Beneficence & Nonmaleficence Autonomy and Informed Consent Quick Quiz

Beneficence & Nonmaleficence The Ought Implies Can principle says: If you ought to do something, it can be done If you ought to do something, you can do it If you ought to do something, someone can do it If you can do something, you ought to If you can do something, someone ought to

Beneficence & Nonmaleficence The most general limit on our obligations are: time and space our talents available technology personal risk there are no limits on obligations

Beneficence & Nonmaleficence Primum Non Nocere means: The first shall be last Never be the first Give nothing to the first First do no harm The higher the fewer

Beneficence & Nonmaleficence In the statement of the patient’s duties regarding health care Take care of your health as long as, all things considered, this does not produce more harm than good The phrase “all things considered” appears because: Patients may need to consider the economic costs Patients may need to consider family obligations Patients may need to consider commitments to work A and B A, B and C

Beneficence & Nonmaleficence The Best Interests Principle and the Rational Choice Principle are principles that guide: Physicians Patients Surrogates Children Only minor children

Beneficence & Nonmaleficence The Standard of Care uses the “reasonable professional” to set the standard. What determines reasonable? Competency, Experience, Likeability, Success Federal law, State law, County law, City law Practice standards, Education, Institutional policies, Federal and state statutes Coursework, Internships, Field work, Experience None of the above; reasonable is undefined

Autonomy & Informed Consent The Ethics text notes that, historically, health care has moved from: The engineering model toward respect for autonomy The collegial model toward respect for autonomy The priestly model toward respect for autonomy Respect for autonomy to the covenant model Respect for autonomy to the engineering model

Autonomy & Informed Consent The classification of people as children, the retarded, or the pleasantly confused … Tells us they are not suited to give informed consent Tells us they can never be guilty of negligence Tells us nothing about their ability to consent Tells us little about their ability to consent Is always illegitimate and degrading to persons

Autonomy & Informed Consent Among the competing rules for determining what information is needed in informed consent, the book likes: Patient preference and professional custom Patient preference and prudent person Prudent person and subjective disclosure Professional custom and subjective disclosure None of the rules; rules are too limiting

Autonomy & Informed Consent The overarching, important consideration governing the information in informed consent is: It must be strictly medical It must be communicated free of emotion It must understood by the patient It must be delivered in writing It must be technically accurate

Autonomy & Informed Consent Paternalism, weak or strong, is: A guide to treating the incompetent A guide to treating the competent To be avoided if possible A and B B and C

Answer Key Slide 2=B, 3=A, 4=D, 5=E, 6=C, 7=C, 8=C, 9=D, 10=C, 11=C, 12=C