Recap
This principle is based on the obligation to respect patients as individuals and to honor their preference in accepting or not accepting medical care.
What is autonomy?
A 16-year-old girl comes to the office to establish care. While taking social history, she expresses that she is thinking about quitting her high school softball team because "the other girls are mean, and I just don't enjoy playing anymore." When asked to describe how she feels, the patient hesitantly mentions that she gets depressed at times and frequently feels self-conscious and that no one likes her. She appears uncomfortable and nervously asks the physician, "You won't say anything about this to my parents, will you?" Which of the following is the most appropriate response to the patient?
Tell the patient your conversations are private except under very specific circumstances.
Ensure that individuals have the right to make independent decisions about their own health care based on their own value systems.
What is Personal Autonomy
Respects the inherent worth of everyone; requires a commitment to respond to everyone with mutual affinity, respect, and stateliness.
What is Human Dignity
Proof is a required, a plantiff will file this in the court. The defendant must answer the it in a timely manner.
What is a complaint?
These features include acting on your decision, respecting others, and the ability to decide.
What are the elements of autonomy?
A 15 year old girl presents to the emergency department after a motor vehicle accident. Her heart rate is 130.min, BP is 60/35 mmHg, respiratory rate is 30/min, and oxygen saturation is 94% on face mask. Ultrasonography of the chest indicates fluid in the thoracic cavity. The ED senior resident seeks consent for appropriate treatment from the child’s parents. The child’s parents refuse blood transfusions on the grounds that they are Jehovah’s Witnesses. What should you do?
Take the patient to surgery and give blood transfusions as needed.
Promotes the well-being of others in ways that serve their best interests and are beneficial to them, all the while seeking to achieve the highest quality (not just high-quality) results on their behalf. Implies that one does not inflict harm but rather seeks to prevent harm.
What is Beneficience
emphasizes personal accountability for healthy lifestyles and preventable ill health. This ethical obligation is both a free choice and a personal and shared duty; assumes that avoidance of unhealthy day-to-day choices will help avoid preventable ill health from occurring or delay the onset of and the severity of symptoms from unpreventable aging and illness.
What is Individual responsibility
These are the choices this person has:
1. admit
2. deny
3. plead ignorance to the allegation
What are the defendants choices in a lawsuit?
This principle is based on the idea of treating patients fairly and equitably.
What is justice?
You are the inpatient physician taking care of an elderly woman who will likely be diagnosed with metastatic cancer pending results of a biospy. Although the patient is alert and oriented, she is very sick and the family has concerns regarding lack of a cure. The family asks you to inform them first about the results of the biopsy. They do not want to depress the patient further, and appear very genuine about their concern. What should you tell them?
Tell them that you are obligated to inform the patient of the findings.
One of the foundational principles of the emerging ethics of health care; requires health care professionals to respond to those suffering from disease or injuries with a deep awareness of patients’ human dignity.
What is compassion
A foundational principle of health care ethics; fairness and equality in the way everyone is treated, and decisions are made.
Ensures access to affordable health insurance and the kinds of essential care that is owed.
What is justice
What the losing party may do with an unsatisfactory decision to a higher court.
What is an appeal?
This principle states physicians have the duty to act in the patient’s best interest.
What is beneficence?
A 9 year-old girl is brought to the ER for a foot infection which looks serious. She needs IV antibiotics and debridement, or you know that her foot is in danger of amputation. The mother refuses consent for antibiotics and debridement. You discuss the need for immediate treatment and the risks in the presence of a witness, but the mother still refuses the treatment. What is your next step?
Order the antibiotic and debridement.
Another foundational principle of the emerging ethics of health care; ensures that nearly all members of society have an equal claim to health care. Requires society to provide subsidies to help cover the health insurance costs of anyone who faces disproportionate health burdens from unavoidable ill health.
What is equality of opportunity
A law that flows from the rules and regulations and decisions of administrative agencies.
What is administrative law?
A neutral third party that has the power to decide the outcome.
What is an arbitration?
This principle states “Do no harm.”
What is nonmaleficence?
A 33 year-old man with AIDS is brought by ambulance to the hospital after collapsing on the street. Paramedics resuscitated and intubated the patient for ventilatory support and transported him to the hospital while in an incoherent, agitated state. Physical examination and laboratory studies confirm an extensive pneumonia involving the entire left lung. Shortly after, his designee demands that the patient be taken off the ventilator. The designee produces a copy of the patient’s living will indicating the patient wishes no life support and that his designee is to make all medical decisions if he becomes incapacitated. The patient’s previous hospital record contains a copy of the same living will. What is the best course of action?
Provide sedation and pain medication and extubate the patient.
Fairness: promotes giving to others what they are due or what they are properly owed. Requires that there be freedom from bias and injustice in the U.S. health care system so that patients in distress may receive the essential care they medically need while requiring those entrusted with governance of limited health resources act in a trustworthy and ethical manner.
What is Fairness
Plantiff, defendant, and prima face
Who are the key people in a lawsuit?
freeebee
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