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Basic biomedical principles
Non-Maleficience
•avoid harm
•justification for ‘acts andomissions’
•withholding/withdrawing treatmentthat is not benefiting patient
Beneficience
•promote the well being of others
•encompasses medical paternalism
•acting without consent oroverriding a person’s wishes, wants, or actions, in order to benefit thepatient or prevent harm.
Autonomy
•self-determination
•an individual's action ought to bethe result of his or her own choices
•freedom to act independently
•competent adult’s informed decisionto refuse (even life-saving) treatment supersedes offer of treatment
Justice
•treat similar cases in similar ways
•same respect to patients indifferent circumstances
•distribute health care resources(goods and service) fairly
GPhc standards
The SevenPrinciples
1. Makepatients your first concern
2. Use your professional judgement in theinterests of patients and the public
3. Showrespect for others
4. Encouragepatients and the public to participate in decisions about their care
5. Developyour professional knowledge and competence
6. Behonest and trustworthy
7. Takeresponsibility for your working practices
Decision making framework
Recognise a moral issue -> Gather all relevant info -> Identify type of ethical problem -> analyse problem -> explore solutions -> make decision -> assess and reflex
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