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Ethics of Health Care - Chapter 2
Decision Making in Value Issues
16
Medical
Undergraduate 2
01/29/2012

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Term
Teleological
Definition
Consequence-Oriented (Utilitarian)
Term
Fathers of Utilitarianism
Definition
Jeremy Bentham & John Stuart
Term
Utilitarianism
Definition
An ethical theory holding that the proper course of action is the one that maximizes the overall "happiness".  Pleasure.
Term
Act Utilitarianism
Definition
When faced with a choice, we must first consider the likely consequences of potential actions and, from that, choose to do what we believe generates the most pleasure.
Term
Rule Utilitarianism
Definition
Actions are moral when they conform to the rules that lead to the greatest good
Term
Equal Consideration of Interest
Definition
All people's happiness must be considered equally.  One cannot increase their happiness at the expense of another.
Term
Criticisms of Teleological (Consequence-Oriented)
Definition
  • Calculations of happiness often impossible
  • To bring happiness to some may be at the expense of others
  • Not sensitive to duty (parents)
  • Does not appear to give repect equally to all people
  • Can lead to over-reaching into people's private lives
  • Does not take into account mmoral attitudes & pre-suppositions
Term
Principle of Utility
Definition
The right action is the one leading to satisfaction of those desires that the individual preferes to have satisfied.
Term
Deontology
Definition
Duty-Oriented
Term
Father of Deontological Thought
Definition
Immanuel Kant
Term
Deontological Principles
Definition
  • Consequences are irrelevant 
  • Morality is derived from rationality
  • No exceptions
Term
Categorical Imperative
Definition

A  way of evaluating motivations for action.


We should only act in a way that would be acceptable if the whole world acted that way.

Term
Mean
Definition
The middle point.  Between two extremes.
Term
Virtue Ethics
Definition
Good people do good things.  This person would do right naturally.
Term
Divine Command Ethics
Definition
There is a divine or exemplary being that has set down rules which govern all aspects of life.
Term
Ethical Decision-Making Model
Definition

Identify Characteristics: 

  • Describe the Problem
  • Identify Principles involved
  • Who are the concerned parties
  • Who is in charge
  1. Gather Facts

 

  • Opinion/Fact
  • Legal
  • Documentation

 

Examine the Options

  • Look for initial credibility
  • The more options the better chance of finding one you can support

Weigh & Evaluate Potential Options

  • What happens to each individual through each decision
  • What principles are favored or sacrificed
  • Are all people considered equally
  • What ethical system are you going to use to make your choice

Make Your Decision and Act on It


Assess and Evaluate the Results

 

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