Chapter 1 - Medical Law & Ethics

Amoral

Lacking or indifferent to moral standards

Applied ethics

The practical application of moral standards to the conduct of individuals involved in organizations

Bioethics

Also called biomedical ethics; the moral dilemmas and issues of advanced medicine and medical research

Bioethicists

Persons who specialize in the field of bioethics

Comparable worth

Pay equity; the theory that extends equal pay requirements to all persons (men/women) doing work

Compassion

Ability to have a gentle, caring attitude toward patients and fellow employees

Cost/benefit analysis

Utilitarianism; an ethical approach in which the benefit of the decision outweighs the costs

Due process

The entitlement to all employees to have certain procedures followed when they believe their rights are in jeopardy

Empathy

The ability to understand the feelings of another person without actually experiencing the pain or distress that a person is going through

Ethics

The branch of philosophy relating to morals and moral principles

Fidelity

Loyalty and faithfulness to others

Indigent

A person who is impoverished and without funds

Integrity

The unwavering adherence to one's principles; dedication to maintaining high standards

Laws

Rules or actions prescribed by a governmental authority that have a binding legal force

Litigious

A dispute that has resulted in one party suing another

Medical ethics

Moral conduct based on principles regulating the behavior of healthcare professionals

Medical etiquette

Standards of professional behavior that physicians use for conduct with other physicians

Medical practice acts

Laws established in all 50 states that define the practice of medicine as well as requirements and methods for licensure in a particular state; define what is negligent conduct

Morality

The quality of being virtuous or practicing the right conduct

Precedent

A ruling of an earlier case that is then applied to subsequent cases, or served as a model for future cases

Principle of autonomy

Right to make decisions about one's own life

Principle of beneficence

Action of helping others and performing actions that result in benefit to another person

Principle of justice

Warns us that equals must be treated equally

Principle of nonmalfeasance

Means "First, do no harm

Quality assurance

Gathering and evaluating information about the services provided as well as the results achieved and comparing this information with an accepted standard

Sanctity of life

Sacredness of human life; all human beings must be protected

Sexual harassment

Unwelcome sexual advances or requests for sexual favors

Sympathy

Pity for someone else

Tolerance

A respect for those whose opinions, practices, race, religion, and nationality differ from our own

Integrity

Example: healthcare professionals washing their hands each time before patient contact even when nobody is looking

Beneficence, Fidelity, Gentleness, Justice, Responsibility, Sanctity of life, Work, Humility, Perseverance, Tolerance

What are the ten virtues that drive ethical behavior?

Utilitarianism, Rights-based, Duty-based, Justice-based, Virtue-based

What are five theories of ethics?

Utilitarianism

An ethical theory based on the principle of the greatest good for the greatest number

Rights-based ethics

A natural rights ethical theory that places the primary emphasis on a person's individual rights

Duty-based ethics

Focuses on performing one's duty to various people and institutions

Justice-based ethics

Based on the moral restraint of "veil of ignorance

Virtue-based ethics

A character trait based on a concern for the person

Is it legal, Is it balanced, How does it make me feel

What are the three steps of the Blanchard-Peale Model?

veil of ignorance

Justice-based

gut feeling

decision based on emotion

Gather information, Clarify the ethical issues, Resolve the dilemma

Dr. Bernard Lo's clinical model

Beneficence

The action of helping others and performing actions that would result in benefit to another person

Gentleness

A mild, tenderhearted approach to other people

Humility

Acquiring an unpretentious and humble manner

Perseverance

Persisting with a task or idea even against obstacles

Responsibility

A sense of accountability for one's actions

Work

An effort applied toward some end goal

Honesty, Sympathy, Integrity, Respect, Fairness, Empathy, Compassion, Loyalty

What are the eight interpersonal ethics?

Honesty

the quality of truthfulness, no matter what the situation

Fairness

treating everyone the same

Loyalty

a sense of faithfulness or commitment to a person or persons

Sexual harassment, Comparable worth, Privacy, Due process

Four specific issues that affect the workplace

Privacy

Confidentiality; the ability to safeguard another person's confidences or information

Principle of beneficence, autonomy, nonmalfeasance, justice

Four principles that serve as a guideline when confronting bioethical dilemmas

Principle of nonmalfeasance

Primum non nocere

Teological

Asserts that an action is right or wrong depending on whether it produces good or bad consequences

Deontological

Asserts that at least some actions are right or wrong, and thus, we have a duty or obligation to perform them or refrain from performing them, without consideration of the consequences

Ethical dilemma

Three step process by Blanchard and Peale to solve _______

Always unethical

Illegal actions are _______

Measure actions AND moral decision-making standard

Law is created to ______

Morality

Virtuous is based on _______

Improper record keeping AND unlicensed person practicing medicine

Medical practice acts deal with _______

True

Some laws are rarely enforced

Welfare and confidentiality of patient must be of most concern

Mandate of medical ethics

Justify cost of treatment

The purpose of the cost/benefit analysis is to _______

Specialists who give thought to ethical concerns

Bioethicists _______