Behav Sem3 Ethics

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Author:
pandachowmein
ID:
157762
Filename:
Behav Sem3 Ethics
Updated:
2012-06-07 23:51:30
Tags:
Ethics behav sem3
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Description:
Medical Ethics
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  1. 4 elements of negligence
    • Duty - accepted into practice
    • Breach - didn't do his/her job according to professional opion
    • Cause -But-for and predictable-outcome
    • damages
  2. 4 ethical principles of clinical medicine
    • Autonomy- right to choose what can be done to our own body
    • Beneficence - doing good
    • none maleficence - not doing bad
    • justice - doing what best for society
  3. Physican-patient relationships
    • implied contractral relationship with implied promoise to help the patient
    • You can't gunrantee an outcome because you will have a breach of contract
  4. Mutual Assent
    part of the contract where the two parties must be thinking about the same thing
  5. Exception to confidentiality
    • when safety of specific person or group is in danger
    • specific threat needed
    • patient and law need to be informed
    • each state has reportable diseases
  6. Physicians can't let go of his patient
    • need to draw up contract
    • if breach of contract exists than allowed to let patient go
  7. Birth
    • fetus is subordinate to women
    • child-centra consideration when children are seriously ill unless (comatose, only prolong death, won't survive or inhumane)
  8. Minors
    • Parents can't withold consent if lack of treatment will place minor in danger
    • Mature minor >16 yrs. don't need consent in some cases
  9. Organ donation
    • only certified people can request organ donation
    • don't ask people to donate their organs
    • family can override organ donor card
  10. medical research
    • autonomy
    • beneficence
    • justice
    • consent
  11. IRB
    • insititutional review board
    • pre-research review- harm, value etc
  12. medical futility
    • continuing medical care when there is no "reasonable" hope of benefit
    • ethical to withold care when its deemed medical futility
    • NOT OBLIGATED to provide medical futil care
  13. euthanasia or physican aid in dying
    • NEVER OK
    • maybe wonky in WA and OR but not on STEP questions
    • ok for law of double effect: terminal illness pain managment. The dose required for managment will depressor respiratory is considered ok, BUT not ok to give dose with the intention to speed up dying
  14. brain death
    • pupillary light reflex
    • corneal reflex
    • oculocephalic reflexes
    • caloric response to typanic stimulation
    • abscence of spontaneous respiration
    • LEGAL TO REMOVE RESPIRATION
  15. Impaired physicans/health worder
    REPORT THEM to supervisor or department chair
  16. Gifts from drug makers
    • OK to accept meal if its attached to education
    • NO CASH

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