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Ethics for International Medicine
A Practical Guide for Aid Workers in Developing Countries
Anji E. Wall

Dartmouth College Press



Contents

Acknowledgments
• INTRODUCTION: Approaching Ethical Issues in International Medicine
• International Medicine
• The Context of International Medicine
• What Is an Ethical Issue?
• Approaching Ethical Issues
• Applying the Approach
• MEDICAL FACTS
• Different Medical Conditions
• Case 1.1: Vesico-Vaginal Fistula Repair Surgery - Language Differences
• Case 1.2: Informed Consent for Tubal Ligation Surgery - Communication Barriers
• Case 1.3: Fall from a Mango Tree - Different Medical Beliefs
• Case 1.4: Sorcery and Tuberculosis -Traditional Healers
• Case 1.5: Bush Thoracotomies
• GOALS AND VALUES
• Different Goals
• Case 2.1: Aggressive Neonatal Resuscitation - Different Organizational Goals
• Case 2.2: Research Participation - Conflicting Values among Stakeholders
• Case 2.3: An Infant with Cholera - Conflicting Individual Values
• Case 2.4: Evacuating a Dangerous Area - Competing Cultural Values
• Case 2.5: Providing Supplies for Female Genital Mutilation
• NORMS, Disagreements about Bioethical Norms
• Case 3.1: Veracity and the Dying Patient - The Challenge of Justice
• Case 3.2: A Young Boy with AIDS - Competing Professional Norms
• Case 3.3: Medical Student Involvement - Different Professional Norms
• Case
• 3.4: Rural Outreach Clinics - Different Legal Norms
• Case 3.5: Amputation for Sharia Law
• LIMITATIONS
• Limited Resources
• Case 4.1: Chronic Hypertension - Limited Access to Health Care
• Case 4.2: Treating Tuberculosis - Limited Medical Personnel
• Case 4.3: Protracted and Obstructed Labor - Limited Time
• Case 4.4: Ear Camp - Multiple Limitations
• Case 4.5:Postoperative Care for Cleft Lip and Palate Surgery
• EPILOGUE
• The Complexity of International Medicine
• Practical Use of Case Methodology
• Preparation and Reflection
• A Note on Organizational Structure
• The Promise of International Medicine
• Notes
• Bibliography
• Index

Wed, 18 Oct 2017 13:58:57 -0500