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Terms in this set (566)
1. Autonomy
2. Beneficence
Core Ethical Principles
3. Non-maleficence
4. Justice
obligation to respect patients as individuals and to
honor their preference in medical care
Autonomy
- competent patient over the age of 18 can refuse
care at any time
Physicians have a special ethical duty to act in the
Beneficence patients best interest
-Autonomy trumps beneficence
Do no harm
Non-maleficence
- but must weigh risk/benefit
Justice Treat all persons fairly
1. Discussion of pertient information
Informed consent 2. Patient has capacity and agrees to plan
3. Patient is acting voluntarily and not been coerced
, Exceptions:
1. If patient is legally INCOMPETANT
Exceptions to informed 2. Implied consent in medical EMERGENCY
consent 3. Withholding information (therapeutic privilege)
Ex: Depressed suicidal patient with new cancer
diagnosis
- MINOR is UNDER 18 and parental consent must be
obtained unless: EMANCIPATED
Emancipation:
1. Army
2. married
3. self-supporting
Parental consent is NOT required in:
Consent for minor (SEX, DRUGS, ROCK N ROLL)
1. Emergency situation
2. Contraception
3. Treatment of STD's
4. Medical care during pregnancy
5. Drug addiction
- If situation is not life threatening must respect
parents decision
1. Communicates a choice
2. Fully informed
Decision making Capacity 3. Stable decision
4. Decision consistent with values and goals
5. Decisions no delusions/hallucinations
Instructions given by patient in anticipation of medical
decision
Advance directives 1. Oral Directive
2. Living will
3. Durable power of attorney