Introduction Flashcards

1
Q

current issues contributing to the importance of ethical considerations

A
  • increase in technology
  • better informed patients
  • public scrutiny
  • litigation
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2
Q

Potential conflicts

A
  • disagreement over the definition of “benefit” and “harm” between health care providers and patients and families
  • and between providers and patients and third party payers
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3
Q

medical ethics

A
  • system of moral principles that applies values and judgments to the practice of medicine and addresses:
    • the broad ethical principles that impact on patients, clinicians, and healthcare institutions
    • the code of ethics of healthcare providers, first delineated in the Hippocratic oath
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4
Q

Oath of Hippocrates - medical ethics

A
  • “primum non nocere” - first do no harm
  • always look to the good of the patient
  • place a high value on human life
  • perform only within one’s training and skill
  • refrain from improper relations with patient
  • maintain patient’s secrets inviolate
  • do not violate community laws or morals
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5
Q

“ethics” vs “morality”

A
  • both focus on right and wrong
  • differ regarding whether there is: consensus vs. conflict of values, uniform code of behavior, and authoritative sources
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6
Q

ethics definition

A

refer to rules or standards provided by an external source, e.g., professional or workplace codes of conduct or religious principles; in other words the principles of “right conduct” (outside external source)

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7
Q

morals definition

A

refer to an individual’s own principles regarding right and wrong, upon which one’s judgements of right and wrong are based (personal, internal source)

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8
Q

ethics

A
  • systematic rules or principles that govern a person’s or group’s behavior, striving for right conduct
  • generally without a single accepted code of behavior, or authoritative source
  • accepting uncertainty
  • aims to transcend the diversity of moral traditions in its response to conflicting beliefs about right and wrong conduct
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9
Q

Professional ethics

A
  • the ethical norms, values, and principles that guide a profession and the ethics of decisions made within the profession
  • every practitioner, upon entering the health care profession, is invested with the responsibility to adhere to the standards of ethical practice and conduct set by the profession
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10
Q

Bioethics

A
  • the ethics of medical and biological research;
  • the study of ethical problems arising from biological research and its applications in such fields as organ transplantation, genetic engineering, or artificial insemination
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11
Q

“normative” ethics

A
  • an approach that examines or assigns rightness or wrongness to actions
  • there are several normative ethical theories that we will examine
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12
Q

virtue ethics

A

focuses on the inherent character of a person rather than on specific actions

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13
Q

deontological ethics

A
  • focuses on the status of the action, rule, or disposition itself (has various forms…)
  • argues that decisions should be made considering the factors of one’s duties and others’ rights
  • includes: Kantianism, contractualism, and natural rights
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14
Q

consequentialism

A
  • focuses on the status of the action, rule, or disposition itself (has various forms…)
  • argues that the morality of an action is contingent on the action’s outcome or result
  • theories include: utilitarianism, ethics of car, pragmatic ethics
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15
Q

Kantianism

A
  • type of deontology

- roots morality in humanity’s rational capacity and asserts certain inviolable moral laws

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16
Q

Contractualism

A
  • type of deontology

- holds that the moral acts are those that we would all agree to if we were unbiased

17
Q

Natural rights

A
  • type of deontology

- holds that human beings have absolute, natural rights

18
Q

utilitarianism

A
  • type of consequentialism

- holds that an action is right if it leads to the most happiness for the greatest number of people

19
Q

ethics of care

A
  • type of consequentialism
  • aka relational ethics
  • founded by feminist theorists
  • morality arises out of the experiences of empathy and compassion
  • emphasizes the importance of interdependence and relationships in achieving ethical goals
20
Q

pragmatic ethics

A
  • type of consequentialism
  • moral correctness evolves similarly to scientific knowledge: socially over the course of many lifetimes
  • we should prioritize social reform over concern with consequences, individual virtue or duty
21
Q

nonnormative ethics

A
  • simply observes and describes, establishing what factually or conceptually is the case, not what ethically ought to be the case
  • two types are descriptive ethics and metaethics
22
Q

descriptive ethics

A
  • type of nonnormative ethics

- simply reports what people believe, how they reason, and how they act

23
Q

metaethics

A
  • type of nonnormative ethics

- analysis of the language, concepts, and methods of reasoning in ethics

24
Q

practical ethics

A

utilizes the implications of general theories for specific forms of conduct and moral judgment; formerly called applied ethics

25
Q

4 basic principles of medical ethics

A

autonomy
nonmaleficence
beneficence
justice

26
Q

autonomy

A

one should respect the right of individuals to make their own decisions

27
Q

nonmaleficence

A

one should avoid causing harm

28
Q

beneficence

A

one should take positive steps to help others

29
Q

justice

A

benefits and risks should be fairly distributed