Class 4 Flashcards
(10 cards)
Ethical dilemma because two principles come in conflict (from podcast)
Principle of autonomy (that the person themselves can decide) and principle of beneficence (that we should always act in best interest of patient - even when patient do not think it’s best for them)
Many patients were getting info from bias source, brochures from the LVAD company (“get the LVAD or die”) = too biased and does not allow what?
does not allow the person to make the patient make an informed consent decisions (unethical informed decision)
Ethical issues in transplant
consent without coercion, defining death, beneficience (delay in heart transplant, do benefits outweigh the risk), scarcity…
Justice:
fairness of pattern distribution, looks at benefits and burdens of organs (equal respect and concern for each pt)
Utility:
holds the most aggregate good than the alternative. The way it’s allocated should increase the good, and decrease harm. Perceived worth in terms of wealth and job should not be taken into account.
Respect of person/autonomy:
decisions free of coercion.
- Cells, tissues, and organs may be removed from the bodies of deceased persons for the purpose of transplantation if:
Any consent required by law is obtained and,
There is no reason to believe that the deceased person objected to such removal
In general living, donors should be x, x, or x, related to their recipient.
genetically, legally, or emotionally
Cells, tissues and organs should only be donated freely without any
monetary payment or other reward of monetary value. Purchasing, or offering to purchase, cells, tissues, or organs from transplantations, or their sale by living persons or by the next of kin for deceased persons should be banned.
Allocation principles (3)
Justice (does not look at treating everyone the same, but it looks at equal respect and concern for each patient)
Utility
Respect of person/autonomy
