly complex treatment decisions, including end of life decisions. As a consequence doctors must inform their patients adequately, deliver difficult news and advise patients and their relatives on treatment goals and changes thereto, e.g. when changing from curative to palliative care.

This interdisciplinary conference with experts from a wide range of fields provides an opportunity to initiate and deepen the discussion of the above-mentioned issues.

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Bibliographic data

Copyright year: 2018
ISBN-Print: 978-3-495-48586-6
ISBN-Online: 978-3-495-81343-0
Publisher: Karl Alber, Baden-Baden
Series: Angewandte Ethik
Volume: 19
Language: English
Pages: 176
Product type: Edited Book

Titelei/Inhaltsverzeichnis No access Pages 1 - 6
1. Interdisciplinary and contextual ethical perspective No access
2. New Issues of Therapy, Care, and Research No access
3. Caring for Cancer Patients No access
4. Ethics and end-of-life decision making No access
5. opportunities, risks, and perspectives No access
1. Antonella Surbone
  1. 1 Introduction No access Antonella Surbone
  2. 2 Basic principles of communication in the clinical setting No access Antonella Surbone
  3. 3 Communication in oncology: education and assessment No access Antonella Surbone
  4. Antonella Surbone
    1. 4.1 Evolution of truth telling attitudes and practices No access Antonella Surbone
    2. 4.2 Communication in palliative and end of life care No access Antonella Surbone
    3. 4.3 Communication with families No access Antonella Surbone
    4. 4.4 Cross-cultural communication with cancer patients No access Antonella Surbone
  5. 5 Conclusion No access Antonella Surbone
  6. References No access Antonella Surbone
2. Doris Fölsch
  1. 1 Introduction No access Doris Fölsch
  2. 2 Fields of action of the oncology nurse No access Doris Fölsch
  3. Doris Fölsch
    1. 3.1 Professional care according to »state of the art« No access Doris Fölsch
    2. 3.2 Relationship between patient and nurse and the nurse’s attitudes No access Doris Fölsch
    3. 3.3 Symptom management and quality of life No access Doris Fölsch
    4. 3.4 End-of-life care No access Doris Fölsch
    5. 3.5 Distribution of resources and justice No access Doris Fölsch
    6. 3.6 Cultural differences, beliefs and needs No access Doris Fölsch
  4. Doris Fölsch
    1. 4.1 Patient information and education No access Doris Fölsch
    2. 4.2 Different views in regard to medical treatment No access Doris Fölsch
    3. 4.3 Nurses role of patients advocate and translator No access Doris Fölsch
  5. 5 The family No access Doris Fölsch
  6. 6 The institution No access Doris Fölsch
  7. 7 Research in Nursing and Medicine No access Doris Fölsch
  8. 8 Summary No access Doris Fölsch
  9. References No access Doris Fölsch
3. Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
  1. Introduction No access Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
  2. Options of fertility preservation in cancer patients No access Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
  3. Fertiprotekt: A network on fertility preservation in German speaking countries No access Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
  4. Counseling on fertility preservation No access Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
  5. General ethical considerations No access Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
  6. Discussion of autonomy and presentation of an alternative ethical concept No access Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
  7. Conclusion No access Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
  8. References No access Maren Goeckenjan, Bettina Böttcher, Ludwig Wildt, Thomas Strowitzki
4. Christoph Schickhardt
  1. 1 Introduction No access Christoph Schickhardt
  2. 2 Children No access Christoph Schickhardt
  3. 3 Vulnerability No access Christoph Schickhardt
  4. 4 Children’s Rights No access Christoph Schickhardt
  5. 5 The four-sided interplay No access Christoph Schickhardt
  6. 6 The case of Nemo No access Christoph Schickhardt
  7. 7 Conclusion No access Christoph Schickhardt
  8. References No access Christoph Schickhardt
5. Christina Schües, Christoph Rehmann-Sutter
  1. Introduction No access Christina Schües, Christoph Rehmann-Sutter
  2. The construct of a child’s duty to donate No access Christina Schües, Christoph Rehmann-Sutter
  3. Parents’ duties No access Christina Schües, Christoph Rehmann-Sutter
  4. The child’s duty? No access Christina Schües, Christoph Rehmann-Sutter
  5. Christina Schües, Christoph Rehmann-Sutter
    1. (I) Action done from duty vs. action done from inclination No access Christina Schües, Christoph Rehmann-Sutter
    2. (II) Perfect vs. imperfect duties No access Christina Schües, Christoph Rehmann-Sutter
    3. (III) Actions done according to duty vs. actions done from duty No access Christina Schües, Christoph Rehmann-Sutter
  6. First strategy: Parents transfer their duty to the child No access Christina Schües, Christoph Rehmann-Sutter
  7. Second strategy: The best interest of the child implies his or her duty No access Christina Schües, Christoph Rehmann-Sutter
  8. Third strategy: Siblings have duties toward each other because of their intimate family relationships No access Christina Schües, Christoph Rehmann-Sutter
  9. Conclusion: Difficulties of the assumption of a duty of a child to donate No access Christina Schües, Christoph Rehmann-Sutter
  10. References No access Christina Schües, Christoph Rehmann-Sutter
1. Christoph Rehmann-Sutter, Kathrin Ohnsorge, Heike Gudat
  1. 1 Klara and Kurt No access Christoph Rehmann-Sutter, Kathrin Ohnsorge, Heike Gudat
  2. 2 A model of what it can mean to wish to die No access Christoph Rehmann-Sutter, Kathrin Ohnsorge, Heike Gudat
  3. 3 Ethical implications of wish to die statements No access Christoph Rehmann-Sutter, Kathrin Ohnsorge, Heike Gudat
2. Monika Bobbert
  1. 1 Introduction No access Monika Bobbert
  2. Monika Bobbert
    1. 2.1 Diagnosis and prognosis No access Monika Bobbert
    2. 2.2 Medical indication No access Monika Bobbert
    3. 2.3 Therapeutic »futility« No access Monika Bobbert
  3. Monika Bobbert
    1. 3.1 The prima facie goal: Saving life No access Monika Bobbert
    2. 3.2 Responsible dealing with prognostic uncertainty No access Monika Bobbert
    3. 3.3 Weighing potential burdens and damage, relief and benefit No access Monika Bobbert
    4. 3.4 Resistence against ideas of quality of life No access Monika Bobbert
    5. 3.5 Narrow frame for the concept of alleged will No access Monika Bobbert
    6. 3.6 Attention to the »paradox of handicap« as empirical phenomenon No access Monika Bobbert
  4. Monika Bobbert
    1. 4.1 The right of self-determination in questions of therapy No access Monika Bobbert
    2. 4.2 The norm of non-damage No access Monika Bobbert
  5. 5 Conclusion: The value of ethical norms and rules No access Monika Bobbert
  6. References No access Monika Bobbert
3. Beate Herrmann
  1. 1 Introduction No access Beate Herrmann
  2. 2 Medical indication, aim of treatment and will of the patient No access Beate Herrmann
  3. 3 The German law for advance directives of 2009: The normative perspective No access Beate Herrmann
  4. Beate Herrmann
    1. Who should take the initiative for setting up an advance directive? No access Beate Herrmann
    2. Bindingness of advance directives No access Beate Herrmann
  5. Beate Herrmann
    1. Combination of advance directive and health care proxy No access Beate Herrmann
  6. References No access Beate Herrmann
1. Geraldine Rauch
  1. 1 Introduction No access Geraldine Rauch
  2. 2 Aims and interests of medical research No access Geraldine Rauch
  3. 3 Ethics committees in medical research No access Geraldine Rauch
  4. Geraldine Rauch
    1. Choice and definition of outcome variables No access Geraldine Rauch
    2. Choice of the study design No access Geraldine Rauch
    3. Choice of the statistical analysis strategy No access Geraldine Rauch
    4. Calculation of sample size No access Geraldine Rauch
  5. 5 Conclusion No access Geraldine Rauch
  6. References No access Geraldine Rauch
2. Vilhjálmur Árnason
  1. 1 Population database and unexpected findings No access Vilhjálmur Árnason
  2. 2 Iceland’s population database research No access Vilhjálmur Árnason
  3. 3 Return of results to individuals? No access Vilhjálmur Árnason
  4. Vilhjálmur Árnason
    1. 4.1 Do nothing No access Vilhjálmur Árnason
    2. 4.2 Giving option of knowing No access Vilhjálmur Árnason
    3. 4.3 Make availability of information publicly known No access Vilhjálmur Árnason
  5. Vilhjálmur Árnason
    1. 5.1 Restricted informed consent No access Vilhjálmur Árnason
    2. 5.2 General open consent No access Vilhjálmur Árnason
    3. 5.3 Authorization and dynamic consent No access Vilhjálmur Árnason
    4. 5.4 Authorization for return: two forms No access Vilhjálmur Árnason
  6. 6 Conclusion No access Vilhjálmur Árnason
  7. References No access Vilhjálmur Árnason
3. New ›elixirs‹&ga;: The Problem of changing therapeutic target with Erbitux and Avastin No access Pages 168 - 173 Wolfgang U. Eckart
Authors and Institutions No access Pages 174 - 176