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Bioethical Decisions and Today's Christian:
Finding Your Way Through The Morass of Today's Overwhelming Medical Ethical Dilemmas

13-Lesson Overview by Robert E. Cranston, M.D. Neurologist & Bioethicist

(Click here for permission to reproduce this material free of charge.)          

 

Glossary

Alpha-fetoprotein - natural human biochemical marker reflects likelihood of multiple births or birth defects

A. L. S.-Amyotrophic Lateral Sclerosis, Lou Gehrig's disease, characterized by degeneration of the motor neuron cells in the spinal cord, causes progressive neuromuscular decline and death; no effective treatment at present

Autonomy-individual independence or freedom

Beneficence-attitude of good will to other persons

Blood gases-a blood test that reflects the degree of oxygenation of blood, as well as level of Carbon Dioxide, pH, and other factors.

Brain Stem signs-on physical examination, findings that reflect integrity of the portion of the brain called the brain stem; absence of all brain stem signs constitutes brain death

Cardiologist-physician specializing in care of the heart and circulatory system, who does not perform surgery, but may perform invasive diagnostic and therapeutic procedures

Code, Code Blue-extensive resuscitation process, usually involves CPR, defibrillation, and placement of an endotracheal tube for artificial ventilation

Communitarianism-the political/social philosophy which states that the interests of the whole group need to be given high priority in personal decision-making.

Confidentiality-particularly in medical relationships, the policy of keeping private information secret between patients and their physicians

Co-pay - amount of money necessarily payable by insured person to receive health care; may apply to medicines, surgeries, office visits, or durable supplies

DNA-deoxyribonucleic acid, the building blocks for the genes, which are located on the chromosomes, which transmit all genetic information to offspring

Doe v. Bolton-landmark abortion case tried before Supreme Court, broadly defined health of mother to include emotional health, thus allowing legal justification for many abortions, 1973

Embryo-the young of a viviparous mammal, in early development, in the womb; in humans up to the end of the second month of gestation

False Negative-an incorrectly negative answer on a given medical test. This gives the physician the impression that a given disease has been ruled out, but this is not true.

False Positive-an incorrectly positive answer on a given medical test. This gives the physician the impression that a given disease state has been identified, but this is not true

Fetus-the embryo after the end of the second month gestation

Fiduciary-a person who is in a position of responsibility and trust, in care of something vital to another person or persons, such as health or finances

Gamete-a mature reproductive cell, as in an egg or a sperm; a fertilized gamete is an embryo

Genome-the complete set of hereditary factors contained in the DNA (see above)

HIV+--(HIV positive) evidencing by blood test the presence of the Human Immunodeficiency Virus

Hyperovulation-hormonal process by which multiple eggs are caused to mature simultaneously, usually for harvest for artificial fertilization

Intensive Care Unit--hospital location for seriously ill patients, frequently on artificial ventilation or artificial feeding.

Internist-physician specializing in care of adult patients; training requires a minimum of three years supervised study after medical school, does not perform surgery (To be differentiated from Intern, a first-year post-medical school trainee doctor.)

Intubation-placement of endotracheal tube for artificial ventilation

In Vitro-occurring "in glass", or under laboratory conditions

In Vivo-occurring "in life", or under normal biological conditions

Justice-a broad term which includes the meaning of fair distribution; that is, each person should receive like goods, services, and opportunities

Neurologist-physician specializing in care of the brain, spine and nervous system, but who does not perform neurosurgery

Non-maleficence-absence of malice toward other persons

Ova-(plural), Ovum-(singular)-human female egg

Person-seemingly a straightforward word, but in utilitarianism this is defined as a living thing with the capacity to grow, learn and establish social ties; thus, many humans are not persons, and many animals are persons under this model

Respirator, artificial-machines employed to cause patients to breathe; they control the rate, volume, and oxygen content of inspired air

Roe v. Wade-landmark Supreme Court decision legalizing abortion in 1973

Teleology-The study of final causes; in many disciplines it means a method of explanation in terms of intention or purpose; in ethical decision-making it identifies a method which focuses on likely outcomes

Tithe-a tenth part set apart for God; Any tax, levy or the like, especially a tenth

Utilitarianism-philosophy based on "Most benefit for the most persons"

Ventilation, artificial-see Respirator, artificial



CONTENTS

About the Author

Introduction

Chapter One
What is Bioethics?

Chapter Two
Why Do Bioethics?

Chapter Three
Abortion, and Our Response

Chapter Four
Infertility and Assisted Reproduction

Chapter Five
Genetics Dilemmas

Chapter Six
Quality of Life vs. Sanctity of Life

Chapter Seven
The Christian Response to AIDS

Chapter Eight
Brain Death, Organ Transplants, and NHBODP

Chapter Nine
Futility of Care

Chapter Ten
Advance Directives

Chapter Eleven
Euthanasia and Physician Assisted Suicide

Chapter Twelve
Rationing of Care

Chapter Thirteen
What is a Christian to Do?

Glossary

Pre- and Post-Test

Permission