For Quiz 1 Aim Flashcards
Doherty and Baird
Disease orientation and social orientation.
Humanistic-MD — asks more than just the dss, but how the patient feels.
Physician needs the following in counseling
Counseling skills, family dynamic, and a network of professionals
Functions of counseling
Support “help at hard times”
Challenge”shake up with those will illusory sense.”
Education - to the misconceptions
Prevention - anticipatory guidance
Phases of counseling
Shift in patients thinking
Phase 2 or insigh
T/F:
Direct relationship of family dynamics to physiologic effects on disease
True
Family can be the solution, the problem, or the biggest ally.
2 cases when you as a MD can routinely intervene
Hospital admissions
Routine OB and child-care
Terminal illnesses
Serious chronic illness
Level of family intervention
Provision of emotional support
Level 3
Level 1:minimal involvement
Level 2: on going medical info and advic
Level 4: systematic assessment and planned intervention
Level 5: family therapy
First 4 steps in resolving bioethical problems
- Identify the problem
- Get the facts
- Find out the motives
- Identify the laws involved
Last 4 step in resolving bioethical principles
- Identify ethical principles involved
- What are your convictions?
- The rule?
- The judgment or decision
Clinical research ethics
Goal?
Generate useful knowledge about human health & illness
Unit 731
Biological & Chemical warfare research and development unit (2nd Japanese-Sino war at 1937 -1945)
- grenades, vivisection, syphillis—rape, gangrene)
TUs mentee Alabama (1932-1972)
Syphilis experiment on African-Americans… Never told of their condition nor given treatment.
The Nuremberg Code in 1947 are 10 standards to which a doctor must conform to due to the gross abuses in human experiments faced back
In the Nazis at Germany
Belmont Report consist of 3 principles
- Respect for Person
- Beneficence & Non-Maleficence
- Justice
Declaration of Helsinki ensures that
- Well-being of participant prioritized first, then. The interests of society & science
- Protect the life, dignity, health and rights to autonomy, privacy, and confidentiality in the participant’
- Research must not exacerbate existing inequities.