Basic Principles of Health Care Ethics Flashcards
1
Q
Bioethics
- Hierarchy if reasoning by values
A
- DEcisions
- rules and codes
- Basic Principles
- WOrldview
2
Q
WHat are the universal principles of bioethics
A
- Autonomy
- Beneficence
- Nonmaleficence
- Justice
3
Q
What are the ethical rules?
A
Veracity
confidentiality
role fidelity
4
Q
Autonomy
– 3 basic elements
A
- Personal self-determination
- 3 basic elements: the ability to decide, the power to act upon your decisions, respect for the autonomy of others
- develops the rule of “informed consent”
5
Q
Elements of informed consent
A
- disclosure
- understanding
- voluntariness
- competence
- permission giving
**Informed consent also: therapeutic privilege - legal exception, benevolent deception, paternalism
6
Q
Beneficence
A
- seek the good for the patient
- suggests mercy and charity
- reflected in Hippocratic oath
- duty to promote health & welfare
7
Q
Nonmaleficence
A
- PRIMUM NON-NOCERE
- refrain from inflicting harm
- expressing beneficence in the negative
- intentional acts or omissions
- involves the issue of side effects
- principle of double effect
8
Q
Principle of Double effect
A
-prescribe a treatment that may have harmful effects as long as that is never the intended outcome
9
Q
Guiding elements for double effect principle
A
- treatment is good or morally neutral
- the god must not follow as a consequence of the secondary harmful effects
- harm never intended, tolerated as casually connected with the good intended
- the good must outweigh the harm
10
Q
Justice
A
- fairness, equity, fait treatment and entitlement
- distributive justice
- comparative justice
11
Q
Distributive justice
A
- scarce health care resources
- Practitioner self-determination
- mal-distribution of services
- costs
12
Q
Veracity
A
- truth telling
- Fiduciary relationship
- use of placebo (nondisclosure, deception, form of paternalism)
13
Q
Confidentiality
A
- strict confidentially of information gathered in the course of treatment
- relationship of trust
- fiduciary responsibility of the practitioner
- HIPPA: health insurance Privacy and Portability Act of 1996
14
Q
Role fidelity
A
- member of the health care team
- Health care specialties shape individual practice
- Practicing faithfully within the constraint of practice roles
- prescribed by the scope of practice in each state
15
Q
Professional code of ethics
A
Rules derived from universal principles
- shaped by the needs of the specific profession
- Something can be socially correct, medically possible and legally permissible and yet be morally reprehensible
