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Biomedical subjects

L Doyal

Publications and source records attributed to L Doyal.

At least 55 records · Page 3Linked to original sources
PubMed1996

The politics of women's health: setting a global agenda.

The last decade has been marked by a rapid growth in the women's health movement around the world. There has been a marked shift in activities away from the developed countries, as campaigns increase in intensity in Africa, Asia, and Latin America. The practice of women's health politics has also become increasingly international with sustained and effective collaboration across the north-south divide. Both the goals of these campaigns and their methods vary with the circumstances of the women involved. But despite this diversity, common themes can be identified: reproductive self-determination; affordable, effective, and humane medical care; satisfaction of basic needs; a safe workplace; and freedom from violence.

Developed Countries↗
PubMed1995

Informed consent and the practice of good dentistry.

The importance of obtaining informed consent in dentistry is increasingly recognised for moral and legal arguments which are explored. Morally, patients have the right to self-determination and respect for it underpins the relationship of trust deemed so important for clinical success. Legally, this right is reinforced through the risk of dentists being sued for battery or negligence if they do no adequately respect it. An explanation is offered as to why it can be difficult for patients in the UK to win such litigation. The practical implications of the doctrine of informed consent are sometimes unclear in clinical work--the reasons for this are assessed and illustrated. Standards of good practice in obtaining informed consent are suggested. Readers are invited to evaluate the degree to which a hypothetical case conforms to these standards and to compare their conclusions with those of the authors.

Adult↗
PubMed1995

Advance directives.

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Advance Directives↗
PubMed1994

Withholding and withdrawing life sustaining treatment from elderly people: towards formal guidelines.

Clinicians often decide either to withhold or to withdraw lifesaving treatment in elderly patients. Considerable disagreement exists about the circumstances in which such actions can be defended. Debates about the scarcity of resources in the NHS add urgency to the need to resolve this disagreement. Competent elderly patients have a legal and moral right to decide whether to receive life sustaining treatment. Such treatment should not be withheld or withdrawn on the basis of a patient's age alone. Principles for making decisions about life sustaining treatment in incompetent elderly patients can be defended and should exist as written guidelines.

Aged↗
PubMed1994

Stopping treatment for end-stage renal failure: the rights of children and adolescents.

Dialysis and transplantation have been of obvious benefit to children with renal failure. Yet this is not always so. End-stage treatment can also create physical and mental suffering, for both patients and their families. For this reason, the availability of life-saving treatment creates difficult ethical and legal dilemmas concerning when it can morally and lawfully be rejected. These dilemmas are explored through a general account of the doctrine of informed consent and its application to the refusal of such therapy. Clinical and parental duties of care are outlined for young and adolescent children. For young children, the rights of parents are evaluated, recognising the significance of parental involvement and support for treatment for renal failure to be successful. It is further argued that adolescents who are deemed to be competent to give informed consent have the moral right to choose to die rather than to continue treatment. To minimise this prospect, the importance of effective counselling and peer group support is made clear, along with a partnership model of clinical negotiation.

Adolescent↗
PubMed1993

Withholding cardiopulmonary resuscitation: proposals for formal guidelines.

Working with members of the Royal London Trust and its medical council, Len Doyal and Daniel Wilsher have composed a set of guidelines governing the making of decisions to withhold resuscitation from patients. The guidelines describe the procedures that should be followed when giving orders for non-resuscitation and the clinical, legal, and moral criteria that should be satisfied before such orders are issued. The authors hope that these guidelines will be of help to those responsible for the creation of hospitals' policies for non-resuscitation.

Cardiopulmonary Resuscitation↗
PubMed1993

Assessment of students.

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Education, Medical, Undergraduate↗
PubMed1993

Whistle blowing: the ethics of revealing professional incompetence within dentistry.

Traditionally, the dental profession has endorsed the view that one member should not make public--to patients or colleagues--criticisms of the work of another. Recently, the General Medical Council has disagreed, stating that there may well be circumstances when doctors should not protect colleagues from the consequences of their own mistakes. In this paper we endorse this view. We argue that 'whistle blowing' is appropriate in dentistry as well when its aim is to protect patients from the serious harm to which ignoring such errors might lead.

Clinical Competence↗