P&E 2

Question 1

Who can give informed permission? Consent vs assent

Answer 1

Parent/guardian, loco parent is, court/judge, CPS, corrections. Legally binding, for competence, based on child’s best interest vs not legally binding, for capacity, integrity of mental abilities

Question 2

If dr thinks surrogate = unreasonable, seek: Can parents refuse life saving tx for their kids under any circumstance?

Answer 2

Other med opinion, psych, ethics, courts (but risky bc dmging dr/pt relationship). No not even for cx or religion

Question 3

Ethics to refuse vs not refuse antivax. Ethics for neonatal care

Answer 3

Beneficence, fam don’t trust dr, litigation vs nonmaleficence, respecting pt/parental authority, pt abandonment. Consider QOL, pain/discomfort, chance therapy will succeed, risks of therapy

Question 4

5 conditions to be HSC pets donor

Answer 4

POS relationship, no other donors, risks minimized for donor, benefits maximized for recipient, parental permission + assent

Question 5

4 peeps you can consult with for ethics per Dean J

Answer 5

Colleagues, hospital clergy, ethicists, ethics board

Question 6

Factors for double effect

Answer 6

Good is indep from bad, action is proportional to cause, action is appropriate for sxs, pt must be terminal, Sulmasy test for intent

Question 7

Lack Dr/pt relationship d/t (6)

Answer 7

Short/emergrnt, mult/unknown drs, inc admin burden, regulation duty hours, I-pt, see problem > pt

Question 8

How to mitigate impact of hidden curriculum (5)

Answer 8

Self awareness, self reflection, learn proper structure and approach to ethical concerns, mentorship/advice, counseling, est a study relationship w/ a partner or group (but protect individuals you’re discussing)