Beruflich Dokumente
Kultur Dokumente
101212
Greek-Roman period
A noble death
No role for doctors
17 century
Medical assistance in good dying
No active intervention
19 century
Active medical intervention
th
th
Euthanasia
When the following needs of terminally ill patients are not properly
addressed:
Physical
Mental
Social
Spiritual
Countries where it is legally accepted:
Netherlands
Belgium
The doctor informed the patient about the situation and his prospects,
and come to conclusion with the latter that there is absence of other
reasonable solutions
Things to consider
Hopelessness
Not determined by patient alone
Medical irreversibility
Unbearability
768 doctors
Good palliative care cannot prevent or take away all requests for
euthanasia.
Important things to remember:
Med Ethics
Genetics
Future of pharmacogenetics
rd
Gene Therapy
1. personalized treatment
2. avoidance of pain/suffering
3. lesser burden to family and society
4. loner life
5. better quality of life
Embryo experimentation
a tempting pre-requisite/consequence of gene therapy
opens legalizations of abortion to societies
Ethical Considerations
values and rights
bioethical principles; respect for persons, beneficence, non-malifecence,
justice, solidarity.
Abortion
Debate
Should abortion be legalized in our country?
3 views on moral assessment of abortion
I. Pro life
Abortion= killing
Declaration of procured abortion (SCDF, Feb 1987)
o Life is at the same time a gift and responsibility
o Man can never be treated simply as a means to be disposed of
in order to obtain a higher end.
o The first right of human is right to life
II. Pro-choice
Asymmetry in the moral status of the fetus and the pregnant woman
III. Intermediate
3.
Moral evaluation
4.
Decision-making
GENETICS
SCREENING
Initiative comes from health
authorities/ government to
allocate budget for the
susceptible individuals
For populations/ groups, little/ no
information/ direct experience,
health authorities take the
initiative and choose the target
groups
4.
BENEFITS
Difficult decision
Exclusion
Personalized treatment
Bioethical principles:
o Respect for persons
o Beneficence
o Non-maleficence
o Justice
Solidarity
ABORTION
3 views:
o Pro-life
o Pro-choice
o Intermediate
PRO-LIFE
Asymmetry in the moral value of the fetus and the pregnant woman
Woman fetus
INTERMEDIATE
Depends on:
o Fetus with respect to future health and welfare
o Womans reasons for selecting abortion
o Stage of fetal development
ND
Man is accountable for what he is, what he is capable of doing, and what
he makes of himself.
Ownership
To have dominion over
something
Involves control
Stewardship
Freely given
Involves taking care of the gits
Totality
Wholeness; it involves not only the physical but also the spiritual,
emotional, intellectual, and social aspects of the person as well.
To promote peace
What information should be held confidential?
Before revealing the secret to a third party, the doctor should ask
permission from the patient.
Cooperation
Kinds:
1. Formal
2. Material
a) Immediate
b) Mediate
Formal
Material
Health care workers have duties to the patients which may conflict with
other entities (government, company, teaching, research society)
Faithfulness
HONESTY
3.
INTEGRITY
Wholeness
Coherence
4.
HUMILITY
5.
RESPECT
6.
COMPASSION
Loving kindness
7.
PRUDENCE
Foresight
8.
COURAGE
Vices
1.
2.
PRIDE
GREED
Developing virtues
MEDICAL ETHICS
FIRST BIMONTHLY EXAM
XU-JPRSM Batch 2014
I. Choose the best answer.
1. A 78-year old woman has stage IV breast CA. She had a heart attack a
week ago and is now conscious and coherent. As the attending
physician, her daughter asked you not to tell her mother that she has
cancer. What bioethical principle was violated?
ANS: Principle of Autonomy
2.
Elsa had ectopic tubal pregnancy. Her doctor did a salpingectomy. What
bioethical principle was involved?
ANS: Beneficence
3.
4.
5.
D.
Treatment interventions
6.
7.
Giving up ones claim on a health care resource so that those who can
benefit more from it can have it.
ANS: Solidarity
8.
9.