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Ethics 4
Confusing Ethical Distinctions to Physician Assisted Suicide
24
Other
Graduate
07/24/2013

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Cards

Term
True or False: Refraining from the use of a ventilator is ok; stopping one on a still-living patient is tantamount to murder.
Definition
FALSE
Term
What should be looked at primarily in making a treatment decision?
Definition
The benefit/burden ratio of the treatment.

PROPORTIONALITY
Term
According to the ______, appropriate high dose usage of opioids for the purpose of alleviating pain of the terminally ill is NOT euthanasia.
Definition
COURTS
Term
DOCTRINE OF DOUBLE EFFECT
Definition
(a) The action itself is ethically good or at least neutral
(b) The agent must intend the good effects, not the bad effects
(c) The morally objectionable effect cannot be a means to the morally permissible one.
Term
The physician’s intention is to relieve pain, not to compromise consciousness or risk depressing respiratory function.
This is an example of what??
Definition
DOCTRINE OF DOUBLE EFFECT
Term
Problems with Double effect (List 3)
Definition
1. People have multiple intentions
2. Focus on what physicians say rather than what they do
3. People are generally held accountable for consequences they forsee
Term
. True or False: Palliative sedation can be morally permissible in some cases and morally questionable (or outright wrong) in other cases.
Definition
TRUE
Term
True or False: CPR is effective the majority of the time on TV.
Definition
TRUE.

But not in real life
Term
Statistics on CPR performed in hospitals show about a ___% rate for those who will be discharged alive from the hospital. Some of the discharged patients will suffer with lifelong ____ ____.
Definition
** 15% **

Brain Damage
Term
True or False: When CPR is strictly futile, clinicians MUST still perform CPR unless a specific DNR order is in place.
Definition
FALSE
Term
CPR efforts can be, with some patients, highly unlikely to succeed and may very likely bring burdensome side effects. What medical goal can be achieved by putting DNR/DNAR orders in place?
Definition
DYING PEACEFULLY
Term
preferences are unknown, the patient’s _____ _____.
Definition
BEST INTESRESTS
Term
True or False: A DNR order indicates that all treatment of all types should stop.
Definition
FALSE
Term
Why are slow (took too much time) or show (not doing everything) codes unethical?
Definition
Not good for patient, not ethical, causes cynicism
Term
True or False: Tube and intravenous feedings may prolong death and/or bring great indignity to patients suffering from advanced dementia or metastatic cancer.
Definition
TRUE
Term
True or False: A patient’s need for nutrition declines once she or he is in an advanced stage of dementia.
Definition
TRUE
Term
Aspiration pneumonia and patient agitation are some of the _____ of tube feedings.
Definition
BURDENS
Term
Artificial feedings are _______ interventions
Definition
MEDICAL

Not considered ordinary care
Term
If a patient requests that his or her life be terminated by the physician and the physician injects lethal chemical(s) into him or her, what has taken place? ______
Definition
Active Voluntary Euthanasia
Term
Who is the direct agent of death with physician-assisted suicide?
Definition
THE PATIENT
Term
Patients have a right to be free of unwanted bodily invasions (even life-sustaining ones). Which principle of biomedical ethics most directly supports this right?
Definition
RESPECT FOR AUTONOMY
Term
DOCTRINE OF DOUBLE EFFECT
(as it pertains to PAS)
Definition
Aggressive palliative treatment may hasten death

(but is not Euthanasia or PAS)
Term
One of the reasons against assisted suicide and active euthanasia is linked to what professional role of the physician?
Definition
HEALER role(consistent with non-maleficence)
Term
True or False: Sometimes physicians confuse the act of euthanasia with that of giving high doses of medication for pain relief.
Definition
TRUE
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