Term
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Definition
(PPVCC)
1.Professional
2.Principalism
3.Virtue
4.Causitry
5.Caring |
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Term
| Derived from the Greek word for BEDSIDE |
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Definition
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Term
| What we should do is a(n)_____ question, not a technical question (what can we do) |
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Definition
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Term
| What are the 4 principles of biomedical ethics? Principilism |
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Definition
1. Respect for Autonomy
2. Beneficence
3. Non-malficence
4. Justice |
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Term
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Definition
| allows for individual decision making |
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Term
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Definition
| furthers the patient's benefit, help the patient |
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Term
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Definition
| Do no harm, minimize harm/risk |
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Term
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Definition
| fair in the allocation of benefits |
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Term
| Which approach to ethics and ethical dilemmas in patient care uses “bottom-up reasoning”? |
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Definition
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Term
| True or False: “Preventative ethics” is better than a “crisis management” approach. |
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Definition
| TRUE. FAR BETTER. More inclined to make a mistake in the heat of the moment |
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Term
| The virtues approach asks what question? |
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Definition
| “WHAT KIND OF PERSON SHOULD I BE TO DO THE RIGHT OR GOOD THING FOR MY PATIENT?” |
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Term
| How many clinical virtues does Fletcher suggest? |
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Definition
| 9: Technical Competence, Objectivity and Detachment, Caring, Clinical Benevolence, subordination of self interest, reflective intelligence, HUMILITY, practical wisdom, courage |
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Term
| True or False: Both humility and caring are included on Fletcher’s list of clinical virtues. |
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Definition
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Term
| What is at the heart of clinical ethics? |
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Definition
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Term
| Which word means “holding in trust”? |
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Definition
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Term
| What is it about PATIENTS that amplifies the need for this relationship of trust? |
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Definition
| Patients are vulnerable and dependent |
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Term
| Characteristics of a Profession |
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Definition
1.Advanced training
2.A well-defined role
3.Continuing education
4.Control over admission to the profession
5.Responsibility to specified individuals (patients) and to the particular group defined by the ‘profession’
6.Devotion to humanistic ideals
7.A well-defined group of necessary virtues and moral rules that define the ethical parameters of the profession |
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Term
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Definition
| “What kind of person should I be to fulfill my professional obligations?” |
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Term
| Two frameworks for the systematic analysis of ethical dilemmas |
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Definition
1. Analysis of Ethical Dilemmas
2. Army-Baylor HCA's framework |
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Term
| ** ARMY-BAYLOR HCA’S Framework (7-step) ** |
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Definition
A. FRAME THE QUESTION
B. SET OUT THE MEDICAL SITUATION
C. NOTE THE CONTEXT
D. REVISIT/REFRAME THE QUESTION
E. APPLY PRINCIPLES / IDENTIFY CONFLICT S
F. WEIGH ALTERNATIVES
G. DECIDE |
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Term
| Why would we revisit the ethical question halfway through the decision-making process (e.g., see Army Baylor HCA framework)? |
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Definition
| The question might change after laying out medical facts |
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Term
| Informed Consent. It’s a legal requirement. What else is it? |
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Definition
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Term
| Informed consent is defined as the willing acceptance of a medical intervention by a patient after adequate disclosure by the physician of the nature of the intervention, its _______ and _____, and also its ______ with their risks and benefits |
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Definition
Risks
Benefits
Alternatives |
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Term
| Informed consent should result in ________ |
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Definition
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Term
| 4 Characteristics of Informed Consent |
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Definition
Agreement with the physician’s recommendations
Right to refuse interventions
Choice among alternatives
Shared decision making |
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Term
| Who is the expert in the patient/physician relationship? |
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Definition
| PHYSICIAN (medical knowledge) and PATIENT (values) |
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Term
| Once the patient has been informed, he or she has TWO valid options |
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Definition
1. Informed consent
2. Informed refusal |
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Term
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Definition
| What a reasonable physician of ordinary skill would disclose. |
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Term
| Reasonable patient standard |
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Definition
| What a reasonable patient would find relevant. |
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Term
| Individual patient standard (or Subjective) standard |
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Definition
| Patient specific information tailored to that patient’s need for information and understanding. |
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Term
| Fletcher gives 7 guidelines for informed consent |
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Definition
1.Capacity
2.Voluntariness
3.Disclosure
4.Recommendation
5.Understanding
6.Decision
7.Authorization |
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Term
| 4 Exceptions to informed consent |
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Definition
1. lack of decision-making capacity
2. emergency
3. therapeutic privilege
4. waiver |
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Term
| There is tension between _________ and best interest |
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Definition
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Term
Which of these two principles is considered more binding than the other (though both are important)?
Beneficence OR Nonmaleficence |
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Definition
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Term
| Another word associated with FIDUCIARY is ____________. |
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Definition
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Term
| In ________(or hard) paternalism, the patient’s autonomous choices are overridden |
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Definition
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Term
| Which federal regulation pertains to confidentiality? |
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Definition
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Term
| 4 Reasons for confidentiality |
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Definition
1.Respect for persons
2.Benefit Patitns
3.Benefits the doctor-patient relationship
4.Prevents stigmatization and descrimination |
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Term
| Some examples of EXCEPTIONS to confidentiality |
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Definition
| Infectious diseases, impaired drivers, injuries caused by weapons or crimes, partner notification by public health officials, warnings by physicians to persons at risk, violence by psychiatric patients, child abuse, elder abuse, domestic violence. (NON-MALEFICANCE) |
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Term
| Which main principle is involved when confidentiality is overridden to protect third parties? |
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Definition
| NONMALEFICENCE – breach confidentiality will prevent harm |
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Term
| When domestic partners, the elderly, and _______ are at risk you may override confidentiality in order to protect them. |
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Definition
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Term
| If you are lied to, you will likely feel _______ or manipulated. |
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Definition
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Term
| _____ is the foundational reason we give full disclosure to patients. |
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Definition
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Term
| A lack of truth telling can lead to a patient being ______ when they most need support. |
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Definition
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Term
| FUTILITY comes from the Latin word for _______ |
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Definition
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Term
| Loose conception of futility |
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Definition
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Term
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Definition
| intervention has no pathophysiologic rationale: physiologic futility |
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Term
| Safeguards when interventions are considered futile |
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Definition
1. 2nd opinion
2. Discuss the intervention with the patient – negotiation and mediation
3. Establish explicit guidelines on futility |
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