MORAL ETHICS Exam Notes - MORAL ETHICS Exam Notes TOPIC 1:...

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MORAL ETHICS Exam NotesTOPIC 1: Patient Physician Relationship4 Reasons for the Deliberative Model1)Real autonomy requires reflective thinking2)Physicians are able to remind patients of their medical interests, and those of the larger community3)This position insures that your physician will demonstrate real care for your treatment4)It will make the physician a better medical practionerTraditional Account of Autonomous DecisionsThe individual must:1)Be deemed to be sufficiently competent (rational)2)Make a reasonable choice from a set of options3)Have adequate information and understanding of the available choices4)Be free from explicitly coercionModelAssumptionEvaluationPaternalisticModel1.Doctor knows best for patient2.Patient’s roleto agree with doctor’s judgment3.Doctor = Patient’s Guardian4.Doctor’s roleonlyto make thepatient healthyregardless ofpatient preference.Completely disregards patientautonomyInformativeModel1.Patient knows what’s best2.Patient’s roleto make their own health care choice.3.Doctor = Technician/medical operator only4.Doctors roleto provide patient with information andimplement their choice.Distant/uncomfortable relationshipbetween doctor-patientLeads physicians to over look theirpatients need formeaningfulconsultationImperativeModel1.Patient needs helping coming to know what they think aboutan issue2.Patients roleto figure out what they think (issue)3.Doctor = Counselor/Advisor4.Doctor’s roleto help patient tease out their preferences byclarifying and explaining the nature of their choices;providing relevant information and implementing patient’schoice.Asks too much of doctors - behave astherapists.Asks to little of doctors by asking themto refrain from questions the moraljudgment of their patients.DeliberativeModel1.Patient needs help inmeaningful ethical thoughtabouttheir treatment2.Patients roleto engage in moral self development regardingtheir medical care3.Doctor = friend/teacher4.Doctor’s roleto help patient come be self-critical about theirvalues and beliefs but then to implement the patient’sconsideredTreatsphysicians asmoral authoritieswhen they are notMakes the patient experience dependheavily upon thepersonal values ofthe physician.This approach wrong to think thatmedical care should force the patientto attempt moral development.
TOPIC 2: Incompetent ConsentCompetent Decision Maker1)Be in possession of a set of personal values2)Have the ability to communicate and to understand information3)Have the ability to reason and to deliberateThe Risks of Competence Judgment1)The risk of prevent a competent person from participating in their treatment decisions2)The risk of failing to protect an incompetent person from the harmful effects of their own bad decisionsType of DecisionStandard of CompetenceSTANDARD 1Those where medical treatment is notdangerous and which are, objectively, inthe patients best interests.

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Term
Spring
Professor
StefanRodde
Tags
Ethics, patient physician relationship

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