Journal of medical ethics
-
The prospect of dealing with a rapidly and inexorably bleeding patient fills most medical practitioners with alarm. When that patient is a Jehovah's Witness, the knowledge that a blood transfusion is likely to be refused turns that alarm into a state of acute anxiety and conflict. ⋯ In the last 25 years in England, Wales, Scotland and Northern Ireland, there has been one maternal death in which the refusal to accept a blood transfusion has been considered to be an avoidable factor. In this article I have attempted to identify the magnitude of the problem in obstetric practice and have sought to clarify the moral and legal aspects.
-
This paper outlines briefly some of the research which has been carried out on attitudes to terminal illness and its care. The writer feels that not enough effort is being put into the teaching of this subject in our medical schools and Universities, and that doctors themselves are the ones who often wish to 'duck' the issue of dealing with disability and the dying. However, with the increasing awareness, through both the research and the growing allied literature, the writer feels that there is no longer any excuse for omitting this subject from the curricula for doctors and nurses in training.
-
Journal of medical ethics · Dec 1976
The place of medicine in the American prison: ethical issues in the treatment of offenders.
In Britain doctors and others concerned with the treatment of offenders in prison may consult the Butler Report (see Focus, pp 157) and specialist journals, but these sources are concerned with the system in Britain only. In America the situation is different, both in organization and in certain attitudes. Dr Peter L Sissons has therefore provided a companion article to that of Dr Paul Bowden (page 163) describing the various medical issues in prisons. ⋯ Moreover medicines are often dispensed by medical auxiliaries who are sometimes prisoners themselves. Finally, in America prisoners are regularly invited to volunteer as subjects for medical and social research for which they are paid. In short, although it is hoped to 'cure' a prisoner he is a criminal first and a patient second.