Patient's Best Interests and Autonomy

Question 1

Define “Autonomy”

Answer 1

A self rule which involves acting with understanding, free from control of others and in accordance with one’s values

Question 2

How can autonomy be a negative obligation?

Answer 2

Whereby you do not interfere with the decision making of patient

(You do nothing)

Question 3

How can autonomy be a positive obligation?

Answer 3

Helping patients by providing information or helping them find / restore their capacity to make informed decisions themselves

(You do something)

Question 4

Give 3 examples of ways a doctor can respect Patient Autonomy

Answer 4

Asking for valid consent
Respecting confidentiality
Advanced care planning

Question 5

What are the difficulties of assessing best interests?

Answer 5

• Future can be uncertain
• Some patients are not able to communicate
• Difficulties when weighing conflicting goods
• Patients and doctors views may differ

Question 6

What is Paternalism?

Answer 6

Paternalism is limiting a person or group’s liberty or autonomy which is intended to promote their own good