Medical Decison Making Flashcards Preview

Ethics > Medical Decison Making > Flashcards

Flashcards in Medical Decison Making Deck (30)
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1
Q

Competence

A

One has the abilities, skills and knowledge necessary to make a particular decison

2
Q

Substituted judgement

A

Decision made by surrogate for a non competent patient based on what patient would want if he could decide himself

3
Q

Proxy directive

A

Legal document in which competent chooses a person to make medical decisions when they are no longer competent

4
Q

Instructional Advance Directives

A

Written statements made while patient is competent stating what medical treatments would be acceptable

5
Q

Autonomous Principle

A

Autonomous persons should be able to exercise their right to self- determination

6
Q

J.S Mill

A

You should have the right to do what you want as long as.

1) You can understand and reflect on your own actions
2) No hidden dangers
3) Not knowingly dangerous

7
Q

4 aspects of autonomy

A

Free action
Effective deliberation
Authenticity
Moral reflection

8
Q

Effective Deliberation

A

Person ruling themselves shows good judgement

9
Q

3 things causing ineffective deliberation

A

Misinformation
Missing information
Mental issues

10
Q

Authenticity

A

Freedom to be who you truly are

11
Q

Moral reflection

A

Able to consider all your options

12
Q

Sherwins Relational Approach

A

Ripple effect– Individual, family, community, society

13
Q

Prima Facie Right

A

Moral right that must be honored unless it comes into conflict with the moral right of another

14
Q

Ethical Relativism

A

No universal moral obligations binding on all people– everyone is morally right and nobody is wrong

15
Q

Hardwig

A

A1: Choice as determined by oneself as best
A2: Responsible

16
Q

Macklin

A

Freedom of religion does not include ways resulting in harm or detah of another

17
Q

Brody

A

Transparency: Adequate info has been disclosed when doctors basic thinking is transparent to the patient

18
Q

5 criteria for informed consent

A
Disclosure
Comprehension
Voluntariness
Competence
Consent
19
Q

3 standards of competence

A

Minimal
Outcome based
Process of decision making

20
Q

4 CCB matters of adjudication

A

Capacity
Consent
Civil commital
Substitute decision making

21
Q

Parens Patriae

A

Court authority on treatment if child is deemed in need of protection

22
Q

CCB

A

Capacity and Consent Board

23
Q

4 things to include in informed consent

A

Nature of procedure
Risks
Alternatives
Expected benefits

24
Q

Informed Consent Sense 1

A

Autonomous Authorization– understanding and lack of coercion

25
Q

Informed Consent Sense 2

A

Effective Consent- legal procedures

26
Q

Assent

A

Does not hold any legal weight

27
Q

Privacy

A

Right to control viewing and touching their body, and intimate personal information

28
Q

4 types of privacy

A

Bodily
Information
Communication
Territorial

29
Q

Confidentiality

A

Obligation of HCP to maintain the privacy of their patients

30
Q

PIPEDA

A

Personal information protection and electronic documents act