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19 Cards in this Set
- Front
- Back
Define + describe deontological moral reasoning
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Define:
the study of the nature of duty and obligation. Describe: Morality of action is judged by adherence to rules,duties and obligations. USED FOR MEDICAL PRACTIONERS PERSPECTIVE |
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Describe the ethical obligations of dr. a
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Beneficience (acting to benefit others)
Non-maleficence (not acting to harm others) Respect for patient-autonomy (allowing them to make a decision) Confidentiality Privacy Honesty Professionalism (providing a suitable treatment) |
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Describe some principles
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Don't harm others
Don't coerce,deceit or manipulate Honesty |
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Difference between principles + obligations + duties
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Principles:
Fundamental presupposition Obligations: Morally bound to a course of action, A responsibility Duties: Something you must do legally |
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Describe the characteristics of Utilitarianism.
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GG4GN
Consequentialist Welfarist Maximising Comparative Impartial Probabalistic Reasoning for each option balance Fault: takes time requires info that may not be known reasoning can be biased or emotionally distorted USED FOR DESCRIBING THE CONSEQUENCES FOR EVERYTHING |
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Algorithm for Decisions
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1) case summary
2) list of problems (ethical/legal/social) 3) Case analysis 4) alternatives 5) Conclusion |
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Describe Paternalism
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Acting on behalf of the patient WITHOUT his/her consent.
Justifiable when: risk of serious + preventable harm necessary + sufficient to prevent harm Benefits outweigh cons no non-paternalistic alternatives are present |
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Good parts of doctor-patient relationship:
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better patient compliance
better chance of accurate diagnosis effective treatment. patient satisfaction. less likelihood of being sued |
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Characteristics of dr-patient relationship
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1) Power imbalance (patient cannot implement med. decisions)
2) Vulnerability (sharng private + sensitive information with stranger + needs help) 3) Boundaires (business/financial/personal relationships/dr confiding in patient |
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3 Main models
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Paternalistic
Consumarist Shared decision |
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Components of Consent
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Disclosure:
providing relevant info + comprehension Capacity: understand relevant information + consequences of their deicision can be reasonably foreseen. Voluntariness: patients right to come to a decision freely/without force/coersion or manipulation may be explicit or implied (via behaviour) explicit orally/writing Exception: when reasonable perosn would consent to the treatment + delay in that treatment would lead to serious harm |
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4 Main ethical principles
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Confidentiality
Informed Consent Beneficiance Autonomy |
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How to prepare for an interview?
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Review Previous Notes
Arrange room Prepare what you're going to ask for Wash hands. |
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What environmental factors might affect the medical interview?
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Noise
Lighting Temperature Barriers (physical/privacy) |
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How could you manage the environmental factors?
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Curtains around bed.
Request silence from other guests. Move to private room |
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What does establishing a rapport mean?
How would you establish an initial rapport? Why is it important to establish a rapport? |
Establishing a professional relationship.
Introducing yourself + outlying plans + eye contact + asking for permission + being respectful. trust from patient - elicit information + more precisely address patients concern + treatment adherence. |
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Non-verbal things to get patients to spill beans.
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Sitting upright
Eye contact Being attentive Nodding with questions smiling |
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Verbal things
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Ask open questions
encouraging words repeating information. |
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5 Elements of Informed Consent
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Disclosure of Information
Understanding Voluntariness Competense Consent |