Moral Theory and Principle of Ethics Flashcards

1
Q

What is medical ethics?

A

The application of ethical reasoning to medical decision making

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2
Q

What tools are used to make good medical decisions?

A

Legal framework

Professional guidelines and codes of practice

Ethical analysis

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3
Q

What does ethical analysis do?

A

Separate out facts from values

Reason using principles and theory

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4
Q

Who devised the trolley problem?

A

Philippa Foot

Adapted by Judith Jarvis Thomson

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5
Q

What are the 7 major moral theories?

A

Consequentialism

Deontology

Virtue Ethics

Communitarianism

Feminist ethics

Narrative ethics

Rights theory

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6
Q

What is consequentialism also known as?

A

Utilitarianism

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7
Q

When is an action right in regards to consequentialism?

A

It promotes best consequences for the greatest number

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8
Q

What problems arise with consequentialism?

A

Sometimes best outcomes seem wrong in themselves (prisoner and organ recipients)

Some individuals may be treated unjustly

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9
Q

When is an action right in regards to deontology?

A

It is in accord with a moral rule or principle

God

Veganism

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10
Q

What problems arise with deontology?

A

Consequences matter

How do we decide on duties?

How do you decide duty hierarchy?

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11
Q

When is an action right in regards to virtue ethics?

A

If the action is what a virtuous agent would do in the circumstances

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12
Q

What problems arise with virtue ethics?

A

How do you decide on virtues?

May be very culturally specific

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13
Q

What are the four principles of medical ethics?

A

Autonomy

Beneficence

Non-maleficence

Justice

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14
Q

What does autonomy allow?

A

Allows that a competent informed adult can make their own decisions

Informed consent

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15
Q

What happened in the Montgomery vs Lanarkshire Health Board case?

A

Mont gave birth to a child with cerebral palsy because the Doctor did not fully disclose all the risks

He did this because Mont would be more likely to have a caesarean birth, and the Doctor did not believe in such

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16
Q

What is beneficence?

A

This is the obligation to act in a way to benefit the patient

17
Q

What is the problem with Jehovah’s witnesses?

A

Blood transfusions

18
Q

What is legal age of medical decisions?

A

16

19
Q

What is non-maleficence?

A

Do no harm

20
Q

What is the doctrine of double effect?

A

It is permissible to cause harm through a beneficial effect

End of life for instance

21
Q

What are the four criteria of the doctrine of double effect?

A

The action must be good, independent of its consequences

Although the bad effect can be foreseen, the agent must intend only the good effect

The bad effect must not be a means to the good effect

The good effect must outweigh, or compensate for, the bad effect

22
Q

Describe the Charlie Gard case

A

Charlie born with MDDS, no cure

Doctors wanted to “alleviate suffering” by killing the baby

Parents wanted to try experimental treatment

23
Q

What is justice?

A

Fairness

Time and treatments

Everyone getting access to NHS fairly