Hcam summary on medical ethics
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Hcam summary on medical ethics

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Hcam summary on medical ethics Presentation Transcript

  • 1. Healthcare Administration and Management
    Summary on Medical Ethics
  • 2. Healthcare Decisions
    Take time in making decisions
    Reason
    Forge understanding
    Consider consequences
    Proceed with caution
    Be logical
  • 3. Morality
    Some feel ethics is subjective and based on ones own morality.
    Ethics is part of religion, economics, government policy and healthcare.
  • 4. Medical Ethicsis derived from:
    Law
    Institutions policies and practices
    Professional organizations
    Professional standards of care and obligation
  • 5. Medical Ethics Questions
    End of Life
    Life sustaining Issues
    Reproduction Issues
    Genetics
    Transplantation
    Sterilization
    Medical Research
  • 6. Principles of EthicsMoral Guideline and Continuity for Decision Making
    Autonomy
    Beneficence
    Nonmaleficence
    Justice
  • 7. Autonomy
    This is a person’s ability to make their own choice.
    The capacity to say, think, decide and act freely and independently.
  • 8. Autonomy
    Autonomy includes informed consent, confidentiality, truth telling and self-determination. It is based on the patient’s own goals and desires.
    Competency and capacity must be established.
    Minors – legal decision age.
    Surrogates
  • 9. Beneficence
    Seek to provide.
    Being kind, charitable or beneficial.
    Acting with compassion and respect.
    Keeping patient wishes in care provided.
    Bringing good to another.
  • 10. Nonmaleficence
    Do no harm.
    Avoid and prevent harm.
    No violence towards another.
  • 11. Justice
    Treat with fairness.
    Provide equal treatment to all.
    Non-discrimination.
    Protecting the rights of others.
  • 12. Risk
    Inability to balance the principles.
    Oversimplify the principles.
    Using one over another.
    Rush into decision making.
  • 13. Decision Making
    Look at the medical problem and prognosis. Is the condition reversible?
    What are goals of treatment?
    What is the cost-benefit of the decision
    emotional, physical, financial?
    What does the patient want? AD?? LW??
    Is the patient competent to decide?
  • 14. Ethical Analysis
    Analysis patient’s perspective.
    Analysis family’s perspective.
    Look at social impact of decision.
    Look at legal aspect of decision.
    Look at financial impact of decision.
    Look at provider impact of decision.
    Look at religious impact of decision.
  • 15. Personal Values
    The patient decision may come into conflict with your personal values but the patient has the right for self-determination when competency is not in question.
    You will face challenges in balancing the mission of your organization with the cost of providing care and advances in technology while respecting your patient wishes.
  • 16. Decisions
    Use ethical principles as a basis.
    Take your time to decide.
    Utilize your ethics committee whenever necessary.
    Know your code of ethics for your profession.
    Review the consequences of your decision before your make it.
    Act responsibly, morally and ethically.
    Perform an ethical analysis.