Medical Ethics + Culture Flashcards
What is ethics [2]
Body of moral principles or values governing culture or group
Values / honesty / standards that guides decisions + conduct of individual
What are ethics derived from [2]
Denontology - the morality of an action should be based on whether that action itself is right or wrong under a series of rules, rather than based on the consequences of the action.
Utilitarianism - greatest good for greatest number
What are ethics and clinical decisions determined by [2]
What are the 4 principles
Duties of a doctor 4 principles: Respect autonomy Non-malificence Beneficience Justice - fairness and no discrimination
What are the duties of a doctor [8]
Put patient first and patient education Respect dignity/views, personal beliefs don't interfere Treat politely and listen to the patient Confidentiality and non-judgmental Honesty and trustworthy Fitness to practice Don't abuse position Recognise limits of own competence
What is the duty of candour [5]
Explain short and long term effects
Raise concerns when you believe patient safety is at risk
Open and honest with investigations
Must be open and honest with patient when something goes wrong
Must apologise and offer a remedy
What is culture [2]
The learned and shared values of a particular group
Guides thinking, action, behaviour + emotional response
What is cultural competence [2]
Ongoing capacity of healthcare systems, organisations and professionals to provide for diverse population
Provide high quality care that is safe, family centred, evidence based and equal
What is transference
Physician or patient transfers past emotions, beliefs or experiences to present situation
What is the influence of culture on healthcare [6]
Lack of knowledge of NHS, may not be entitled to free care
Different health beliefs and expectations
Fear and distrust
Racism and stereotyping
Language barriers and third party translation leading to misunderstanding and adherence issues
Health disparities
What should you do if someone has limited English proficiency [4 ways]
Determine language needs
Phone interpreter
Onsite interpreter
Family member
What questions do you ask in the explanatory model if poor english [10]
Think about the necessary questions in history taking
What do you call you problem What do you think caused Why did it start What does your illness do What are the main problems How severe Anyone else with same problem What have you done to treat What treatment do you think you need What else can help
