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Hcam summary on medical ethics


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Hcam summary on medical ethics

  1. 1. Healthcare Administration and Management <br />Summary on Medical Ethics<br />
  2. 2. Healthcare Decisions<br />Take time in making decisions<br />Reason<br />Forge understanding<br />Consider consequences<br />Proceed with caution<br />Be logical<br />
  3. 3. Morality <br />Some feel ethics is subjective and based on ones own morality.<br />Ethics is part of religion, economics, government policy and healthcare.<br />
  4. 4. Medical Ethicsis derived from:<br />Law<br />Institutions policies and practices<br />Professional organizations<br />Professional standards of care and obligation<br />
  5. 5. Medical Ethics Questions<br />End of Life<br />Life sustaining Issues<br />Reproduction Issues<br />Genetics<br />Transplantation<br />Sterilization<br />Medical Research<br />
  6. 6. Principles of EthicsMoral Guideline and Continuity for Decision Making<br />Autonomy<br />Beneficence<br />Nonmaleficence<br />Justice <br />
  7. 7. Autonomy<br />This is a person’s ability to make their own choice.<br />The capacity to say, think, decide and act freely and independently.<br />
  8. 8. Autonomy<br />Autonomy includes informed consent, confidentiality, truth telling and self-determination. It is based on the patient’s own goals and desires. <br />Competency and capacity must be established.<br />Minors – legal decision age.<br />Surrogates<br />
  9. 9. Beneficence<br />Seek to provide.<br />Being kind, charitable or beneficial.<br />Acting with compassion and respect.<br />Keeping patient wishes in care provided.<br />Bringing good to another.<br />
  10. 10. Nonmaleficence<br />Do no harm. <br />Avoid and prevent harm.<br />No violence towards another.<br />
  11. 11. Justice<br />Treat with fairness.<br />Provide equal treatment to all.<br />Non-discrimination.<br />Protecting the rights of others.<br />
  12. 12. Risk<br />Inability to balance the principles.<br />Oversimplify the principles.<br />Using one over another.<br />Rush into decision making.<br />
  13. 13. Decision Making<br />Look at the medical problem and prognosis. Is the condition reversible?<br />What are goals of treatment?<br />What is the cost-benefit of the decision<br /> emotional, physical, financial?<br />What does the patient want? AD?? LW??<br />Is the patient competent to decide?<br />
  14. 14. Ethical Analysis<br />Analysis patient’s perspective.<br />Analysis family’s perspective.<br />Look at social impact of decision.<br />Look at legal aspect of decision.<br />Look at financial impact of decision.<br />Look at provider impact of decision.<br />Look at religious impact of decision.<br />
  15. 15. Personal Values<br />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.<br />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.<br />
  16. 16. Decisions<br />Use ethical principles as a basis.<br />Take your time to decide.<br />Utilize your ethics committee whenever necessary.<br />Know your code of ethics for your profession.<br />Review the consequences of your decision before your make it.<br />Act responsibly, morally and ethically.<br />Perform an ethical analysis.<br />