Ethics and GP

Question 1

What are the 4 ethical principles

Answer 1

1. Benificience
2. Non maleficience
3. Justice
4. Autonomy

Question 2

Explain beneficence

Answer 2

Action must benefit the patient

Question 3

Explain non maleficience

Answer 3

Do no harm

Question 4

Explain autonomy

Answer 4

Patient has a right to make their owe decision

Question 5

Explain justice

Answer 5

Equal allocation of resources according to need

Question 6

What are the 5 principles of the mental capacity act

Answer 6

1. Always presume that the patient has capacity
2. Support the patient to make their own decision
3. Patients are allowed to make unwise decisions
4. Take in consideration the patient’s best interest
5. Chose the least restrictive option

Question 7

What is a lasting power of attorney and is it legally binding

Answer 7

An appointed person to make medical and/or financial decisions on behalf of someone who lacks capacity. This is legally binding

Question 8

What is an advanced directive and is it legally binding

Answer 8

A statement that sets down a person’s preferences, wishes, beliefs and values regarding their future care; not legally binding

Question 9

What is deprivation of liberty?

Answer 9

Where your liberty is taken away from you - you are not free to leave and under continuous supervision and control

Question 10

What is deprivation of liberty safeguards? (DOLS)

Answer 10

A procedure that a health professional uses to take a patients liberty away from them if they are in a care home or hospital.

Question 11

What are the 3 key elements of DOLS

Answer 11

1. It is in your best interests to take away your liberty
2. It has become an unavoidable necessity to take away your liberty
3. DoLS can only be used to deprive you of your liberty at a care home or hospital

Question 12

What are the 4 principles of DOLS

Answer 12

1. That the arrangements are in the person’s best interest
2. The person is appointed someone to represent them (i.e. an IMCA)
3. The person is given a legal right of appeal over the arrangements
4. The arrangements are reviewed and continue for no longer than necessary

Question 13

What is an independent mental capacity advocate?

Answer 13

A specially trained advocate who can help patient if they do not have the capacity to make particular decisions.
The decision maker (Dr) must take the IMCA’s report into consideration when making their decision

Question 14

When would you appoint a IMCA to a patient?

Answer 14

When a patient has been deemed to lack capacity but has no ‘appropriate’ family and friends who can be consulted

Question 15

How can a patient challenge the decision of deprivation of liberties?

Answer 15

1. Asking for a review of the authorisation

2. Appealing to the Court of Protection