Foreword by James R. Tallon Jr. Preface Part I: A Framework for Understanding Bioethics Mediation Chapter 1: Why Mediation? * The Angry Family Acting against the Best Interest of the Patient: Clarence Corning''s Case * The Isolated Wife Adjusting to Loss: Edward Davidoff''s Case * Managing Conflict in the Contemporary Medical Context * What Is Bioethics? * What Is Clinical Ethics Consultation? * Mediation * Mediation in Health Care Settings * Principled Resolutions * The Limitations of Mediation * Mediation and Consultation Distinguished * The Case for Mediation * A Dying Patient and the Issue of Scarce Resources: Alex Barlow''s Case Chapter 2: What Makes Bioethics Mediation Unique? * The Bioethics Mediator Is Generally Employed by the Hospital * The Bioethics Mediator and Members of the Treatment Team Are Repeat Players * The Bioethics Mediator Provides Information, Enforces Norms, and Ensures That Resolutions Fall within Medical Best-Practice Guidelines * Deciding Not to Reach a Resolution Is Not an Option * The Playing Field Is Usually Uneven for Patients and Their Families * Confidentiality Is Limited to Information Not Relevant to Patient Care * Time Is of the Essence * Bioethics Mediations Involve Life-and-Death Issues * Facts Play a Different Role * The Person with the Greatest Stake in the Dispute, the Patient, Is Often Not at the Table * There May Be a Sequence of Separate, Prior Meetings in Addition to the Group Mediation * Bioethics Mediations Are Almost Always Multiparty Events * The Parties Usually Do Not Sign an Agreement to Mediate * The Physical Setting May Not Be in the Mediator''s Control * Bioethics Mediators Are Often Involved in Following Up on Implementation of the Agreement * The Clinical Ethics Consultant Enters a Detailed Account of the Mediation in the Patient''s Chart * All Participants in a Bioethics Mediation Have a Common Interest in the Well-Being of the Patient Part II: A Practical Guide to Bioethics Mediation Chapter 3: Before You Begin a Bioethics Mediation Program * What Bioethics Mediators Should Know * Who Should Conduct Bioethics Mediations * Who Can Request a Bioethics Mediation and Who Must Participate Chapter 4: The Stages of Bioethics Mediation * Overview of the Stages of Bioethics Mediation * How the Process Works: Jennifer''s Case * Stage 1: Assessment and Preparation * Stage 2: Beginning the Mediation * Stage 3: Introducing the Patient * Stage 4: Presenting and Refining the Medical Facts * Stage 5: Gathering Information * Stage 6: Problem Solving * Stage 7: Resolution * Stage 8: Follow-up Chapter 5: Techniques for Mediating Bioethics Disputes * STADA * Summarizing * Reframing * Questioning * Looking beyond Labels * Dealing with Power and Power Imbalances * An "Old Lady" and Her Twelve Cats * Generating Movement Part III: Chart Notes Chapter 6: How to Write a Bioethics Mediation Chart Note * Introduction * The Chart Note * Typical Ethical Issues and Analysis Part IV: Case Analyses Chapter 7: Mediation with a Competent Patient: Mr. Samuels''s Case Chapter 8: Mediation with a Dysfunctional Family: Mrs. Bates''s Case Chapter 9: A Complex Mediation with a Large and Involved Family: Mrs. Leonari''s Case Part V: Role-Plays: Practicing Mediation Skills Chapter 10: Discharge Planning for a Dying Patient: A Role-Play Chapter 11: An At-Risk Pregnancy: A Role-Play Chapter 12: HIV and Postsurgical Complications in the ICU: A Role-Play Chapter 13: Treating the Dying Adolescent: A Role-Play Chapter 14: She Didn''t Mean It: A Role-Play Chapter 15: Don''t Tell Mama: A Role-Play Part VI: Annotated Transcripts of Bioethics Mediation Role-Plays Chapter 16: An At-Risk Pregnancy: A Role-Play Transcript Chapter 17: HIV and Postsurgical Complications in the ICU: A Role-Play Transcript Chapter 18: She Didn''t Mean It: A Role-Play Transcript Chapter 19: Don''t Tell Mama: A Role-Play Transcript Afterword Appendix: Charting the Future: Credentialing, Privileging, Quality, and Evaluation in Clinical Ethics Consultation References Suggested Reading on Mediation Index.