2P - Ethics in OB GYN Practice Flashcards
This is the basis for informed consent, truthtelling, and confidentiality.
Autonomy
covers the study of the
nature of morals and the specific moral choices to be
made
Ethics
answer the question, “Which
general moral norms for the guidance and evaluation
of conduct should we accept, and why?
Normative ethics
requires that doctors be properly
motivated by love for our patients, to do what is best
for them
Respect
involves responding to each patient as
an individual needs and openness
Sensitivity
we seek our patient’s permission for
every intervention we undertake
Permission
Which two principles implicates to do no hram
Beneficence and non maleficence
Demands that health care providers develop and
maintain skills and knowledge, continually update
training, consider individual circumstances of all
patients, and strive for net benefit.
beneficience
weigh the benefit against burdens of
all interventions and treatment, to rescue those
inappropriately burdensome, and to choose the
best course of action for the patient
non maleficence
the decision-making process must be free
of coercion or coaxing
Autonomy
In order for the patient to have autonomy, what should the patient understand?
Risk, benefits and likelihood of success of procedures
The idea that the burdens and benefits of new or
experimental treatments must be distributed equally
among all groups in society
Justice
our main
areas when evaluating justice
Fair distribution of scarce resources
Competing needs
Rights and obligations
Potential conflicts with established legislation
is a self-directed, integrated
organism that possesses the genetic endowment of
the human species Homo sapiens who has the
inherent active biological disposition for ordered
growth and development in a continuous seamless
maturation process
Living human being
A human embryo is a potential human being? T or F?
False
A human embryo is a HUMAN BEING WITH POTENTIAL
When does life begin?
At ferrilization
When does Full embryonic gene expression happen?
4th to 8th cellular division
one of the concepts that brings anxiety, concerns and fear in many physicians
Informed consent
informed consent arises from what concept?
Autonomy
Requirements for Informed Consent
- patient must be competent to understand and decide
- patient must receive full disclosure comprehend
the disclosure, act voluntarily, and consent to the proposed action
is an important component of an
informed consent. In many instances, a notation in the
patient’s chart is sufficient and appropriate
Documentation
If the patient refuses treatment, what should the physician document?
Informed refusal
- The patient’s refusal to consent to treatment,
test or procedure. - The reasons stated by the patient for refusal.
- Documentation that the need for the
procedure has been explained.
A dying patient refuses treatment after explanation and sent home. what is the statement? informed refusal or home with good medical advice?
home with good medical advice
informed refusal for curable patients
“active total
care of patients whose diseases are not
responsive to curative treatment”.
Palliative care
Palliative care postpones death? T or F?
False
implies absolute and incontrovertible
cessation of total brain function, including brain
stem function
Brain death
implies absolute and incontrovertible
cessation of total brain function, including brain
stem function
15 weeks
Whose good is considered for the prevention of maternal death in brain death condition assuming there is continuation of pregnancy?
Fetus
When does pregnancy start and end?
Start at implantation and ends with either birth or abortion
The partner’s consent must be considered with the patient’s request for sterilization? T or F?
False
Abortion is a method of family planning? T or F?
False
What crucial difference draws the line between profession and business?
Fiduciary duty
This means that professionals have a
particularly stringent duty to assure that their
decisions and actions serve the welfare of their
patients or clients, even at some cost to
themselves.
Fiduciary duty
a physician is obligated to
attend to the best interest of patients,
rather than self-interest.
Altruism
Physicians are obligated to
make a commitment to life-long learning
Excellence
a physician should be available and
responsive when “on call”, accepting a
commitment to service within the
profession and the community
Duty
physicians should
be committed to being fair, truthful and
straightforward in their interactions with
patients and the profession
Honor and integrity
Fist clone mammal?
Sheep
What principles contradict with informed refusal?
Beneficence and autonomy
Legal age for patient obstetrics?
21
