Elliot- Ethics in End of Life Care Flashcards
What is ethics?
Lens to guide medical decision making
What are principles?
professional standards used as guidelines for making medical decisions
What is a narrative?
Life story that provides insight into making personal decisions
What is medical judgement?
Professional insight using medical knowledge, ethics, and personal value
What is autonomy?
pt has decision making power
What is beneficence?
do no harm
what is non-malificence?
obligation not to inflict harm intentionally
How does ethics play a role in medical decision making?
Align autonomy and beneficence
while considering
non-malifecence and justice
What is the difference between competency and capacity?
Competency–legal dichotomy decided by a judge
Capacity– ability to understand right now, clinical setting
Who are non-decisional adults?
those that no longer have the CAPACITY to make decisions
name a surrogate
use substitute judgement in their best interests
What are double effect considerations?
It’s okay to do harm if your intent is good but not if it is bad
Are doctors obliged to provide futile care?
NO–pts can refuse interventions but cannot demand them
What are medical interventions forgone?
When they offer little benefit to meeting patient goals or sustaining desired AOL
