ethics Flashcards
bioethical principles
- respect for autonomy
- non maleficence
- justice
- principle of beneficence
why is confedidentiality in important
privacy is a part of human dignity
it creates trust between you and doctor patients need that
BOND LASTS EVEN AFTER DEATH
LEVELS OF BREECHING
level 0 - no breach in confidentiality
level 1- trivial breech / no name mentioned
level 2- significant breech /patient is identified and because of this damage could follw!
level 3- severe breech / compromised in society
elements of informed consent
- the nature of the procedure
2.the cost - adr
- any alternatives
- patients understadning
tacit consent
understood or implied without being stated.
tacit consent
understood or implied without being stated.
model of physician patient relationship
- paternalistic- ‘i decide for u ‘
- deliberative model - in addition i tell you my preferences
- informative model - i give you the facts
- interpretive model - i give you the facts and help you find your preferences
types of paternalism
strong - the patient is competent to give consent but the doctor does not provide him with the sufficient info e.g infectious diseases
weak - patient cannot give his informed consent is not competent due to age, mental illness e,g emergency situations , mentally ill patients in emergency
active: the patient prefers the doctor to make decisions for h im
passive; doctor refuses to cooperate with patients choice
the types of rights a patient has
active
passive
negative
positve rights
margetret sanger
the term birth control was intorudced in 1914
forms of contraception
barrier, hormonol, IUD,sterilization
arguments for contracative
rape
autonomy
make a childs life worse
mental stress- not ready
arguments agaist contracative
contraception is unnatural it interupts a natural process
it promotes illicit
arguments agaist contracative
contraception is unnatural it interupts a natural process
it promotes illicit
types of sterilization
voluntary - hysterectomy
coerced- when financial, or other incentives even lies are used
forced- you have explicitly refused but still get it