Ethics Midterm

Front 1

What is a well formed conscience?

Back 1

formed in dialogue, various sources of moral wisdom

Front 2

Why must one follow their conscience?

Back 2

expression of whole eprson, who one is at the core, response from heart, fundamental stance

Front 3

Morality

Back 3

critical realism

Front 4

2 levels of conscience formation

Back 4

1. Providing necessary skills for making morally right decision
2. Forming sorts of persons we ought to become

Front 5

What is your goal of ethical analysis

Back 5

To produce a caring response

Front 6

3 specific characteristics of professional care

Back 6

1. Responsibilities have clinical, ethical, legal dimensions- "treating whole person/patient"
2. Professional duty- your duty to respond to patient's needs
3. Highly individualized

Front 7

Prototypes of Ethical problems

Back 7

1. Ethical distress
2. Ethical dilemma
3. locus of authority

Front 8

dealing with ethical issue

Back 8

A= agent
C= Course of Action
O= Outcome

Front 9

Ethical distress

Back 9

-integrity is certral notion
-know right thing to do but structural/practical barriers keep you from doing it

Front 10

Ethical dilemma

Back 10

-2 courses of action but choosing one will compromise the other
-conflict in ethical principles

Front 11

Locus of Authority

Back 11

-conflict over who is in charge
-who is rightful agent?

Front 12

normative ethics

Back 12

-concrete questions related to morality.
-what would be an appropriate expression of care toward patient?

Front 13

narrative approaches

Back 13

all voices be considered before situation is assessed for its moral significance

Front 14

virtue theories

Back 14

-character traits and moral character
-certain traits enable you to kind of person you want to be as caregiver

Front 15

principle

Back 15

nonmaleficence, beneficence, justice, autonomy, fidelity, informed consent, double effect, confidentiality, veracity

Front 16

Prima Facie binding ethical principles

Back 16

on the face, all principles are equal but obligations of one might override obligations of other depending on the case

Front 17

Deontological Theory

Back 17

-duty driven
-focus on laws, rules, duties to determine right course of action
-means are important

Front 18

Teleological Theory

Back 18

-goal driven
-focus on ends and consequences
-utilitarianism

Front 19

Six step process in Ethical Decision making

Back 19

Step 1: get the story straight
Step 2: Identify type of ethical problem
Step 3: Use Ethical theories or approaches
Step 4: explore practical alternatives
Step 5: complete action
Step 6: Evaluate and process outcome

Front 20

Step 1

Back 20

-gather relevant info
-medical indications
-patient preferences
-quality of life
-contextual factors

Front 21

confidentiality

Back 21

-based on autonomy and fidelity
- most long standing ethical dictum in HC codes of ethics

Front 22

trust building

Back 22

-confidentiality
-truth telling
-informed consent

Front 23

confidential information

Back 23

-info about patient that is harmful, shameful or embarassing
-info should go directly from person-patient

Front 24

trust 3 basic elements

Back 24

truth-telling
confidentiality
informed consent

Front 25

confidentiality based on what two principles?

Back 25

autonomy
fidelity

Front 26

confidential information

Back 26

-info that can be harmful, shameful or embarassing to pt
-info need not come directly from patient, computer base r other HP
-anytime pt has reasonable expectation, treat as confidential

Front 27

privacy

Back 27

-Legal/constitutional right to person's being
-patient has right to privacy
-HP on "need to know" basis

Front 28

chaanda Jiwani and Damian Doucet

Back 28

damian is a pt that is being seen as outpt to regain function of right hand. accidentally let slip that he has HIV and doesn't want chaanda to document that for fear of hurting his career. chaanda has info now and does not know if she should document it or not.

Front 29

confidentiality

Back 29

-always involves rts
-most long standing ethical dictum

Front 30

"need to know test"

Back 30

-share necessary info among HP for proper care
-HP needs to be involved in care of pt
-not for curiosity, interest

Front 31

aims of confidential info

Back 31

-facilitate sharing of sensitive info w goal of helping pt
-exclude unauthorized persons rom such info

Front 32

ultimate value of keeping confidences and building trust is

Back 32

human dignity
trust for persons

Front 33

keep confidences to:

Back 33

build trust into the relationship to maintain pt's dignity

Front 34

legal exceptions to confidentiality include

Back 34

-emergency in which keeping confidence will harm pt
-patient is incompetent or incapacitated and party needs to be informed to be surrogate decision maker
-3rd party at risk of harm
-direst threat to individual or public health

Front 35

breaching confidences always entails harm

Back 35

-when is harm of threatening trust outweighed by benefit?
-keep harm to minimum when confidence is breached
-burden of proof always on HP to minimize harm

Front 36

Health Imformation Managers

Back 36

responsible for designing and maintaining system that facilitates collection, uses and dissemination of health and medical info

Front 37

Medical Record

Back 37

-can be of great help or harm to pt
-if info is true and relevant to care of pt, should be recorded
-harm caused if info entered is false or irrelevant to care

Front 38

3 guidelines for medical records

Back 38

-untrue info should not be recorded
-irrelevant info should not be recorded
-info handled with regard to pt's dignity and privacy