ethical and legal surgery

Ethical and legal surgery

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Unformatted text preview: ETHICAL & LEGAL ETHICAL PRINCIPLES IN SURGICAL PRACTICE SURGICAL 4 TRADITIONAL PRINCIPLES TRADITIONAL Obligation of Beneficence­­­­­­­­ doing good Obligation of non­maleficence­­­Avoiding harm Obligation of respect autonomy­­Respecting Consent , Confidentiality Obligation to aspire to justice­­­­ Being fair to all stakeholders DIFFERENT ETHICAL TRADITIONS TRADITIONS DEONTOLOGICAL (DUTY BASED) UTILIATARIANS EXISTENTIAL / POSTMODERN DUTY BASED OUTCOME BASED CONTEXT BASED BENEFICIENCE – DOING GOOD BENEFICIENCE DEMANDS COMPETENCE DOCTORS SHOULD NOT EXCEED THEIR PERSONAL COMPETENCE IF A MORE APPROPRIATE PRACTITIONER OR SERVISE IS AVAILABLE ACCREDITATION & CONTINUING MEDICAL EDUCATION COMMUNICATION SKILLS ARE VITAL NON-MALEFICENCE : AVOIDING HARM HARM Primum non nocere (First do no harm) ‘Paternalism’ ‘Consumerism’ RESPECT FOR AUTONOMY RESPECT Individuals should be treated as ends not as means Respect for dignity,integrity and authenticity of the patient Informed consent Capacity to consent exists if a patient can • • • understand relevant information consider the implications of different options consider to communicate decisions • • • • minors transient or irreversible cognitive impairment mental illness undue coercion Capacity to consent may not exist LAW RELATING TO CHILDREN LAW COMPLEX...
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