week 5 Flashcards
who said “we should never interfere with a persons freedom except in 3 situations”
JS Mill
what 3 situations should we interfere with a persons freedom
- he/she doesnt know or understand whats happening
- he/she is going to harm you
- he/she is going to harm another person
these are also from JS Mill
what are the 4 aspects of autonomy
- free action
- effective deliberation
- authenticity
- moral reflection
what is free action?
you must demonstrate the ability to self-rule.. autonomy is not automatic
can be limited by internal and external sources
what is effective deliberations
a person ruling him/herself shows good judgement
“good” meaning logical, sensible info
what could cause ineffective deliberations
firstly: ineffective deliberations is poor judgement / illogical
what causes this?
1. misinformation (deception, lies)
2. missing information
3. mental/cognitive issues (delusion, compulsion)
what is authenticity
you being who you truly are, free from external and internal constraints
what is moral reflection
you clearly articulating your values
- did you adopt this unconsciously or uncritically
informed consent
free to choose whatever option we want for ourselves.
- be reasonably informed
- allowed to make own decisions
- have those decisions respected
often considered a protective device amongst lawyers
what is a threshold concept
place where you cross from right to wrong, or wrong to right
What is appropriate information that informs consent?
- provide patients with all reasonable data
- possible alternatives
- risks of all possible procedures
- without coercion
- should encourage patients to make their own decisions
- restrict your comments to your area of expertise
the noble lie is defined as:
to tell a lie that benefits the deceived person
- a moral behaviour
T/F: lying to save your own ass is a noble lie according to plato
false
what is a false positive lie
lies in which people pretend to like soemeone or something more than they actually do
ex. your muffins are the best ever
what is a false negative lie
lies in which people try to present a lesser opinion of something or someone
the prevalence of lies is higher in students than community members
true
false positive are __ - __ times more common than false negative lies
20-30
why has autonomy become such a strong concern in health care
- history of patient misuse and abuse
- rise of individualism & commercialization
- rise of informed patients
supreme court condition granted to lying
- when the truth telling/disclosure of bad news could cause harm to the patient due to their emotional condition
what is the apology act of 2009
in ontario, the law states that an apology does not constitute an admission of fault or liability b the person making the apology. Further, apologies made for harm that occurs during treatment cannot be used as evidence of a liability against a physician in a civil proceeding, administrative proceeding, or arbitration.
what is confidentiality
we have a right to privacy
confidentiality comes from …
autonomy and conflicts with autonomy
the root of autonomy
lies in the fact that social stigmas or persecution could interfere with your accessing healthcare service
According to the Health Care and Consent Act of Ontario (1996), there are four (4) elements of informed consent. Which of the following IS NOT one of them:
a.) consent must relate to treatment
b.) consent must be informed
c.) be given voluntarily
d.) not be obtained through misrepresentation
e.) one must be 18 to give informed consent
e????
