Application & Critique Part 2 Fall 2008

Application & Critique Part 2 Fall 2008 - –...

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Application & Critique of Principles & Perspectives Part II N311, Fall 2008 With thanks to Debbie Volker From Sheila M. Smith
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Edge & Groves: Autonomy vs. Paternalism Paternalism: acting in a way that is believed to protect and advance the interests of another even though it may be against the desires (or limit the freedom) of that individual Should alert, rational patients be allowed to refuse reasonable care if that decision sacrifices their lives or health? Should the health care providers’ autonomy be secondary to the patient’s autonomy? When these are in conflict, what is the health care provider’s obligation to the patient? What is the Patient’s Bill of Rights?
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Autonomy vs. Paternalism Provider/Patient relationship (Veatch) Engineering model Priest model Collegial model Contractual model Which do you prefer and why?
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Autonomy vs. Paternalism Informed consent
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Unformatted text preview: – Disclosure, understanding, voluntariness, competence, consent – How do you know if someone is competent? – What is an authentic decision? – What should be disclosed? Standards: • Professional community • Reasonable patient • Patient-centered • What if the patient demands futile treatment? Childress & Fletcher: Respect for autonomy • What is their argument about the role of autonomy in ethics? • What is meant by prima facie? • Clarification/modification of the concept of autonomy: issues of time and community • What are their points about the concept of autonomy? Shelton: The harm of “First, do no harm” • Primum non nocere • What is the problem with the idea of doing no harm? – The idea of harm involves issues of error and risk • Do you agree or disagree with Shelton’s concerns about doing no harm?...
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