Legal and ethical issues in surgery

1. Learning outcomes
 Define ethics
 Identify the issues in surgical ethics
 Explain the boundaries of autonomy, informed
consent ,and confidentiality
 Describe the good surgical practices

2. Ethics
 The word ethics is derived from the Greek word
ethos which means character.
 To put it formally ethics is the branch of philosophy
that defines what is good for the individual and for
society and establishes the nature of obligation or
duties that people owe themselves and one another.

3. Surgical Ethics
 Ethics is an essential discipline in the practice of
surgery
 Represent your best understanding of moral
responsibility
 Evolves as reasoned reflection on clinical experience
 Ethical studies investigate what should be our
character and conduct

4. Issues
 Autonomy
 Informed consent and difficulties
 Confidentiality
 Excellent standards

5. AUTONOMY
 Respect autonomy of patient and their ability to
make chioce about their treatment
 It recognizes right of patient to self determination
 So patient have right to make choice over their
surgical care .

6. Attention
 Information accurate and reasonably complete
 Avoidance technical language
 Provision of translator
 Clarification of doubts

7. Practical Difficulties
 Temporary unconsciousness patients
 Children less than 18 year are minors and are legally
incompetent
 Incompetence -other kind

8. CONFIDENTIALITY
 The principle of confidentiality is that the
information a patient reveals
 to practioner is private and has limits how and
when it can be disclosed to a third party
 Breaking confidentiality
 If the patient is threat to self or others
 Other team members (improving treatment options
 Public interest
 Court order

9. GOOD STANDAERD
 To optimize success in protecting life and health to
an acceptable standard
 Practitioner must offer specialized treatment in
which they have been properly trained

10. REFRENCES
 Bailays and love s short practics of surgery
 Berry and kohns

11. THANK YOU