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24 Cards in this Set

  • Front
  • Back
Patient values: Objective & shared by physician and patient
paternalistic
Patient values: Open to development & revision through moral discussion
Deliberative
Patient values: Not known or conflicting so requires elucidation
Interpretative
Patient values: Define, fixed and known to the patient. Physicians job just to give facts. Clear separation btw facts and values. No role for physician's values, understanding of the patient's values, etc.
Informative
Physician's obligation: Providing relevant factual information & implementing patient's selected intervention
Informative
Physician's obligation: Elucidating & interpreting relevant patient values as well as informing the patient and implementing the patient's selecting intervention
Interpretive
Physician's obligation: Articulating and persuading the patient of the most admirable values as well as informing the patient and implementing the patient's selected intervention
Deliberative
Promoting the patient's well-being independent of the patient's current preferences
Paternalistic
Conception of patient's autonomy: Self-understanding relevant to medical-care
Interpretive
Conception of patient's autonomy: Moral self-development relevant to medical care
Deliberative
Patient's autonomy: Assenting to objective values
Paternalistic
Patient's autonomy: Choice of, and control over, medical care
Informative
Physician's role: Guardian
Paternalistic
Physician's role: Competent technical expert
Informative
Physician's role: Friend or teacher
Deliberative
Physician's role in Interpretative
Counselor or adviser
Model that assumes fairly clear distinction between facts & values
Informative
Model in which physicians help the patient select the available medical interventions that realize their values.
Interpretive
Model that ensures that patients receive the interventions that best promote their health and well-being.
Paternalistic
Limited patient participation
Paternalistic
Model that assists the patient in articulating his/her values and in determining what medical interventions best realize the specified values
Interpretive
Model where physician does not dictate, patient ultimately decides best action. The physician is not judging the patient's values
Interpretative
Model that helps patients determine & choose the best health-related values by both engaging in talk abut what to pursue
Deliberative
Model where patient's values are irrelevant; the physician aims for some goal independent of the patient, such as the good of society or science.
Instrumental model