ethics and law in medicine Flashcards

1
Q

what are the two principle sources of uk law

A
  • common law and statue law
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how is common law developed and give an example

A
  • developed through court cases
  • example Re C-adult refusal of treatment 1994
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how is statue law developed and give an example

A
  • through act of parliament
  • mental capacity act
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

explain Re C, what did it establish

A
  • adult refusal of treatment 1994
  • c had paranoid schizophrenia (delusions of being a great surgeon) and developed gangrene in his leg, did not want his leg to be amputated. judge decided he was competent to refuse treatment because he understood, retained and weighed out the information, valid until 1994 to 2005
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the mental capacity act 2005 criteria for assessing capacity

A
  • understand
  • retain
    -weigh out
  • communicate the information
    important to not all adults are assumed to have capacity unless proven otherwise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how do courts make decision in the absence of statue law

A
  • courts make decision based on precedent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what overrides previous common law

A
  • a statue passed by parliament
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

give an example of laws and attitudes can change over time

A
  • suicide was considered a crime of self murder in the 13th century, in mid 20th century courts started to refuse to prosecute individuals who attempted suicide, reflected a change in social attitudes
    suicide act 1961: suicide no longer considered a crime however theres up to 14 years of prison if aiding suicide of another
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are two different types of law

A
  • criminal law
  • civil law
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

explain the following for criminal law:
- aims
-sanctions
- standard of proof
-decision makers
- parties

A
  • to maintain law and order and protect society
  • punishment
  • beyond reasonable doubt
  • jury/ magistrate (guilty/not)
    -state vs defendant ( r vs shipman)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

explain the following for civil law:
- aims
-sanctions
- standard of proof
-decision makers
- parties

A
  • to protect individual
  • compensation
  • balance of probabilities
  • judges (liable/not)
  • claimant vs defendant ( rec 1994)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when was the gmc established and what is it

A
  • general medical council established in 1858 by medical act
  • regulatory body- regulates doctors in uk and protects patients
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the role of the gmc

A
  • to protect patients and improve medical education snd practice by setting standards and ensuring standards are met through and taking action to prevent a doctor from putting the safety of patients at risk
  • provides guidlines regarding ethics and law which should be followed by doctors and medical students
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the four domains of the gmc

A
  1. knowledge skills and development
  2. patients, partnership and communication
  3. colleagues culture and safety
  4. trust and professionalism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what does the first domain of the gmc mean ( knowledge skills and improvement)

A
  • work within your competence
  • be up to date with knowledge and skills
  • provide a good standard of practice and care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what does the second domain of the gmc mean ( patients, partnership and communication)

A
  • respect every patients dignity and treat them as an individual
  • listen to patientd and work in partnership with them- supporting them to make informed decisions about their care
  • protect patients personal information form improper disclosure
17
Q

what does the 3 domain of the gmc mean (culture, colleagues and saftey)

A
  • work with colleagues
  • willing to share knowledge, skills and experience with colleagues i.e from teaching training mentoring
  • treat people with respect and create a working environment that is compassionate supportive and fair
18
Q

what does the 4th domain of the gmc mean ( trust and professionalism)

A
  • act with honesty and integrity- be open if things go wrong
  • never discriminate
  • never abuse patients trust in you
19
Q

what does the gmc have the power

A
  • prevent a doctor from practising medicine
20
Q

do foetuses have legal right to life

A
  • no
21
Q

what do ethically challenging situations using involve

A
  • clash of law, rules, values and conflict of principles
22
Q

what is a value

A

what is held as good or bad, right or wrong etc

23
Q

what is a fact

A
  • describe the way the world is
24
Q

how should you act with regards to your personal values and your profession

A

whatever personal values or beliefs you hold you are expected to practice in line with your profession

25
Q

what are the four principles in medicine

A
  • autonomy
  • beneficence
  • non maleficance
  • justice
26
Q

how can most ethically challenging situations be resolved where theres a class of rules, values etc

A
  • communication
  • find out the reason for their choice
  • are they informed
  • advantages and disadvantages
  • any concerns they have
    -wether these concerns can be resolved
  • alternatives