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100419s2009 nhua b 000 0 eng d |
| 020 |
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|a 9781584659587
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|a 1584659580
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| 035 |
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|a (OCoLC)692013526
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|a BTCTA
|b eng
|c BTCTA
|d OCM
|d YDXCP
|d EUW
|d MIA
|d MnU-B
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| 049 |
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|a BIOM
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|a RA771.5
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|a Handbook for rural health care ethics :
|b a practical guide for professionals /
|c edited by William A. Nelson.
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|a Rural health care ethics.
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| 260 |
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|a Hanover, NH :
|b Dartmouth College Press ;
|a Lebanon, NH :
|b University Press of New England,
|c 2009.
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| 300 |
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|a xv, 361 pages :
|b illustrations ;
|c 22 cm
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| 336 |
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|a text
|b txt
|2 rdacontent
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| 337 |
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|a unmediated
|b n
|2 rdamedia
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| 338 |
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|a volume
|b nc
|2 rdacarrier
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| 504 |
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|a Includes bibliographical references.
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|a Sect. I. Rural health care ethics. 1. Introduction / William A. Nelson -- 2. A landscape view of life and health care in rural settings / Angeline Bushy -- 3. The ethical life of rural health care professionals / Ruth B. Purtilo -- 4. "Doing" ethics in rural health care institutions / Jacqueline J. Glover -- Sect. II. Common ethics issues in rural communities. 5. Ethics conflicts in rural communities: patient-provider relationships / Rachel Davis, Laura Weiss Roberts -- 6. Ethics conflicts in rural communities: overlapping roles / Andrew Pomerantz -- 7. Ethics conflicts in rural communities: privacy and confidentiality / Tom Townsend -- 8. Ethics conflicts in rural communities: shared decision-making / Denise Niemira -- 9. Ethics conflicts in rural communities: allocation of scarce resources / Paul B. Gardent, Susan A. Reeves -- 10. Ethics conflicts in rural communities: stigma and illness / Aruna Tummala, Laura Weiss Roberts -- 11. Ethics conflicts in rural communities: end-of-life decision-making / Denise Niemira, Tom Townsend -- 12.Ethics conflicts in rural communities: recognizing and disclosing medical errors / Ann Reeman Cook, Helena Hoas --
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|a 13. Ethics conflicts in rural communities: reproductive health care / Barbara Elliott, Ruth Westra -- 14. Ethics conflicts in rural communities: health information technology / David A. Fleming -- Sect. III. Rural ethcis resources. 15. Practical strategies for addressing and preventing ethics issues in rural settings / William A. Nelson, Karen E. Schifferdecker -- 16. Developing rural ethics networks / Lisa Anderson-Shaw, Jacqueline J. Glover -- 17. Rural health care ethics: a selected bibliography and web sites / Mary Ann Greene --
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|a Case studies. 5. Ethics conflicts in rural communities: patient-provider relationships. Provider stress and burnout. A long-time rural physician becomes depressed after experiencing increasing social awkardness and isolation -- Confidentiality in the context of dual relationships. A nurse is conflicted about defending her reputation after a patient spreads negative rumors about her -- 6. Ethics conflicts in rural communities: overlapping roles. A physician's family gaining an unfair advantage. A physician benefits from his relationship with a patient at the expense of others -- Choosing between loyalty to the hospital or loyalty to the patient. A doctor, patient, and nurse question whether the patient should receive a complicated procedure at the local hospital or a large tertiary care center -- Breaching patient confidentiality to prevent possible harm. A nurse obtains information about a patient that could be important to the safety of children -- 7. Ethics conflicts in rural communities: privacy and confidentiality. A patient refusing needed care. A patient without insurance refuses testing and treatment for cancer and will not tell his family -- Disclosing health care information to family. When an underage patient is diagnosed with herpes, she becomes depressed and her family wants to know why --
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|a 8. Ethics conflicts in rural communities: shared decision-making. The extent of information provided in the consent process. A doctor is unsure how much information to share with a patinet about a procedure that could be done at the local hospital but might be more successful at a facility with more experienced surgeons -- A patient's refusal of needed diagnostic evaluation. An elderly patient declines additional testing after a suspected malignancy is found, likely for financial reasons, and refuses to share the information with her family -- 9. Ethics conflicts in rural communities: allocation of scarce resources. Granite Hospital budget restrictions. A rural hospital is faced with closing a distant primary care practice due to budget restrictions -- Moving procedures from hospital to office. A physician considers moving some procedures from the small hospital to his office in order to improve reimbursement, though this would be financially detrimental to the hospital --
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|a 10. Ethics conflicts in rural communities: stigma and illness. Confidentiality, overlapping relationships,a nd unwillingness to seek care. A young woman fears going for treatment for an STD because she knows the health care staff and thinks her diagnosis will not be kept confidential -- Limited access to health care resources in rural communities. A prominent community member is unwilling to seek treatment for PTSD from his primary physician, and the nearest psychiatrist is 100 miles away -- 11. Ethics conflicts in rural communities: end-of-life decision-making. Surrogate wishes run counter to advance directives. The wife of a patient hesitates to follow through with her husband's advance directive -- Colleagues disagree with end-of-life decisions. A family tries to determine how much treatment ot allow for their elderly father, in the midst of profesional disagreement -- 12. Ethics conflicts in rural communities: recognizing and disclosing medical errors. Addressing questionable quality of care. A small hospital struggles to correct a physician for poor performance while fearing he will leave the hospital -- The use of a wrong clinical management care plan. A patient was given an improper management care plan and required additional treatment as a result --
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|a 13. Ethics conflicts in rural communities: reproductive health care. Birth control for a minor. A minor, who is a family friend of the physician, requests birth control but does not want to discuss the topic with her parents -- Managing and treating sexually transmitted infections. A pregnant patient is diagnosed with an STD that she got during an extra-marital relationship. She declines to share the information with her husband -- 14. Ethics conflicts in rural communities: health information technology. Privacy and consent issues when using telehealth in rural areas. A patient is ill-informed about the process of using telehealth for treatment of a skin ailment -- Availability of, and access to, electronic medical records (EMR). A physician has restricted access to electronic medical records that are critical to a patient's treatment -- Using electronic clinical decision support systems. A physician uses electronic clinical support systems that aid in a diagnosis of a coronary blockage -- Addressing patient use of online treatment and prescribing services. A hypertension patient living in a rural area seeks treatment and prescribing services from an online doctor, which results in a negative drug interaction.
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| 650 |
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0 |
|a Rural health
|x Moral and ethical aspects
|v Case studies.
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| 650 |
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0 |
|a Rural health services
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| 650 |
|
0 |
|a Medical ethics
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| 650 |
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0 |
|a Rural health services
|x Ethics.
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| 650 |
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2 |
|a Ethics, Medical
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| 650 |
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2 |
|a Rural Health Services
|x ethics
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| 650 |
|
2 |
|a Rural Health
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| 700 |
1 |
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|a Nelson, Bill
|q (William A.)
|
| 710 |
2 |
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|a Dartmouth Medical College.
|b Department of Community and Family Medicine
|
| 999 |
1 |
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|i 0817107a-55d7-4c74-8ce2-b8fd21802eb1
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|m handbook_for_rural_health_care_ethicspractical_guide_for_professionals_____2009_______dartma___________________________________________________________________________p
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|s ISIL:US-MNU
|i University of Minnesota
|t BKS
|a TBIOMGENS
|c WA390 H236 2009
|d NLM
|b 31951D03158535N
|x BOOK
|y 23421395080001701
|p LOANABLE
|