QUIZ 1: MIDTERMS Flashcards
focuses more on the consequences of the actions.
- does not focus on the actions itself
Teleology
- “Kantian Ethics” - whole act itself
- focus on the act itself
- expected to do it
- right thing to do
- things that we try to justify because we believe that is the right thing to do
Deontology
“If it did not passed the 2 maxims, then the action is not good”
Hypothetical Imperative - assume that everything goes as planned.
Categorical Imperative - Ist stage: “universality” try to assess if everyone will do the action what will be the result. Not everyone has the same condition with the hypothetical. 2nd stage: “human dignity”
Maxim - 2 Imperatives
greater good
- if it does benefit the many, it is good.
- win should always be greater than loss
Utilitarianism
- choose to do the action because it leads to the desired outcome.
- action is good as it leads to the desired result
Pragmatism
is the theory that holds that morality is relative to the norms of one’s culture
Ethical Relativism
- (in Kantian moral philosophy) the capacity of an agent to act in accordance with objective morality rather than under the influence of desires.
- rights
- “informed consent”
- capability to make decision
- elements
- disclose the information to the client
- competency
- documentation
Autonomy
- “truth telling”
- “I-thou” relationship
Veracity
- the state of keeping or being kept secret or private.”
- the lead bank’s duty of confidentiality to the borrower”
- do not share information
- Not absolute
Confidentiality
Breach of Confidentiality
Threat of Harm
Legal Requirement/court order
Patient Consent
Member of the healthcare team
Considers the patient as a person with a problem
The patient is a person with feelings of and despair, with purpose and defeat. As such, one has the right to know the nature of one’s disease
The physician is morally obligated to respect that right
The health care provider owes the patient the truth, just as the latter owes the health care provider skill and technical powers
Caring a person is a moral relationship in which the health care provider’s attitude should be the utmost concern for the patient
Person-centered Approach
Stresses the nature of the problem or the degree and severity of the patient’s illness
Considers the patient’s problem, illness or condition
The physician may withhold the truth from the patient IF ONLY for the best interest of the patient’s failing or worsening condition
This approach is usually appealed to by those who endorse the legitimacy of the use of placebos (Latin placebo: I shall please) in medical therapy– patients who are seriously ill will oftentimes show improvement when they are given placebos for treatment
Problem-centered Approach
Describes a person’s relationship with things, objects or “its”. man – object or subject-object relationship
Examples: my relationships with my books, cars, shoes, clothes and other possessions. Can be manipulated and used for one’s one
purpose or ends
“I – It” Relationship
Relationship with other persons – ourselves and other people.
Subject - subject or person-person relationships
As a subject, the “thou” is someone with dignity and moral quality
Hence, the “thou” cannot be manipulated, used or owned
“I – Thou” Relationship
Refers to the medical or professional secrecy in which certain information is committed to a physician or health care provider in an official capacity for the sake of medical assistance
CONFIDENTIALITY
According to Kantian ethics, ____ is based on the human capacity to direct one’s life according to rational principles.
autonomy
The word autonomy comes from the Greek ‘auto-nomos’ meaning
‘self-rule’ or ‘self-determination’.
The principle of AUTONOMY is the basis for the practice of “___” in the transaction regarding health care.
informed consent
is based on the moral and legal premise of patient autonomy
is the process in which a health care provider educates a patient about the risks, benefits, and alternatives of a given procedure or intervention.
INFORMED CONSENT
___: to safeguard against tension of integrity
Protective
___: to be involved in the health care decision making
Participative
You must have the capacity (or ability) to make the decision.
The medical provider must disclose information on the treatment, test, or procedure in question, including the expected benefits and risks, and the likelihood (or probability) that the benefits and risks will occur.
Informed Consent
Informed Consent must include:
Decision-Making Capacity
Disclosure
Documentation of Consent
Competency
Decision making capacity ≠
good decision