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When will heath care issues arrise?
When values clash
What 3 historical events led to Health Care Ethicis
- 1 Nuremburg Trials
- 2 Tiskegee Expieriments
- 3 Dialysis
Define Health Care Ethics
Specialized field of study of how humans and communities are effected by medicine and the decisions we make in heath care on various levels.
What happens when we are sick
- body is no longer reliable instument
- center of our concern
- needs to be listened to
- loss of freedom and control
- wounded state of humanity
What patients expect
- communication with health care providers
- quality care
Medical experiments on 7,000 Jews, gypsies, and prisoners of war
code of ethics about human exparimentation. the voluntary consent of the human subject is absolutly essential.
African american men were given placebo drugs and told they were being treated for sphillis
commitee was formed in washington state that said you had to be white and under 40 to recieve dialysis.
what are the 3 levels of health care ethics
- 1) micro - person to person
- 2) middle - hospital
- 3) macro - society
belmont or georgetown 4
- Beuchamp and Childress
respect for the human person. the right of the consumer to make decisions about their healthcare right of self determination for our health care (informed consent, confidentiality, truth telling.
duty of healthcare provider to do good for the patient prevent and remove harm from the patient
duty of the health care provider to do no harm. this includes acts of ommision and commision
duty to fairly and equally distribute health care
at how many weeks is a fetus considered to be viable
principle of double effect
the intent has to be good the by-product could cause harm
the direct medical or surgical termination of pregnancy before viability
arizona television personality who brought abortion to the forefront in the 60's
colonial period until 1800's
abortion was not uncommon it was a social taboo and a misdominor. law stated it had to be before the "quickining"
first anti abortion laws
true or false
by 1900 all states either prohibited or restricted abortion for most states abortion was legal only if it is to save a womans life
Roe vs wade
- struck down all states anti abortion laws as unconstitutional
- based on womans right to privacy (14th amendment)
- unborn fetus is not a person in the whole sense
in vitro fertilazation
sperm is collected, egg retrived, fertilization takes place in petri dish
3 models of medical treatment
- radical individualism
- team approach
father knows best or doctors know best (power - over relationship) person is treated like a child.
looks like non-compliance individual takes full charge
nurse is a moral advocate. "work together"
what does euthanasia literally mean?
6 components for a good death
- pain managment
- preparation for death
- spritual completion and meaning making
- contributing to others during dying process
- clear decision making
- affirmation of the whole person
giving an incompetent person a leathal injection
assisted with death such as Dr. assisted suicide