Paquita de Zulueta | Imperial college (original) (raw)

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Papers by Paquita de Zulueta

Research paper thumbnail of Bioethics in social context : Edited by B Hoffmaster. Temple University Press, 2001, US$69.50 (hc), $22.95 (pb), pp 230. ISBN 1-56639-845-2

Research paper thumbnail of Bioethics in social context : Edited by B Hoffmaster. Temple University Press, 2001, US$69.50 (hc), $22.95 (pb), pp 230. ISBN 1-56639-845-2

Research paper thumbnail of Choosing for and with children: consent, assent and working with children in the primary care setting

London Journal of Primary Care, 2010

Research paper thumbnail of HIV in pregnancy: ethical issues in screening and therapeutic research

Ethical issues in maternal–fetal medicine, 2002

Research paper thumbnail of Elective caesarean section on request. Patients do not have right to impose their wishes at all cost

Research paper thumbnail of Elective caesarean section on request

... Bernard Norman, Specialist registrar in anaesthesia.,; John A Crowhurst, Reader in obstetric ... more ... Bernard Norman, Specialist registrar in anaesthesia.,; John A Crowhurst, Reader in obstetric anaesthesia.,; Felicity Plaat, Consultant obstetric anaesthetist ... and Primary Care, Imperial College School of Medicine, London W2 1PG; Queen Charlotte's and Chelsea Hospital, London ...

Research paper thumbnail of Health care rationing. Who will be patients' advocate if doctors assume the rationing role?

BMJ Clinical Research

The commission's name is the Health Services Commission, and the question was not "What would mos... more The commission's name is the Health Services Commission, and the question was not "What would most people find satisfactory?" but "What are the moral values you expect in the delivery of Oregon's health care?" The question was put by Oregon Health Decisions, a free standing citizens' organisation that the legislature directed the commission to use in ascertaining a moral foundation for the plan.

Research paper thumbnail of Reducing the vertical transmission of HIV. Anonymous testing is unethical

Research paper thumbnail of Precious: a film based on the novel Push by Sapphire

London Journal of Primary Care, 2010

Research paper thumbnail of Welcome to the ethics section of the London Journal of Primary Care

London Journal of Primary Care, 2008

Research paper thumbnail of Antenatal screening for HIV

Journal of the Royal Society of Medicine

Research paper thumbnail of The Lord Layard interview

London Journal of Primary Care, 2009

Research paper thumbnail of Mandatory submission of patient identifiable information to third parties: FGM now, what next?

Research paper thumbnail of Ethics of the ordinary: a meeting run by the Royal Society of Medicine with the Royal College of General Practitioners

London journal of primary care, 2011

Research paper thumbnail of Childhood obesity

The British journal of general practice : the journal of the Royal College of General Practitioners, 2006

Research paper thumbnail of Suffering, compassion and 'doing good medical ethics

Journal of Medical Ethics, 2014

Doing good medical ethics' involves attending to both the biomedical and existential aspects of i... more Doing good medical ethics' involves attending to both the biomedical and existential aspects of illness. For this, we need to bring in a phenomenological perspective to the clinical encounter, adopt a virtue-based ethic and resolve to re-evaluate the goals of medicine, in particular the alleviation of suffering and the role of compassion in everyday ethics.

Research paper thumbnail of The devil is in the detail of the government's response to the Francis report

Research paper thumbnail of Compassion in 21st century medicine: Is it sustainable?

Clinical Ethics, 2013

Philosophical and scientific understandings of compassion converge, both stressing its necessity ... more Philosophical and scientific understandings of compassion converge, both stressing its necessity for the moral life and human flourishing. I conceptualise a dynamic and frangible account of professional virtues, including compassion, and propose that mechanistic organisational systems of care and the biomedical paradigm create a strong risk of dehumanisation and the obliteration of compassion in healthcare. Additionally, the neoliberal market ideology, with its instrumental approach to individuals and commodification of healthcare creates a corrosive influence that alienates clinicians from their patients and severely curtails the scope for compassionate practice. The tension between efficiency and patient orientated care -although they need not be mutually exclusive -has become more acute in the current economic climate, at a time when the boundaries of medicine have broadened and expectations for healthcare have risen. This has created an unsustainable dynamic within which alienated healthcare professionals struggle to fulfil their healing roles and patients experience abandonment and more anxiety.

Research paper thumbnail of Compassion in healthcare

Research paper thumbnail of (1) Reflecting on the Francis report: How we can develop more human systems of care

Nursing Ethics, 2013

The United Kingdom has recently been rocked by a series of reports and scandals relating to the c... more The United Kingdom has recently been rocked by a series of reports and scandals relating to the care of patients in hospitals and in care homes. The independent inquiry in 2010 1 led by Robert Francis 2 into the failings of the Mid Staffordshire hospital followed by the Public Inquiry reported in 2013 make for painful reading. 3 The statistics -up to 1200 preventable deaths -are shameful, but it is the personal stories that truly shock us. The relatives' accounts of the degradation, neglect, callousness and even cruelty experienced by patients create a picture of a living hell.

Research paper thumbnail of Bioethics in social context : Edited by B Hoffmaster. Temple University Press, 2001, US$69.50 (hc), $22.95 (pb), pp 230. ISBN 1-56639-845-2

Research paper thumbnail of Bioethics in social context : Edited by B Hoffmaster. Temple University Press, 2001, US$69.50 (hc), $22.95 (pb), pp 230. ISBN 1-56639-845-2

Research paper thumbnail of Choosing for and with children: consent, assent and working with children in the primary care setting

London Journal of Primary Care, 2010

Research paper thumbnail of HIV in pregnancy: ethical issues in screening and therapeutic research

Ethical issues in maternal–fetal medicine, 2002

Research paper thumbnail of Elective caesarean section on request. Patients do not have right to impose their wishes at all cost

Research paper thumbnail of Elective caesarean section on request

... Bernard Norman, Specialist registrar in anaesthesia.,; John A Crowhurst, Reader in obstetric ... more ... Bernard Norman, Specialist registrar in anaesthesia.,; John A Crowhurst, Reader in obstetric anaesthesia.,; Felicity Plaat, Consultant obstetric anaesthetist ... and Primary Care, Imperial College School of Medicine, London W2 1PG; Queen Charlotte's and Chelsea Hospital, London ...

Research paper thumbnail of Health care rationing. Who will be patients' advocate if doctors assume the rationing role?

BMJ Clinical Research

The commission's name is the Health Services Commission, and the question was not "What would mos... more The commission's name is the Health Services Commission, and the question was not "What would most people find satisfactory?" but "What are the moral values you expect in the delivery of Oregon's health care?" The question was put by Oregon Health Decisions, a free standing citizens' organisation that the legislature directed the commission to use in ascertaining a moral foundation for the plan.

Research paper thumbnail of Reducing the vertical transmission of HIV. Anonymous testing is unethical

Research paper thumbnail of Precious: a film based on the novel Push by Sapphire

London Journal of Primary Care, 2010

Research paper thumbnail of Welcome to the ethics section of the London Journal of Primary Care

London Journal of Primary Care, 2008

Research paper thumbnail of Antenatal screening for HIV

Journal of the Royal Society of Medicine

Research paper thumbnail of The Lord Layard interview

London Journal of Primary Care, 2009

Research paper thumbnail of Mandatory submission of patient identifiable information to third parties: FGM now, what next?

Research paper thumbnail of Ethics of the ordinary: a meeting run by the Royal Society of Medicine with the Royal College of General Practitioners

London journal of primary care, 2011

Research paper thumbnail of Childhood obesity

The British journal of general practice : the journal of the Royal College of General Practitioners, 2006

Research paper thumbnail of Suffering, compassion and 'doing good medical ethics

Journal of Medical Ethics, 2014

Doing good medical ethics' involves attending to both the biomedical and existential aspects of i... more Doing good medical ethics' involves attending to both the biomedical and existential aspects of illness. For this, we need to bring in a phenomenological perspective to the clinical encounter, adopt a virtue-based ethic and resolve to re-evaluate the goals of medicine, in particular the alleviation of suffering and the role of compassion in everyday ethics.

Research paper thumbnail of The devil is in the detail of the government's response to the Francis report

Research paper thumbnail of Compassion in 21st century medicine: Is it sustainable?

Clinical Ethics, 2013

Philosophical and scientific understandings of compassion converge, both stressing its necessity ... more Philosophical and scientific understandings of compassion converge, both stressing its necessity for the moral life and human flourishing. I conceptualise a dynamic and frangible account of professional virtues, including compassion, and propose that mechanistic organisational systems of care and the biomedical paradigm create a strong risk of dehumanisation and the obliteration of compassion in healthcare. Additionally, the neoliberal market ideology, with its instrumental approach to individuals and commodification of healthcare creates a corrosive influence that alienates clinicians from their patients and severely curtails the scope for compassionate practice. The tension between efficiency and patient orientated care -although they need not be mutually exclusive -has become more acute in the current economic climate, at a time when the boundaries of medicine have broadened and expectations for healthcare have risen. This has created an unsustainable dynamic within which alienated healthcare professionals struggle to fulfil their healing roles and patients experience abandonment and more anxiety.

Research paper thumbnail of Compassion in healthcare

Research paper thumbnail of (1) Reflecting on the Francis report: How we can develop more human systems of care

Nursing Ethics, 2013

The United Kingdom has recently been rocked by a series of reports and scandals relating to the c... more The United Kingdom has recently been rocked by a series of reports and scandals relating to the care of patients in hospitals and in care homes. The independent inquiry in 2010 1 led by Robert Francis 2 into the failings of the Mid Staffordshire hospital followed by the Public Inquiry reported in 2013 make for painful reading. 3 The statistics -up to 1200 preventable deaths -are shameful, but it is the personal stories that truly shock us. The relatives' accounts of the degradation, neglect, callousness and even cruelty experienced by patients create a picture of a living hell.