Ethics

Question 1

Ethics is

Answer 1

a method of systemizing, defending, and recommending concepts of right and wrong behavior. .Also the careful, systemic reflection on and analysis of moral decisions and behavior.

Question 2

Morality

Answer 2

the value dimension of decisions and behaviors

Question 3

Ethical dilemmas

Answer 3

value conflicts, no clear right answer, require moral reasoning . Necessitate a choice between multiple (sometimes undesirable) alternatives

Question 4

ethics and the law

Answer 4

there exist laws which dictate the ethical treatment of patients

Question 5

why are ethics and law not identical

Answer 5

ethic often prescribes a course of action with higher standards of behavior than law.

Question 6

What ethics is not

Answer 6

personal feelings, religion, law, socially accepted regional norms, science

Question 7

normative ethics

Answer 7

to arrive at moral standards that regulate right and wrong conduct.

Question 8

Normative principles

Answer 8

1. autonomy
2. Beneficence
3. Non Maleficence
4. Justice
5. Utility (futility)
6. Fidelity
7. Veracity

Question 9

Autonomy

Answer 9

the right of competent adults to make informed decisions about their own medical care

Question 10

beneficence

Answer 10

taking actions that serve the best interests of patients and their families

Question 11

Non-maleficence

Answer 11

the duty to do no harm or allow harm to be caused to a patient through neglect. Acts as a threshold for action. It is a constant clinical practice.

Question 12

Justice

Answer 12

1. Fair treatment: identification of vulnerable groups that may be affected by my action
2. equality of access - to scarce resources
3. equal distribution of benefit and burden
4. follows all applicable laws/codes

Question 13

Utility/futility

Answer 13

promote more good than harm - avoid interventions that are unlikely to provide positive outcomes. Responsible to community as a whole - must balance needs of few with the needs of many

Question 14

Fidelity

Answer 14

TRUST between patient and physician; Confidentiality, on judgmental focus, accountability (physician)

• treat patients with respect
• competent and capable of performing the duties required of your professional role
• honor your word

Question 15

Veracity

Answer 15

tell the truth - full and honest disclosure

Question 16

Principle of double effect

Answer 16

interventions that create a positive outcome while also potentially doing harm

Question 17

Humanistic Behavior in osteo physician

Answer 17

osteo phys must exhibit respect and compassion for the patients autonomy, dignity, and privacy

Question 18

primacy of patient need

Answer 18

osteo phys must use reason and appropriate judgment and incorporate the patients perspective when taking into consideration risks to the patients health, income, and job security.

respect pt autonomy and the right of the patient to be fully involved in decisions about care

respect the right of the patient to personal privacy and dignity during evaluation and management

Question 19

Accountability and duty in the physician patient relationship

Answer 19

take appropriate action to protect patients from risk if the physician has good reason to believe that they or a colleague may not be fit to practice or when unprofessional behavior comprises pt care or represents a threat to patients or others

properly establish the physician patient relationship by examining diagnosing and treating, in a consensual manner and conscientiously maintaining the relationship consistent with proper ethical and legal standard.

Question 20

Cultural competency in Osteo

Answer 20

demonstrate cultural awareness, respect, and responsiveness when communicating with the patient family caregivers and other members of the healthcare team

discuss cultural issues openly and be responsive to culturally based cues, interpreting the implications of symptoms as they are expressed by patients from diverse cultures and circumstances

Question 21

Knowledge of osteopathic principles, practice, and OMT in osteo phs

Answer 21

provide appropriate care to address physician, emotional, and spiritual pain and minimize needless helplessness or suffering

use ethical principles pertaining to provision or withholding of clinical care, including diagnostic and treatment modalities that are considered futile

Question 22

Critical thinking

Answer 22

separate the relevant issues from the non relevant issues

analyze relevant issues and their supporting evidence

weigh non factual issues (opinion, personal bias)

Find a solution which considers the legitimate expectations of all involved, is in compliance with standards of global considerations, cannot be misinterpreted, recognize consequences of your solution, and identify duties or obligations of the protagonist