Health care etics 7
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This chapter discusses ethics related to dealing with life-threatening and incurable diseases. It addresses issues such as a patient's right to refuse treatment, stopping medical treatment, cardiopulmonary resuscitation (CPR), and conditions of prolonged or terminal coma. Key points include that patients have the right to refuse treatment if fully informed, treatment should not be stopped if the patient and family disagree, CPR may not be useful in late-stage or incurable diseases, and patients in irreversible coma should continue receiving care without complicated equipment. All decisions must be well-documented and communicated to the treatment team and patient's family.
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This document discusses several topics related to health care ethics:
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Slide #
Scene/Interaction
Narration
Slide 1
Intro Slide
Slide 2
Scene 1
Professor Charles enters classroom and introduces the topics for today’s lesson and begins the lecture.
Prof Charles
: Hello everyone….welcome back to class. Today, we are going to discuss patient rights and responsibilities and acquired immunodeficiency syndrome.
The Patient Self-Determination Act of 1990 (PSDA) made a significant advance in the protection of the rights of patients to make decisions regarding their own health care. Healthcare organizations may no longer passively permit patients to exercise their rights but must protect and promote such rights. The PSDA provides that each individual has a right under state law to make decisions concerning his or her medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives.
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Casey:
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Donald
: Patients also have a right to receive a clear explanation of tests, diagnoses, treatment options, prescribed medications, and prognosis; participate in healthcare decisions; understand treatment options; and discontinue or refuse treatment options. It is recognized that the relationship between the physician and the patient is essential for the provision of proper care.
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Prof. Charles
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Dr. Y misdiagnosed and overprescribed medication to Patient X, which led to their death from a heart attack. This was a case of medical malpractice and unintentional tort. Patient X's family could sue Dr. Y for negligence, having to prove that Dr. Y deviated from the standard of care by misreading the medication instructions and that this caused Patient X's death. Healthcare ethics principles of autonomy, beneficence and non-maleficence were violated. Providers must respect patient autonomy, act in their best interest, and do no harm. Ongoing training in healthcare ethics is important to avoid such violations and ensure principles of justice, respect and fairness are followed.
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This document discusses informed consent and its legal and ethical components. It notes that informed consent is based on respect for patient autonomy and involves communicating key information about a procedure, including risks and benefits, to allow patients to make voluntary decisions. The components that must be disclosed include the name and purpose of the procedure, risks, benefits, alternatives, and outcomes. Documentation of consent is important for legal purposes. Informed consent aims to balance patient autonomy with beneficence while avoiding coercion.
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This document discusses several important aspects of the doctor-patient relationship, including:
1) Doctors have a duty to act in their patients' best interests according to ethical principles. An effective relationship requires respect, understanding, and trust between doctors and patients.
2) Factors like mutual understanding, clear guidelines for care options, comfort during illness, and open discussion even during uncertainty are important.
3) The relationship must maintain patient confidentiality, honesty, and informed mutual decision-making while avoiding discrimination, abuse, or neglect. Terminating a relationship requires reasonable cause and respecting professional boundaries is important.
Consultation and liaison psychiatry me
Consultation-liaison psychiatry involves psychiatrists consulting on patients in medical settings to address intersections between physical and mental health. Issues include capacity to consent, conflicts with medical teams, and patients reporting physical symptoms due to underlying mental disorders. The consultant evaluates patients for suspected psychiatric disorders, agitation, suicidal/homicidal thoughts, and high psychiatric risk factors. Common reasons for consultations include psychiatric symptoms, lack of organic cause for symptoms, and non-compliance.
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Health care etics 7
- 1. Health Care Ethics 7 Dr. Tarek Abd-Elkader Sallam
- 2. ETHICS OF DEALING WITH LIFE- THREATENING AND INCURABLE DISEASES CHAPTER 15:
- 3. Chapter 15: Ethics of Dealing with Life-threatening and Incurable Diseases life-threatening andincurable three relevant consultants 1≤related to the management of the patient Document the decision reasons clear for team, and whoever else needs
- 4. Ethics of Dealing with Life-threatening and Incurable Diseases never affect the quality of healthcare breaking bad news. highest possible level of comfort Only useful medical intervention - By three consultants or more - Doctors over families hopelessness of a cure should not decrease the care patient’s family care (communicate -allow patient Access -psychologically ) treating doctor changed (family if incompetent pt ) Never do physician-assisted suicide use powerful analgesics under supervision
- 5. (A) Does the Patient Have the Right to Refuse Treatment in Incurable Conditions? patient has the right to accept or refuse ttt except in some infectious diseases fully understood (consequences of refusal, benefits of treatment, and risks of decisions) two independent witnesses loss of legal competence …….> guardians
- 6. (B) Should Medical Treatment Be Stopped? Don’t use useless Pt and family disagree Change physician If not possible concerned authority in the hospital Pt and family agree stop
- 7. (C) Cardiopulmonary Resuscitation 1.Urgent so Decide • Before need • Take your time and be objective 2.not useful in • incurable late-stage disease 3.Duration • long enough period of time, as medical standards
- 8. (C) Cardiopulmonary Resuscitation 4.insistence to continue • explain then • report to the medical management • write clearly in the medical record 5.No CPR before it is needed means • Full ttt and complete care with respect to pt. dignity • This should be known, recommended, and shared
- 9. (D) Conditions of Prolonged or Terminal Coma due to Cerebral Cortical Damage This patient Continue care does not feel Can’t react to stimuli damage of the cerebral cortex brain stem remains functioning without the use of complicated equipment except on individual basis irreversible coma