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201 exam 1

Ethical Issues in PT

QuestionAnswer
moral philosophy a system of moral principles
social contract views of right and wrong
Bio ethics application of ethics to healthcare
Hippocratic oath Swearing to practice medicine ethically
ethics A careful systematic approach or inquiry into the nature of morality. A thoughtful analysis of complex problems of morality.
applied ethics Tools and concepts of ethics to deal with practical problems. How they affect the patient, the profession, the facility, and legal.
bioethics Ethical implications of biotechnology and the practices in medicine.
Hippocratic oath concerns in the 60s New challenges with new technologies ^ education and regulation
Hippocratic oath concerns in the 70s Rapid changes in scope of practice QA, Best practice, fee for service
Hippocratic oath concerns in the 80s Ability to prolong life indefinitely AIDS, Advance medical directives
Hippocratic oath concerns in the 90s Economics of Healthcare Access, managed care
Hippocratic oath concerns in the 2000s Genetic engineering Genome, cloning, predicting
Hippocratic oath concerns in the 2020s Pandemics Changes to access, concerns with Regulatory Entities, political vs Healthcare
ethical contributors legal framework religious leaders or background behavioral choices
ethical distress Situation calls upon your values or duty Virtue based Knowing what is right but feel powerless in decision made
ethical dilemmas which decision is better vs worse Choosing between 2 courses of action not liked, uncomfortable, potentially harmful, illegal
2 examples of ethical dilemmas EX. Two dispositions – Truthfulness vs Compassion EX. Two acts – Honoring confidentiality vs reporting harm
APTA core values accountability altruism collaboration compassion and caring duty excellence inclusion integrity social responsibility
duties Professional obligations Autonomy- respect client needs
rights Guaranteed fundamentals
virtues moral compass
rights from constitutional law Life – Living will, DPOA documents Liberty –Autonomy (Freedom to decide and act in one’s own best interest – informed consent document and Advanced Directives documents) Pursuit of Happiness (Healthcare; entitlement right)
what provides the right to privacy in healthcare HIPPA
when was HIPPA enacted? 1996
how does HIPPA protect pts privacy? need to have Release of information document in order to give pt info to others
Duties in healthcare morals and professional obligation Non–Malfeasance Beneficence Fidelity Veracity Justice
non-malfesiance Above all do no harm, prevent harm
beneficence – Contribute to the good of each patient
fidelity – Be faithful to patient, respectful, competent, ethical
veravity – Moral conviction to tell the truth
justice – Act with fairness to all
virtues Moral compass; values that point you in direction.
virtues in healthcare Compassion Generosity Fidelity Faithful, trustworthy, honest Prudence – deliberate perception of what is required in the situation
13,14
locus of authority Center of authority- who holds authority? Impacts ethical choice?
who might be the locus of authority in healthcare? Patient/Family Healthcare worker Administrator/facility State - abuse, misconduct, whistle blowing, judge appoints guardian
confidentiality always wrong to divulge against patient wishes
when can we break confidentiality? We must when: Clear danger to self or 3rd party, Mandatory Reporting; intent to harm. ommunicable disease – COVID vaccine inquiry Peer behavior Using system Incompetence Ethics of computerized information systems
how do we decide the best choice? Base decision on family, religion, experience… No one principal that binds us. No absolute measure of our choice. Thoughtful and rational process to examine problem.
APTA endorsed model for solving ethical problems RIPS
realm context of the situation (Individual, Institutional, Societal)
individual process Moral (sensitivity, judgment, motivation, courage) or Societal
situation Ethical situation before us- (issue, problem, temptation, distress, dilemma or silence)
Created by: bdavis53102
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