- Which application of values and concepts used in ethical decision making?-Lying to a patient does not respect their autonomy-Therapeutic privilege (also known as benevolent deception)
- Which component of values and concepts used in ethical decision making?-Based on the patient exercising autonomy in decision making-Components: Capacity, Voluntariness, Disclosure, Recommendation, Understanding, Decision & Authorization
- Which component of values and concepts used in ethical decision making?-A patient's ability to understand the benefits and risks of, and alternatives to, a proposed treatment or intervention (including no treatment)
- Which component of values and concepts used in ethical decision making?-Prima Facie Duties -Always do the act that is in accord with the stronger prima facie duty.-Always do the act that has the greatest rightness over prima facie wrongness.
- What is not supported by most codes of ethics and should only be used in extraordinary circumstances?
- ADA or ADHA Code of Ethics?Individual autonomy BeneficenceNonmaleficenceJustice and FairnessVeracity Confidentiality Societal trust
- Which application of values and concepts used in ethical decision making?-Patient has the right to informed consent AND informed refusal-Related to the concept of autonomy-Still refusal of treatment cannot require the provider to deviate from the standard of care-Applies to caregivers of children, those with diminished mental abilities-Use of a translator mandatory
- Which principle?-Requires that exisitng harm be removed -focuses on doing good for the pt-requires taking all appropriate action to restore to good health -found in all health care codes
- -cannot always avoid harm -some degree of harm may be beneficial-must consider risks and benefits whenever tx is provided
- -Fair and equitable delivery of health care resources-Determined by societal norms that support social cooperation
- Which application of values and concepts used in ethical decision making?-Historical role of dental professional when patients lacked access to updated health knowledge-Patients now tend to be well-informed and want to participate in the decision making process.-Should never be applied to benefit the professional at the expense of the patient
- Which application?-Founded in deontology and based on respect for persons-Dilemma occurs when pt and professional do not algree what is best for the pt-if pt selects tx within the standard of care, the provider may act in accordance-professional may decided to NOT provide a pt-requested servcies it is conflict with a standard of care
- Which principle?-self determinaton and the ability to be self-governing and self-directing-permiting individuals to make decisions about their own health -important to respect pt and fully explain services and potential consequences
- Which principle?-Concerned with providing individuals or groups with what is owed, due, or deserved-Fair, equitable, appropriate treatment of persons-Treat all people with similar needs in a similar or identical manner
- what is the founding principe of all health professions?
- Which appplication:-Limited resources means choices have to be made about distribution-Just allocation of health care services is difficult-NO legal mandate for care to all-Access to care granted by the ability to pay, not on need (mostly)-Many who need dental services cannot access them
- - one ought not to inflict harm - one ought to prevent harm- one ought to remove harm- one ought to do or promote good
- Provide a cognitive framework for analyzing moral quesions and problems; 4 main concepts
- Includes an obligation to: -keeps skills and knowledge current -know limitations and when to refere a pt out -know when delegation is appropriate
- when one or more ethical principles are in conflict; different from solving daily problems