Basics of Clinical Ethics Mieko Ogino 1 1Office of Medical Education, International University of Health and Welfare, School of Medicine Keyword: 神経疾患 , 倫理原則 , Jonsenの4分割表 , 倫理コンサルテーション , neurological disease , ethical principles , Jonsen's four contingency table , ethical consultation pp.677-687
Published Date 2020/7/1
DOI https://doi.org/10.11477/mf.1416201585
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Neurologists encounter patients who develop diseases that suddenly change their life one day, such as stroke, and diseases that are difficult to cure and progressive, such as intractable neurological diseases. There are many types of ethical issues, including the choice of medical intervention, caregiver conflict, genetic disease issues, end-of-life issues, etc. In this article, I will describe the matters advocated in general clinical ethics and discuss the interpretation and application in the field of neurology based on my own experience. The issue is why clinical ethics is necessary, methodologies and systems for dealing with ethical issues, four principles of clinical ethics, Jonsen's four contingency table, ethical consultation, application in neurological diseases, and issues to be noted.

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