Introduction to Clinical Ethics and Professionalism Flashcards

1
Q

What is clinical ethics?

A

limited to doctor-patient encounter, families, heathcare workers, medical insitituions

“principles governing the ideal human behavior”
deliberation and explicit arguments to justify particular actions

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2
Q

What is clinical ethics not?

A

not laws
-sets minimally acceptable standard of conduct
not morals
-accepted customs or convictions of people

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3
Q

Professional Ethics?

A

AOA has formulated this code to guide its member physician in their professional lives. Responsibilities to patients, society, AOA, to others involved in healthcare and to self

Address your obligation to the profession, not to the patient

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4
Q

Autonomy?

A

People are able to make decisions for themselves as long as they can understand and make intentional decisions voluntarily

legal right of patient self determination is based on this principle

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5
Q

Benificence?

A

Obliqes the person to benifit or help others
requires positive action
-prevent what is bad/harmful, remove what is bad/harmful, do or promote what is good or benificial

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6
Q

Justice?

A

people receive what they are entitled to

allocate scarce healthcare resources

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7
Q

Nonmaleficence?

A

persons to refrain from harming others
refrain from killing them or treating them cruelly
one of non intervention
due care to no intentionally harm others through actions such as reckless driving or careless surgical procedures (dont make bad situation worse)

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8
Q

Principle based ethics?

A

helpful in understanding ethical issues, but many times the principles conflict, not as helpful in resolving dilemmas when they conflict

criticized for strong reliance on rules, duties, rights, and dealing with patients as strangers

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9
Q

Casuitry?

A

Case based approach to ethical decision making

ultimately must resort to some ethical rule, guideline or principe for justification

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10
Q

Weakness with casuitry?

A

does not provide clearly articulated ethical rules or principles

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11
Q

Ethics of care?

A

act unselfishly for the benifit of others

values sympathy, compassion, fidelity, discernment and love

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12
Q

Virtue-based ethics?

A

what would a good physician do in this case
feelings, motivations, duties, not only actions but character
virtuous people sometimes can perform wrong actions

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13
Q

Narrative based ethics?

A

puts emphasis on learning patients story

learn patient perspective and meaning to the patient

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14
Q

Most cases solved?

A

by using two or more of these approaches

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15
Q

Patient as a person history?

A

asking patient what they know about their illness, how it affects them, any religion or something that helps them get by, if they want to talk about it

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16
Q

Approach to ethical dilemmas?

A

systematic approach to ethical problems helps ensure
no important considerations are overlooked
similar cases are resolved consistently
seven step process

17
Q

Seven step process?

A

What are the ethical questions?
What are the clinically relevant facts?
What are the values at stake for all relevant parties?
List options
What should you do?
Justify your choice
How could this ethical issue have been prevented?

18
Q

What are the ethical questions?

A

should questions

19
Q

Justify your choice?

A

give reasons to support your answer

explain both why your choice is better, why others are less appropriate