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Intensive Care: Medical Ethics and the Medical Profession
 
 
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Intensive Care: Medical Ethics and the Medical Profession [Hardcover]

Robert Zussman (Author)


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Book Description

0226996344 978-0226996349 July 15, 1992 1
In riveting case studies, Robert Zussman describes how medical decisions in ICUs are considered and reconsidered, made and remade, negotiated and renegotiated. He concentrates on the practice of medical ethics, on the ways in which right and wrong are interpreted and used in the ward—how definitions of right and wrong emerge from the social situations of patients, families, doctors, and nurses and from the workings of hospitals and the courts.

His book is a portrait of the way careful planning is undermined by the unpredictability of illness and the persistence of self-interest, by high principle and curious compromise.

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Editorial Reviews

From Publishers Weekly

Zussman notes that the patients' rights movement emerged out of the technical orientation of contemporary medicine and the attendant impersonality of the doctor-patient relationship. He shows this situation forcefully and in all its complexity as he reports on the two years (1985-1987) he spent observing in the 14-bed intensive care unit at "Outerboro" (a New York City teaching hospital that treats primarily the poor, blacks and Hispanics) and the 22-bed ICU at "Countryside" (a teaching hospital in a middle-class suburb of Boston), where he spent 1989. His clinical detachment as he writes of the unnerving goings-on at the ICU will be reassuring to queasy readers, for alongside his accounts of medical procedures he depicts patients denied their personhood by their disabilities and the staff's view of them not as full people but as physiology experiments whose care is a puzzle to be solved. Ignoring costs and disregarding a patient's social worth and age, the ICU's primary criterion in triage, Zussman claims, is technical: is treatment futile? In the culture of the new medicine, Zussman, a sociologist at the State University of New York, concludes (perhaps wistfully) that "Triage . . . requires the substitution of a utilitarian ethic for Hippocratic individualism." Although written for professionals, this research paper has wide application for general readers.
Copyright 1992 Reed Business Information, Inc.

About the Author

Robert Zussman is professor of sociology at the University of Massachusetts, Amherst.

Product Details

  • Hardcover: 260 pages
  • Publisher: University Of Chicago Press; 1 edition (July 15, 1992)
  • Language: English
  • ISBN-10: 0226996344
  • ISBN-13: 978-0226996349
  • Product Dimensions: 9.1 x 5.9 x 1 inches
  • Shipping Weight: 1.4 pounds
  • Amazon Best Sellers Rank: #2,879,511 in Books (See Top 100 in Books)

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Inside This Book (learn more)
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First Sentence:
This book is about medical ethics. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
other housestaff, respirator room, terminal wean, respirator care, limiting treatment, distinction between withholding, contemporary medical ethics, medical utility, unit attendings, respirator support, unit physicians, medical discretion, triage officer, incurable patients, been intubated, physicians limit, triage decisions, withdrawing treatment
Key Phrases - Capitalized Phrases (CAPs): (learn more)
New York, President's Commission, United States, Kelly Connors, Critical Care Medicine, Emergency Room, Supreme Court, University of Chicago Press, Government Printing Office, Journal of the American Medical Association, Renee Fox, Making Health Care Decisions, Oxford University Press, Scranton Haskell, Paul Ramsey, Alan Meisel, Cardiac Care Unit, Eliot Freidson, New Englandjournal of Medicine, New Haven, New Jersey, Yale University Press, Anselm Strauss, Basic Books, Daniel Teres
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