Ethical Principles: Ethics and Liability
Ethical Principles: Ethics and Liability
Ethical Principles: Ethics and Liability
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Ethical Principles
Traditional Principles
Paternalism - the role of father (i.e. father knows best model) - the need to protect
someone from his or her own judgements.
Contemporary Principles
These principles are described in Egan's - key components of each principle is the professional
duty required to uphold each principle, and the patient right that is the foundation of each
principle.
Autonomy
Patient right: to decide their own course of treatment and to follow a plan which they
freely agree to.
Veracity (Truth-telling)
Duty: health care provider and patient must tell the truth - carries over into
documentation and medical record keeping
Nonmaleficence
Duty: to avoid harming patients and to actively prevent harm when possible
Double effect: Action can have both a good and harmful effect - does the good
outweigh the bad - is the intentional good more desireable than avoiding the
unintentional bad?
Beneficence
Duty: provider actively contributes to the health and well-being of the patient
Quality of Life: Beneficence is often the basis for quality of life dilemmas - Should
we do everything possible regardless of the eventual outcome? Would it be more
beneficient not to do everything?
Duty: provider must not share information about patient unless with others involved in
their care
Duty: give same quality of care to every patient regardless of socio-economic status.
Patient right: at the heart of the current health care reform debate!
Role Duty:
Duty: understand the limits of their role and practice with fidelity.
Patient Right: to be cared for by professionals competent in their field and who
function within their scope of practice
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