Judgement is traditionally seen as applicable in two spheres of human endeavour: the theoretical (or the sphere in which we consider both what must be the case and what is likely to be the case) and the practical (or the sphere in which we consider what we ought to do, either because it is in our interests or because morality requires it). Now insofar as we are speaking of ‘judgement’ two conceptual assumptions are being made. Firstly, we are assuming that (...) there are imponderables and complexity, and secondly, despite the imponderables and complexity, that there is still room for the exercise of reason. Granted this view of judgement we can state our two main theses. Firstly, we shall argue that, despite the pressures of market forces, employee needs, and shareholder interests, there is still room in business practice for judgements so understood. Secondly, we shall argue that these judgements need not inevitably be directed down the single track of the financial interests of the company and its shareholders. The second thesis can be understood as a moral thesis in either of two ways. Either it can be seen as the thesis that companies have broad social responsibilities extending well beyond the immediate interests of the company, or as the thesis that companies share the social interests of the communities to which they belong; they are citizens writ large, to gloss Plato. (shrink)

A book for nurses, doctors and all who provide end of life care, this essential volume guides readers through the ethical complexities of such care, including current policy initiatives, and encourages debate and discussion on their controversial aspects. dived into two parts, it introduces and explains clinical decision making-processes about which there is broad consensus, in line with guidance documents issued by WHO, BMA, GMC, and similar bodies. The changing political and social context where 'patient choice' has become a central (...) idea, and the broadened scope of potients' best interests, have added to the complexity of decision-making in end of life care. The authors discuss issues widely encountered by GPs, nurses, and hospital clinicians. These include patient choice, consent, life-prolonging treatment, and symptom relief including sedation. Part rwo explores the more controversial current end of life care initiatives, such as advance care planning preferred place of care and death, euthanais and assited suicide, extended ideas of 'best interests', and the view that there are therapeutic duties to the relatives of Throughout their discussion the authors draw attention to loose ends and contradictions in some of the proposals. Examining the current policy of comsumerist choice, they reject its place in the health service, proposing a a realistic, fair, humane and widely adoptable system of end of life care. As knowledge of ethical theories is required in training courses, and the vocabulary of ethical theory is widespread in current discussions a substantial appendix on ethical theories and terms is available online. Written by the same authors as The Philosophy of Palliative Care: Critique and Reconstruction, which won the Medical Journalists' Association Specialits Book Award 2007, this new book for non-specialists is essential reading for all health care professionals involved in providing end of life care. (shrink)