Terms Flashcards

1
Q

Respect for autonomy

A
  • Based on human dignity and respect for individuals
  • to respect a person’s choice/decision
  • everyone should be able to have a say in their lives
  • individuals are able to choose actions and goals that fulfill their life plans with the exception of harming others
  • a principle of bioethics
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2
Q

Non maleficence

A
  • to do no harm or bring about things that may inflict harm/ put people at risk
  • abstaining from causing harm to other
  • “do not kill”
  • 1st written idea of this is in the Hippocratic oath
  • ” i will use treatment to help the sick according to my ability and judgement, but I will never use it to injure or wrong them”
  • a principle of bioethics
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3
Q

Beneficence

A
  • a principle of bioethics
  • moves beyond negative prohibitions (do no harm) to positive steps to help others
  • example: mercy, kindness, neighborliness, charity, generosity
  • anything that brings positive benefits to others
  • involves actively helping others
  • preventing/removing evil, promoting good
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4
Q

Justice

A
  • a principle of bioethics
  • people get what they deserve
  • resources go where needed/deserved
  • fair, equitable, and appropriate treatment in light of what is due or owed to affected individuals and groups
    Types:
    retributive, distributive, social
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5
Q

Moral Status

A
  • a position, grade or rank of moral importance
  • to have rights or the functional equivalent of rights
    5 theories of moral status:
    1. Human properties
    2. cognitive properties
    3. moral agency
    4. sentience
    5. relationships
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6
Q

human properties

A
  • distinctively human properties = moral status
  • covers all beings with human genetic code
  • good because includes all human regardless of ability.disability and age/development
  • bade because excludes everything that is not human
    example: animals
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7
Q

Cognitive properties

A
  • Moral status based on the ability to think and reflect
  • cognition = processes of awareness such as perception, memory, understanding, thinking
  • problematic because excludes infants, elderly, and the mentally disabled
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8
Q

Moral Agency

A
  • moral status derived from the ability to act as a moral agent
  • individual is capable of knowing right from wrong
  • motives can be judged morally
  • problematic because fails to provide a necessary condition
  • excludes psychopaths, dementia, young children, and some animals
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9
Q

sentience

A
  • the capacity for sensations, feelings, or other experiences that are agreeable or disagreeable
  • broad scope; all humans, animals
  • can an embryo feel?
  • about whether a subject can feel pain and suffer
  • problem with “level” of sentience and significance
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10
Q

Relationships

A
  • relationships between parties confers moral status
    Example: physicians-patient gives moral status to each as physician takes caretaker role and patient seeks care
  • problematic because outside of relationships no moral status
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11
Q

social determinants of health

A
  • how social location affects health
  • race, gender identity, sexual orientation, socioeconomic status, geography, occupation, etc
  • the conditions in which people are born, grow, live, work, and age affect their health and access to health care
    Example: Henrietta Lacks’ lesser treatment because she was black and poor and her doctor not believing her
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12
Q

Health disparities

A
  • inequality and differences in health care because of race, wealth, etc
  • preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations
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13
Q

In vitro fertilization

A
  • fertility treatment where fertilization occurs out of the womb and the embryo is then placed back inside the host
    Pro: respect for autonomy, egalitarianism, capability theory, emphasis on personal choice
    Con: destruction of unused embryos, not natural conception, pipeline to eugenics
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14
Q

Dignitas Personae

A

2008
- dignity of a person, from conception to a natural death
- perspective from catholic church regarding the moral implications of respecting the dignity of all human beings
- talks about IVF, gene therapy and cloning, and stem cell research

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15
Q

Human Genome Editing

A
  • The process by which the genome sequence is changed by adding, replacing, or removing DNA base pairs
  • could be used fro treatment or prevention of disease through restoring normal function or preventing genetic disease
  • raises concerns of playing “god” and creating designer babies
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16
Q

Somatic cell gene therapy

A
  • genome editing in somatic, non reproductive cells
  • use for treatment of disease/disability
17
Q

Germline cell therapy

A
  • in reproductive cells, producing heritable changes
  • use for prevention/treatment of genetically inherited diseases
18
Q

Germline enhancement

A
  • using genome editing to make a “better” germline
  • biological modifications
  • rejected by committee for human gene editing and Dignitas Personae
19
Q

Eugenics

A
  • social reproductive practice
  • reproduction for desirable traits and exclusion of others
  • discrimination based on disability, race, gender, etc.
20
Q

stem cell research

A
  • stem cells are undifferentiated cells that when transplanted they tend to promote cell growth and tissue regeneration
  • can be taken from adults and embryos
21
Q

adult stem cell research

A
  • stem cells taken from adults
  • somatic stem cells
  • does not harm the adult
  • not as pluripotent as embryonic stem cells
22
Q

embryonic stem cell therapy

A
  • stem cells taken from an embryo
    -destroys the embryo
  • more pluripotent than adult somatic stem cells
  • argument over whether the benefits outweigh the negative of destroying an embryo
23
Q

Ordinary means

A
  • reasonable, worthwhile, proportionate
  • treatment that is not of great cost or burden
24
Q

Extraordinary means

A
  • disproportionate, burdensome
  • treatment that is of great cost/measure that is going beyond what is necessary
25
Q

Physician-assisted euthanasia

A
  • when someone other than the patient administers medication in any form with the intention of hastening the patients death
  • illegal in the US
26
Q

Medical aid in dying

A
  • when terminal patients contain a life-ending prescription from doctor and self-administer the medication
  • legal in 9 states and DC
27
Q

Palliative care

A
  • care aimed at prioritizing quality of life and minimizing pain/suffering
  • for those with serious or terminal illnesses
  • priority opposed to hastening death
28
Q

Global Health

A
  • asking justice questions about health on a global scale
  • think about the right to a decent minimum of health care –> should be a global right, not just national
  • Paul farmer = pioneer in global health
29
Q

Partners in Health

A
  • Founded by Paul Farmer
  • a leading global health model emphasizing community-based health solutions rather than humanitarian aid
30
Q

Structural Violence

A
  • a form of violence where a social structure or institution may harm people by preventing them from meeting their basic needs
  • a key concept in social justice; connected to broader social political, and economic forces that may not manifest themselves in single instances but still have violent effects
  • may involve gender, racial, sexual, or other injustices
31
Q

Liberation theology

A
  • preoccupies itself with the suffering of the poor –> preferential option for the poor
  • social concern for the poor and political liberation for oppressed peoples
32
Q

Preferential option for the poor

A
  • prioritize the issues at the heart of the poor
  • priority given to the well-being of the poor and powerless of society
  • poor = those who suffer injustice
33
Q

Conscientization

A
  • helping people become conscious of the injustices in the structures of society
  • coming to understand how social structures cause injustices
34
Q

Community-based health

A
  • health care in a community where people help others in community
  • ordinary people filling in the gaps so that divides can be bridged
35
Q

Accompanateurs

A
  • community base health workers
  • don’t require much health training
  • help plug gaps
    –> such as providing transportation