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BioEthics > EXAM 1 > Flashcards

EXAM 1 Flashcards

1
Q

Morality

A

beliefs regarding morally right and wrong actions and morally good and bad persons or character

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2
Q

Bioethics

A

applied ethics focused on health care, medical science, and medical technology

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3
Q

Ethics

A

The study of morality using the tools and methods of philosophy

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4
Q

Descriptive Ethics

A

The study of morality using the methodology of science

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5
Q

Applied Ethics

A

The use of moral norms and concepts to resolve practical moral issues

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6
Q

Normative Ethics

A

The search for, and justification of, moral standards, or norms

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7
Q

Metaethics

A

The study of the meaning and justification of basic moral beliefs

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8
Q

Impartiality

A

the idea that everyone should be considered equal, that everyone’s interests should count the same.

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9
Q

What does Phil. James Rachels say about moral impartiality

A

Believes one should not treat other people without a good reason, it is not considered discrimination

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10
Q

Reasonableness

A

To participate in morality—to engage in the essential, unavoidable practices of the moral life—is to do moral reasoning

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11
Q

Autonomy

A

a person’s rational capacity for self-governance or self-determination—the ability to direct one’s own life and choose for oneself.

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12
Q

Beneficence

A

an ethical principle that involves actively doing good for others, promoting their well-being and preventing or alleviating harm

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13
Q

Example of beneficence

A

In fields like healthcare, professionals are typically obligated to follow the principle of beneficence as a core part of their duties. They are obligated to promote the well-being of patients by providing them with the best possible care and working to prevent harm to the patients

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14
Q

Non-maleficence

A

The moral principle that says we should not cause unnecessary injury or harm to others

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15
Q

Justice

A

what is fair and what is their due

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16
Q

Retributive Justice

A

concerns the fair meting out of punishment for wrongdoing

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17
Q

Distributive Justice

A

concerns the fair distribution of society’s advantages and disadvantages

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18
Q

Utility

A

The principle of utility says that we should produce the most favorable balance of good over bad (or benefit over harm) for all concerned.

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19
Q

Subjective relativism

A

The view that right actions are those sanctioned by a person
Relieves individuals of the burden of serious critical reasoning about mortality

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20
Q

Cultural relativism

A

The view that right actions are those sanctioned by one’s culture

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21
Q

Ethical relativism

A

The view that moral standards are not objective but are relative to what individuals or cultures believe

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22
Q

Modus Ponens

A

affirms the truth of the argument, conclusion becomes the affirmation

EX: If I am happy, then I smile. I am not smiling therefore I am not happy

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23
Q

Modus Tollens

A

affirms the denial of the argument, conclusion is denial

EX: I will not wear my sunglasses today. Therefore it is not bright or sunny today.

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24
Q

Straw man fallacy

A

when an argument is easy to be attacked for being too simplified

EX: “I like Chinese food more than Pizza” “Well, you must hate Pizza”

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25
Q

Begging the question fallacy

A

When conclusion is assumed to be true in the premise

EX: Some people don’t like chocolate chip cookies; if some people don’t like chocolate chip cookies, then chocolate chip cookies should be banned from grocery stores

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26
Q

slippery slope fallacy

A

argument claims that an initial event or action will trigger a series of events that will lead to an extreme outcome

EX: If students are required to wear uniforms to school, they’ll do less shopping at local clothing stores. With less business, the stores will close, which will hurt our local economy.

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27
Q

Paternalism

A

The overriding of a person’s actions or decision-making for his own good

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28
Q

Weak paternalism

A

Paternalism directed at persons who cannot act autonomously or whose autonomy is greatly diminished.

29
Q

Strong paternalism

A

The overriding of a person’s actions or choices, even though he is substantially autonomous

30
Q

Refusing treatment

A

Patients have the right to refuse treatment; tough when parents reject treatment for minors or mature minors

31
Q

Futile treatment

A

Alleged pointlessness or ineffectiveness of medical treatment

32
Q

Case of Helga Wangile

A

Retired 87 year old woman, had heart attack then entered a PVS(persistive ventilated state)
Several months pass and the question is should she be removed from the ventilator
Mr. Wangile: only God can end life
Hospital: unnecessary because she won’t be coming back AND 1 million in Medicare(tax dollars)

33
Q

Competence

A

ability to do something successfully or efficiently

34
Q

Therapeutic privilege

A

act of withholding information by a clinician, with the underlying notion that the disclosure of this would inflict harm or suffering upon the patient

35
Q

Schloendorff V. New York

A

Mary S. went to doctors and found a mass to be removed
Said no to surgery because terrified of surgery
Underwent anesthesia to perform an examination of the mass wherein the physician removed the tumor
Lost limbs from an infection

Justified because providing guidance to someone who requires it to their wellbeing who is unable to make their own decisions

36
Q

Canterbury v Spence

A

-sued for malpractice on the grounds of negligence

canterbury fell from bed and was paralyzed

37
Q

Katz view on law (article)

A

If an issue of battery law–physicians only have one defense, that they made adequate disclosure; person gets sick→battery, fist hits face
If an issue of negligence law –they can invoke therapeutic privilege not to disclose for patient welfare; not telling them everything for their own good
Informed consent is a social policy, not a medical one

38
Q

Clinical trials

A

Take a loooong time to be approved by FDA

39
Q

Blinding in clinical trials

A

A procedure for ensuring that subjects and researchers do not know which interventions the subjects receive

40
Q

Placebo in clinical trials

A

An inactive or sham treatment

41
Q

Reliability in clinical trials

A

Maximize bias, avoid errors, maximize objectivity

42
Q

Nontherapeutic

A

not relating to or providing therapy

43
Q

Equipoise

A

when the overall benefit or harm by the treatment to a patient is uncertain

44
Q

Radiation experiment

A

4000 federally sponsored radiation experiments conducted
-injecting plutonium into terminally ill patients

45
Q

Tuskegee Study

A

researchers did not collect informed consent from participants
-kept making the population of tuskgee keep having syphilis

46
Q

Willowbrook

A

children were infected with hepatitis seeing as they were in a bad place of the country were no one cared

47
Q

Diagnostic testing

A

to confirm or rule out a genetic disorder in someone with symptoms.

48
Q

Carrier testing

A

to determine whether someone is a carrier of a type of genetic disease known as an autosomal recessive disorder.

49
Q

Eugenics

A

The deliberate attempt to improve the genetic makeup of humans by manipulating reproduction.

50
Q

Reprogramming

A

involves adding one or more genes to cells of a specific type to change the characteristics of those cells

51
Q

cell elimination

A

strategies are typically used to destroy malignant (cancerous) tumor cells, but can also be used to target overgrowth of benign (non-cancerous) tumor cells.

52
Q

Gene silencing

A

prevents the production of a specific protein by targeting mRNA for degradation so that no protein is produced

53
Q

gene correction

A

can be achieved by modifying part of a gene using recently developed gene editing technology to remove repeated or faulty elements of a gene, or to replace a damaged or dysfunctional region of DNA

54
Q

Gene addition

A

involves inserting a new copy of a gene into the target cells to produce more of a protein

55
Q

Gene Theraoy

A

The manipulation of someone’s genetic material to prevent or treat disease.

56
Q

Preimplantation genetic diagnosis (PGD)

A

to test embryos produced through in vitro fertilization (IVF) for genetic abnormalities

57
Q

Elizabeth Bouvia and Patient Autonomy

A

Patient with cerebral palsy wanted to die so she went to hospital in order to end her life but doctors said no; she ends up winning but decides to live

58
Q

Refutation of medical paternalism article

A

Goldman argues that subjective harm is more damaging than objectvie harm; quality of life < quantity of life

59
Q

Schawrtz and medical futility article

A

caregivers lack appropriate knowledge and experiences not values to make decisions on if its useful to use resources on patient

60
Q

Informed consent article

A

two senses to informed consent
1. autonomous action that authorizes the course of action
2. informed consent and decision making is not enough

61
Q

Sense 1 V Sense 2

A

S1- autonomous authorization and patient rights
S2- legal aspects of informed consent

62
Q

Of mice but not men article

A

ethical issues behind randomized clinical trials such as the need for consent, research-practice distinction, and elements that must be disclosed in consent process

  • basically treat subjects like people not mice
63
Q

Davis and genetic dilemmas and childs right to open future article

A

talks about how a child should have the right to keep their options about the future open until they are capable of making their own decisions

64
Q

Deaf designer genetic testing article

A

genetic tests should be offered to couples who want a child, couples should test to determine if quality of life for child will be good, couples should be able to refuse tests

65
Q

Balance of Autonomy and Beneficence:

A

Autonomy refers to an individual’s right to make decisions about their own healthcare, while beneficence relates to the obligation to act in the best interests of the patient. Ethical decision-making often involves finding the right balance between respecting a patient’s autonomy and pursuing actions that promote their well-being

66
Q

Duty to warn

A

principle that requires healthcare professionals to inform patients about potential risks, benefits, and alternatives to a proposed treatment or procedure.

67
Q

duty to prevent harm

A

This principle emphasizes the obligation of healthcare providers to prevent harm to their patients. It involves taking all reasonable steps to ensure that medical interventions do not cause unnecessary harm and that patient safety is a top priority.

68
Q

Duty to keep patient confidentiality

A

Healthcare professionals have a duty to keep patient information confidential and not disclose it without the patient’s informed consent

BioEthics (2 decks)

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