Cover

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Frontmatter

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Contents

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p. v

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Acknowledgments

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pp. vii-viii

This publication was made possible by a grant from the Virginia Foundation for the Humanities and Public Policy. We acknowledge with gratitude the material support of the Foundation and, in particular, we wish to thank Robert Vaughan, the Executive Director of the Foundation ...

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Introduction

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pp. 1-7

Recent advances in medical technology and science have brought bioethical issues to the forefront of medical and philosophical literature. These issues concern such areas as death and dying, informed consent, abortion, genetic manipulation, contraception and sterilization, artificial insemination, and euthanasia. ...

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1. The Caring Ethic: The Relation of Physician to Patient

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pp. 8-30

This symposium deals with the most fundamental topic in medical ethics today: the relationship between the person who is ill and those who profess to heal him-physicians, nurses, the family, the minister, and the social worker. My assignment is to focus on the ethical aspects of this relationship which ...

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2. Nurse and Patient: The Caring Relationship

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pp. 31-43

The spectacular rise of technology in health care has cast a shadow on the image of caring, especially caring that is posited as the essence of a professional relationship. Caring now has connotations like that of hospice, that is, taking care that patients are not abandoned when hope of cure is abandoned. While hope ...

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3. Ethical Relationships between Nurses and Physicians: Goals and Realities—A Nursing Perspective

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pp. 44-61

A brief conversation with a physician colleague about relationships between physicians and nurses led him to conclude that nurse-physician relationships boil down to "how they interact with each other." While we might all agree on this observation, it does not take us very far in sorting out and understanding ...

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4. Physicians, Patients, Health Care Institutions—and the People in Between: Nurses

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pp. 62-79

The world rarely accords with the neat distinctions our language presupposes in dealing with it. This is somewhat less true in the case of the social world, for we fashion it to reflect our ideas and purposes. However, our purposes, goals, and conceptions are often complex and intertwined. They develop over time, weaving ...

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5. "How the Hell Did I Get Here?": Reflections on Being a Patient

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pp. 80-105

I came across the title of this address while researching what it's like to experience your own kidneys as failed, then having to rely on hemodialysis to keep the impurities in your blood from killing you. 1 The words are those of Lee Foster, one of the fortunate few who is able to sustain self-dialysis at home.2 The results ...

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6. Further Considerations

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pp. 106-115

The title of the conference at which these papers were given was "Coping, Curing, Caring: Patient, Physician, Nurse Relationships." The book has been entitled Caring, Curing, Coping because the actual theme of the conference became caring. All the participants, including the two physicians, contend that ...

Notes

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pp. 116-122

Selected Bibliography

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pp. 123-126

Contributors

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pp. 127-128

Index

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pp. 129-130