Healthcare Ethics: Moral Frameworks

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Questions and Answers

In healthcare ethics, what is the primary focus when making decisions about patient care?

  • Balancing patient rights, medical best practices, and social and cultural values. (correct)
  • Prioritizing the financial stability of the healthcare institution.
  • Adhering strictly to legal requirements, regardless of patient needs.
  • Following the personal beliefs and values of the healthcare provider.

Which of the following is an example of how common sense might influence a person's sense of morality?

  • Adhering strictly to religious teachings on moral issues.
  • Withholding bad news to avoid hurting someone's feelings. (correct)
  • Following legal guidelines in all situations.
  • Always telling the truth, regardless of the consequences.

How does healthcare science aim to improve patient care?

  • By prioritizing the opinions of experienced doctors over research findings.
  • By focusing solely on reducing healthcare costs.
  • By implementing traditional medical practices without questioning their effectiveness.
  • By conducting systematic studies to develop evidence-based treatments. (correct)

A patient with a severe penicillin allergy is prescribed penicillin by a doctor who believes it's the only effective drug for their infection. Which ethical principle is the doctor violating?

<p>Nonmaleficence. (A)</p> Signup and view all the answers

In the context of healthcare ethics, what does 'respect for autonomy' primarily entail?

<p>Allowing patients to make informed decisions about their own medical treatment, even if it goes against medical advice. (B)</p> Signup and view all the answers

A hospital has a limited number of ventilators during a pandemic. According to the principle of justice, how should these resources be distributed?

<p>To the patients who are most critical and have the best chance of long-term survival. (B)</p> Signup and view all the answers

What is the central ethical dilemma explored by the Trolley Problem?

<p>The conflict between consequentialist and categorical moral reasoning. (C)</p> Signup and view all the answers

In the Trolley Problem, what would a consequentialist likely decide?

<p>To pull the lever, saving five lives at the cost of one. (D)</p> Signup and view all the answers

Which of the following best exemplifies categorical moral reasoning?

<p>Always telling the truth, even if it causes emotional distress. (D)</p> Signup and view all the answers

What is the primary distinction between beneficence and nonmaleficence in healthcare ethics?

<p>Beneficence means doing good, while nonmaleficence means avoiding harm. (A)</p> Signup and view all the answers

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Flashcards

What is Ethics?

The study of what is morally right or wrong, especially in healthcare, balancing patient rights, best practices, and social values.

Respect for Autonomy

The right of patients to make their own healthcare decisions, even against medical advice, based on informed consent.

Nonmaleficence

Avoiding harm to patients through actions or inactions by weighing risks versus benefits of treatments.

Beneficence

Acting in the patient's best interest by promoting well-being and choosing treatments that have the greatest benefit.

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Justice

Treating patients fairly and without discrimination, distributing healthcare resources based on need.

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The Trolley Problem

Tests the conflict between outcome-based (consequentialist) and rule-based (categorical) thinking.

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Consequentialist Reasoning

Morality is based on the outcome to achieve the greater good, focusing on reducing overall harm.

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Categorical Reasoning

Morality is fixed; some things are always right or wrong, regardless of the outcome.

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What is Healthcare?

All services aimed at improving health and well-being, including health promotion, disease prevention, diagnosis, and intervention.

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Healthcare Science

The systematic study of health-related issues using evidence-based treatments to improve medical practices and patient care.

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Study Notes

  • Ethics provides a framework for moral values
  • Ethical principles guide choices in healthcare and research

What is Ethics?

  • Ethics explores the concepts of morally right and wrong
  • In healthcare, ethics dictates how professionals should treat patients
  • Decisions should consider patient rights, medical best practices, and social and cultural values
  • Ethics guides the balance between truth (autonomy) and emotional protection (nonmaleficence)

Where Morality Originates

  • Morality stems from various influences:
  • Parents: Teaching right and wrong from a young age
  • Religion: Providing moral codes and values
  • School: Teaching social norms and rules
  • Common Sense: Internal sense of fairness and justice
  • Morality can be categorical (always telling the truth) or consequentialist (withholding bad news to protect feelings)

Areas of Healthcare

  • Healthcare encompasses services for improving health and well-being:
  • Health Promotion: Includes public health campaigns
  • Disease Prevention: Vaccines and health screenings
  • Diagnosis: Identifying diseases through tests
  • Intervention: Involves surgery, medication, and therapy
  • Nursing: Focuses on patient care and comfort
  • Rehabilitation: Includes physical therapy after surgery

Healthcare Science Explained

  • Healthcare science is the systematic study of health, aimed at improving medical practices and patient outcomes
  • This involves evidence-based treatments to improve patient care

Core Principles of Healthcare Ethics

  • Respect for Autonomy: Patients have the right to make their own healthcare decisions, with informed consent from doctors
  • Nonmaleficence: Avoiding harm through actions or inactions, weighing risks against benefits
  • Beneficence: Acting in the patient's best interest
  • Justice: Ensuring fair distribution of resources and treating patients without discrimination

The Trolley Problem

  • Illustrates the conflict between consequentialist and categorical thinking
  • Pulling a lever to save five lives but killing one tests ethical decision-making
  • Consequentialist view: Saving five is the greater good
  • Deontological view: Intentionally killing someone is morally wrong
  • In healthcare, it raises questions about triage in ERs and organ transplants

Moral Reasoning

  • Categorical Moral Reasoning -Fixed morality makes some things always right or wrong, regardless of outcome -Killing an innocent person is always wrong, even if saving others

  • Consequentialist Moral Reasoning -Morality is based on the outcome, where the greater good matters more than the action itself. -Sacrificing one person to save five reduces overall harm

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