001471940 000__ 06652cam\\22006497a\4500 001471940 001__ 1471940 001471940 003__ OCoLC 001471940 005__ 20230908003322.0 001471940 006__ m\\\\\o\\d\\\\\\\\ 001471940 007__ cr\un\nnnunnun 001471940 008__ 230722s2023\\\\sz\\\\\\ob\\\\001\0\eng\d 001471940 019__ $$a1390876763 001471940 020__ $$a9783031293900$$q(electronic bk.) 001471940 020__ $$a3031293908$$q(electronic bk.) 001471940 020__ $$z3031293894 001471940 020__ $$z9783031293894 001471940 0247_ $$a10.1007/978-3-031-29390-0$$2doi 001471940 035__ $$aSP(OCoLC)1390920636 001471940 040__ $$aEBLCP$$beng$$cEBLCP$$dYDX$$dGW5XE$$dEBLCP$$dOCLCQ 001471940 049__ $$aISEA 001471940 050_4 $$aRC86.95 001471940 08204 $$a174.2/96028$$223/eng/20230727 001471940 24500 $$aEthics in intensive care medicine /$$cAndrej Michalsen, Nicholas Sadovnikoff, Jozef Kesecioglu, editors. 001471940 260__ $$aCham :$$bSpringer,$$c2023. 001471940 300__ $$a1 online resource (181 p.). 001471940 4901_ $$aLessons from the ICU 001471940 500__ $$a7.4 Shared Decision-Making 001471940 504__ $$aIncludes bibliographical references and index. 001471940 5050_ $$aIntro -- Foreword -- Preface -- Acknowledgements -- Contents -- About the Editors -- Editors and Contributors -- Contributors -- I: Principles of Clinical Ethics in Intensive Care Medicine -- 1: Clinical Ethics and Ethical Principles -- 1.1 Introduction -- 1.2 Ethical Theory: An Overview -- 1.2.1 Utilitarianism -- 1.2.2 Deontology -- 1.2.3 Virtue Ethics -- 1.2.4 Narrative Ethics -- 1.3 Principlism -- 1.3.1 Beneficence -- 1.3.2 Non-maleficence -- 1.3.3 Distributive Justice -- 1.3.4 Autonomy -- 1.3.5 Limitations to Principlism -- References 001471940 5058_ $$a2: The Two Pillars of Intensive Care Medicine (I): Medical Indication -- 2.1 Introduction -- 2.2 Definition of Intensive Care and Intensive Care Patient -- 2.3 Criteria to Admit a Patient -- 2.4 Scoring Systems Regarding the Severity of Disease -- 2.5 The Decision: To Admit or Not to Admit -- 2.6 Exceptional Situations to Admit a Patient -- 2.7 Derogatory Reasons to Admit or Not to Admit -- 2.8 Consequences of Admitting a Patient -- 2.9 Consequences of Not Admitting a Patient -- References -- 3: The Two Pillars of Intensive Care Medicine (II): The Patient's Wishes and Consent -- 3.1 Introduction 001471940 5058_ $$a3.2 Respect for Autonomy and Informed Consent -- 3.2.1 Decision-Making Capacity -- 3.2.2 Voluntariness -- 3.3 Paternalism/Parentalism and Shared Decision-Making -- References -- II: Decision-making -- 4: Shared Decision-Making (I): Within the Interprofessional Team -- 4.1 Introduction -- 4.2 Clinical Case Example -- 4.3 Interprofessional Shared Decision-Making: Definition and Scope of Application -- 4.4 Recommendations -- 4.5 Clinical Case Example: Continued -- 4.6 Special Circumstances -- References -- 5: Shared Decision-Making (II): With Patients and Families -- 5.1 Introduction 001471940 5058_ $$a5.2 The Relevance of Shared Decision-Making -- 5.3 Shared Decision-Making in Critically Ill Patients at Time of ICU Admission -- 5.4 Families in the ICU: Shared Decision-Making in a Context of High Emotional Distress -- 5.5 Impact of Shared Decision-Making on Families' Well-Being -- 5.6 Team-Centered Challenges -- 5.7 Strategies to Improve Shared Decision-Making -- 5.7.1 Frameworks and Recommendations -- 5.7.2 Family Conferences: The VALUE Approach -- 5.7.3 Support for the Family -- 5.7.4 Dealing with Discordance and Conflict -- 5.7.5 Mediation -- References 001471940 5058_ $$a6: The Significance of Cultural Diversity -- 6.1 Introduction -- 6.2 Multiculturalism and Cultural Diversity -- 6.3 Impact of Culture in Critical Care -- 6.3.1 Death and Dying -- 6.3.2 Communication -- 6.3.3 Staff Well-being -- References -- III: Goal of Therapy and Extent of Treatment -- 7: Life-Sustaining Therapies: Indication, Prognostication, and the Patient's Wishes -- 7.1 Introduction -- 7.2 Prognostication -- 7.2.1 Prognostication of Morbidity and Mortality During ICU Treatment -- 7.2.2 Prognostication of Morbidity and Mortality After Discharge from the ICU -- 7.3 Goal-Concordant Care 001471940 506__ $$aAccess limited to authorized users. 001471940 520__ $$aIn this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, experts in the field of clinical ethics describe basic principles of clinical ethics and ethical reasoning, the fundamental pillars of intensive care medicine as well as the decision-making processes necessary to arrive at appropriate decisions for each individual patient. Specifically, the complex decision-making process, with regard to limiting life-sustaining therapies and integrating palliative care into intensive care, are expounded. Furthermore, the still controversial topics of ethical climate, proportionate care, and prioritization are elaborated upon. The so-called soft skills of inter-professional communication and co-operation are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill. Finally, widely accepted ethical values and principles were challenged by the Covid-19 pandemic, forcing clinicians to elaborate recommendations regarding the prioritization of scarce resources. The book will be an invaluable tool for clinicians to understand ethical principles and reasoning to contend ethical challenges in intensive care medicine across the boundaries of disciplines and professions, in order to provide an appropriate individual plan of treatment for their patients. 001471940 588__ $$aOnline resource; title from PDF title page (SpringerLink, viewed July 27, 2023). 001471940 650_0 $$aCritical care medicine$$xMoral and ethical aspects. 001471940 655_0 $$aElectronic books. 001471940 7001_ $$aMichalsen, Andrej,$$d1957- 001471940 7001_ $$aSadovnikoff, Nicholas. 001471940 7001_ $$aKesecioglu, Jozef. 001471940 77608 $$iPrint version:$$aMichalsen, Andrej$$tEthics in Intensive Care Medicine$$dCham : Springer International Publishing AG,c2023$$z9783031293894 001471940 830_0 $$aLessons from the ICU. 001471940 852__ $$bebk 001471940 85640 $$3Springer Nature$$uhttps://univsouthin.idm.oclc.org/login?url=https://link.springer.com/10.1007/978-3-031-29390-0$$zOnline Access$$91397441.1 001471940 909CO $$ooai:library.usi.edu:1471940$$pGLOBAL_SET 001471940 980__ $$aBIB 001471940 980__ $$aEBOOK 001471940 982__ $$aEbook 001471940 983__ $$aOnline 001471940 994__ $$a92$$bISE