week 5 Flashcards

1
Q

who said “we should never interfere with a persons freedom except in 3 situations”

A

JS Mill

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2
Q

what 3 situations should we interfere with a persons freedom

A
  1. he/she doesnt know or understand whats happening
  2. he/she is going to harm you
  3. he/she is going to harm another person

these are also from JS Mill

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3
Q

what are the 4 aspects of autonomy

A
  1. free action
  2. effective deliberation
  3. authenticity
  4. moral reflection
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4
Q

what is free action?

A

you must demonstrate the ability to self-rule.. autonomy is not automatic
can be limited by internal and external sources

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5
Q

what is effective deliberations

A

a person ruling him/herself shows good judgement
“good” meaning logical, sensible info

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6
Q

what could cause ineffective deliberations

A

firstly: ineffective deliberations is poor judgement / illogical
what causes this?
1. misinformation (deception, lies)
2. missing information
3. mental/cognitive issues (delusion, compulsion)

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7
Q

what is authenticity

A

you being who you truly are, free from external and internal constraints

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8
Q

what is moral reflection

A

you clearly articulating your values
- did you adopt this unconsciously or uncritically

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9
Q

informed consent

A

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

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10
Q

what is a threshold concept

A

place where you cross from right to wrong, or wrong to right

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11
Q

What is appropriate information that informs consent?

A
  • 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
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12
Q

the noble lie is defined as:

A

to tell a lie that benefits the deceived person
- a moral behaviour

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13
Q

T/F: lying to save your own ass is a noble lie according to plato

A

false

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14
Q

what is a false positive lie

A

lies in which people pretend to like soemeone or something more than they actually do
ex. your muffins are the best ever

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15
Q

what is a false negative lie

A

lies in which people try to present a lesser opinion of something or someone

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16
Q

the prevalence of lies is higher in students than community members

A

true

17
Q

false positive are __ - __ times more common than false negative lies

A

20-30

18
Q

why has autonomy become such a strong concern in health care

A
  1. history of patient misuse and abuse
  2. rise of individualism & commercialization
  3. rise of informed patients
19
Q

supreme court condition granted to lying

A
  • when the truth telling/disclosure of bad news could cause harm to the patient due to their emotional condition
20
Q

what is the apology act of 2009

A

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.

21
Q

what is confidentiality

A

we have a right to privacy

22
Q

confidentiality comes from …

A

autonomy and conflicts with autonomy

23
Q

the root of autonomy

A

lies in the fact that social stigmas or persecution could interfere with your accessing healthcare service

24
Q

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

A

e????