Notes for Ethics Lecture

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Kennesaw State University *

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7503

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Philosophy

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Dec 6, 2023

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docx

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4

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Ethics Standards of behavior of how to act in a particular 1. Morals a. An individuals’ code for acceptable behavior b. They act as a guide for behavior c. They are learned 2. Medical Ethics a. System of moral values followed by healthcare professionals b. Standards of behavior by which healthcare workers evaluate their relationships with their: 3. Ethics are not: Cultural norms The law Feelings Science Religion 4. Draw the diagram seen on the Lecture 5. Examples of Ethical Issues: Write down 5 ethical issues you are interested in. What ones did Mrs. King talk about that you had not heard about?
Abortion Assisted suicide Life support Suicide Surrogacy Psychosurgery I did not hear about lab grown meat in the slides. 6. Origins: Where did they come from? They may be traced back to guidelines on the duty of physicians such as the Hippocratic oath 7. Principles of Medical Ethics: a. . Autonomy b. . Beneficence c. . Justice d. . Non Maleficence 8. Autonomy: Patients right to choose or refuse From the Greek Autos means self and Nomos means rule of law 9. Conditions of Autonomy: a. Individual has to: have the proper mental capacities to give consent b. Individual is free: from external constraints to give consent c. Individual has sufficient: information to make an informed decision d. What happens in the case of a child? 10. Beneficence: a. Healthcare providers must act in the best interest of patients. b. Beneficence is defined as an act of charity, mercy, and kindness with a strong connotation of doing good to others including moral obligation 11. Non-maleficence a. From the Latin: “Primum non nocere” b. This means: “First Do No Harm.” c. Make sure that the procedure does not: harm the patient or others in society
Learning Check: Which ethical principle may be applied in this situation? . Non Maleficence Justice a. Every individual must be: treated equally b. Scarce resources must be: allocated in a fair ethical way Case Scenario: Robert is a 95-year-old male admitted with early signs of kidney failure and bladder cancer. The patient’s past medical history includes recurrent bladder carcinoma and hemodialysis. The patient was admitted due to painful urination for 2 weeks. The patient has repeatedly asked doctors not to continue treatment should his bladder cancer return, and his wishes include only treatment that includes pain control. The Patient lives at home with his wife who is his healthcare surrogate. Based on the patient’s poor prognosis, the oncologist had recommended on previous admissions that patient be made Hospice Care with comfort measures. His wife has refused Hospice care, and she wants the patient to continue aggressive treatment. In addition, wife has requested all physicians to refrain from speaking to patient about his prognosis. At this time all physicians have followed the daughter and wife’s request not to let patient know that his cancer has returned, except for the “new” attending physician. Based on what you have learned today about Medical Ethics, is there one or more ethical principles violated in this case scenario? Autonomy, Non maleficence and Justice, Ethical Decision Process: What are the 9 items you need to consider when making a decision? Describe the problem Gather the facts Clarify values Identify ethical principles Clarify legal rules
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Explore options and alternatives Decide on a recommendation Develop an action plan Evaluate the plan Code of Ethics: All healthcare professions have a code of ethics. What are the parts of the Medical Assistants Code of Ethics? Serve patients with respect and dignity Maintain confidentiality Always keep the high principles and standards Continue gaining knowledge and skills Help in the community through service work and volunteering. utoo