Telling the Truth, and the Duty of Candour Flashcards

1
Q

Deontology vs utilitarianism on ends justifying means

A
  • D = end does not justify means
  • U = end does justify means
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2
Q

What is the principle of utilitarianism?

A
  • Maximise happiness for the most amount of people
  • Whether an action is right or wrong depends on the outcome
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3
Q

Advantages of utilitarianism

A
  • Considered a form of distributive justice so can deal with the good of societies, not just individuals
  • Flexible - specific for situation, not rigid rules
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4
Q

Problems with utilitarianism

A
  • Consequences difficult to predict
  • People have no intrinsic value
  • One person could be seen as more valuable than another, if they could cause more happiness
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5
Q

Principles of deontology

A
  • We are rational beings capable of reason
  • We can decide our duties, and what actions are right/wrong
  • Actions are right and wrong inherently - it is not about outcome
  • We can generate a universal list of rules to always be ‘in the right’
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6
Q

Advantages of deontology

A
  • Accords human beings’ moral worth
  • Places value on intention
  • Offers certainty as doesn’t matter about outcome if action was right
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7
Q

Disadvantages of deontology

A
  • Too rigid
  • Allows actions causing immense suffering in defence of principle
  • Duties often conflict
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8
Q

4 principles of medical ethics

A
  • Beneficence
  • Non-maleficence
  • Justice
  • Autonomy
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9
Q

What is Aristotle’s model, “virtue ethics”?

A
  • Cultivating a moral character - ‘what would a good person do in this situation?’
  • Often based around a mentor or role-model
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10
Q

Advantages of virtue ethics

A
  • Acknowledges complexity of decision-making
  • Acknowledges influence from previous experiences
  • Many people report they have role-models
  • It is a developmental model - doesn’t expect us to be perfect
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11
Q

Problems with virtue ethics

A
  • Vague - doesn’t aid decision-making
  • What is a virtue/who is virtuous?
  • Centred solely around doctor - where does the patient fit in?
  • Perfectionist as focuses on the “perfect doctor”
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12
Q

Why would a utilitarian, deontologist, principalist, virtue or communitarianist tell the truth?

A
  • U = if it increases happiness or diminishes suffering
  • D = because it’s your duty
  • P = because it enables autonomy
  • V = because it’s what a good person would do
  • C = because it allows us to trust each other
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13
Q

Problems with a trust model

A
  • How do you quantify trust?
  • What if something increases trust but is detrimental to meeting social needs?
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14
Q

Hugo Grotois’ idea of lying not being wrong

A

A lie is not a wrong if someone has no right to the truth

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15
Q

3 kinds of deception

A
  • Lies of commission
  • Lies of omission
  • Lies of embellishment
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16
Q

What is a lie of commission?

A

A direct statement of an untruth

17
Q

What is a lie of omission?

A

Omitting to tell someone something that is true that would affect their understanding of the situation

18
Q

What is a lie of embellishment?

A

An exaggeration or misrepresentation to generate a misleading interpretation of a situation

19
Q

Sissela Bok’s “last resort” idea

A
  • Veracity should always be the first principle
  • To tell a lie you must have no other option, it must be the last resort
20
Q

What is integrity?

A
  • You are undivided as a moral agent - you would act the same in all situations
  • You don’t deviate in other company or circumstances, or where it is disadvantageous to yourself
21
Q

What is integrity in a medical context?

A
  • Care of the patient is the first concern - even when it’s disadvantageous to you
  • Self-interest must come second to patients’ interests
22
Q

What does the Duty of Candour say we must do?

A

Be honest with your patients about mistakes or errors that have happened in their care

23
Q

What does the 2008 Health and Social Care Act say organisations have a duty to do when a mistake is made?

A
  • Inform people about the incident
  • Provide reasonable support
  • Provide truthful information
  • Provide an apology
24
Q

What does the GMC say healthcare professionals must do when a mistake is made?

A
  • Tell the patient (or the patient’s advocate, carer or family) when something has gone wrong
  • Apologise
  • Offer an appropriate remedy or support to put matters right (if possible)
  • Explain fully to the patient the short and long term effects of what has happened