Medical Ethics Flashcards

1
Q

when can an action for battery arise

A

An action for battery arises when there has
been no consent, express or implied, to
touching of a patient

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2
Q

what are the two types of consent

A

implied

expressed - oral or written

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3
Q

describe a clinician-centred view of consent

A

– legalistic approach to consent
– considers what the clinician should tell a patient
about the nature of a procedure and the risks

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4
Q

describe a patient-centred view of consent

A

– considers what is necessary to enable the patient to make an informed choice; ‘informed consent’.

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5
Q

what are the three components to make consent legally valid

A
  1. Voluntary: person acting under his/her own free will without coercion
  2. Informed: knows in broad terms what
    consenting to i.e. has received enough
    information to make the decision
  3. Competent/Capacitous: able to give consent
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6
Q

when is someone regarded as lacking capacity

A

when they cannot:

  • understand
  • retain
  • use or weigh up the information
  • communicate their wishes
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7
Q

when can you disclose information about a patient case

A

• When the patient consents • When patients lack capacity and disclosure is
in their best interests • The disclosure is required by law or is
permitted/ has been approved under a
statutory process • The disclosure can be justified in the public
interest

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8
Q

what is clinical negligence

A

Patient (claimant) must prove:

  1. Duty of care
  2. Breach of that duty
  3. The breach caused the claimant loss/harm
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9
Q

what are the conditions for gross negligence manslaughter

A

a) the existence of a duty of care to the deceased;
b) a breach of that duty of care which;
c) causes (or significantly contributes) to the death of the victim; and
d) the breach should be characterised as gross negligence, and therefore a crime.

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10
Q

what are the 4 principles of medical ethics

A

• Respect for Autonomy ~ Greek auto nomos = self-rule
• Beneficence ~ Latin bene facare = to do good
• Non-maleficence ~ Latin maleficentia evildoing,
mischievousness, injury
• Justice ~ Latin iustitia “righteousness, equity, the rewarding
to everyone of that which is his due”

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11
Q

The study of medical ethics can be considered from a number of perspectives. Which is most closely dependent upon the moral character of the doctor?

a. Consequentialism
b. Kantianism
c. Principlism
d. Utilitarianism
e. Virtue ethics

A

e

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12
Q

There are many sources of ethical advice for doctors. Which body is the statutory source of ethical guidance?

a. Academy of Medical Royal Colleges
b. British Medical Association
c. General Medical Council
d. Institute of Medical Ethics
e. National Institute for Health and Care Excellence (NICE)

A

c

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13
Q

what is an absolute right

A

Absolute rights – rights which permit no compromise or infringement (e.g. Article 3–No one shall be subjected to torture or to inhuman or degrading treatment or punishment.)

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14
Q

what is a limited right

A

Limited rights – rights applied in clearly defined sets of circumstances (e.g. Article 5–Everyone has the right to liberty and security of person.)

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15
Q

what are qualified rights

A

Qualified rights – rights where a balance may need to be struck with the broader public interest or the rights of others (e.g. Article 8–Everyone has the right to respect for his private and family life, his home and his correspondence.)

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16
Q

when can a qualified right be interfered with

A
  • in pursuit of a legitimate aim, e.g. to protect the rights of others
    or for the wider good;
  • lawful i.e. be allowed within existing legislation
    necessary; and
  • Proportionate (i.e. necessary in a democratic society)
17
Q

When human rights are discussed the term “qualified rights” has a specific meaning. Which statement is most appropriate in relation to “qualified rights”?

a) Includes the right to be free from torture or inhuman or degrading treatment or punishment
b) Includes the right to respect for private and family life, and home
c) Means rights applied in clearly defined sets of circumstances
d) Means rights where a balance may need to be struck with the broader public interest or the rights of others
e) Means rights which permit no compromise

A

d

18
Q

A 75 year old woman has a severe acute pneumonia. The Emergency Department team advise her that without admission to the intensive care unit she is unlikely to survive. She understands the risks but states clearly that she does not wish to undergo intubation and ventilation. She was previously well and the ED team feels she is making the wrong choice. She becomes unconscious. Is it appropriate to proceed with intubation and ventilation?

a) No, because the patient has not given consent
b) Only if approval is given by the hospital ethics committee
c) Only if the patient’s family give consent
d) Yes, because it is in her best interests
e) Yes, if the doctors obtain a declaratory order from the courts

A

a