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Lecture

Week 8-10.docx

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Department
Health Sciences
Course Code
Health Sciences 3040A/B
Professor
Shannon Sibbald

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Chapter 14 03/22/2013 Chapter 14 (415­423) Ethics BENEFICENCE: do good 1) prevent harm or evil 2) remove harm/evil 3) promote and do good NONMALEFICIENCE: do not harm to others Hippocratic Oath taken by physicians, but doesn’t recommend the principle of veracity (truth telling) in  professional dealings Negligence Related to religious beliefs and traditions, withholding (withdrawing) life support, treatments and  technologies used to sustain life, extraordinary (and ordinary) medical treatments; euthanasia AUTONOMY: freedom to follow or act according to one’s own will Liberty: freedom from controlling factors Agency: capacity for intentional choices or actions Patient’s bill of rights: right to obtain, understand, and make informed decisions Problems w/ competence, informed consent or assumed control over others PRIVACY: right to be alone, undisturbed or free from public attn. or intrusion Informational privacy Physical privacy Decisional privacy Proprietary privacy: property interests in human person Relational/associational privacy: when decisions are made in relation to others CONFIDENTIALITY: privacy and non­disclosure regarding info relayed to another person Breach of confidentiality occurs when individual (org. or instit.) who received confidential info discloses (or  fails to protect) it without permission of first party EHRs protected under HIPAA PHRs not covered when provided to websites, social media, etcc. FIDELITY: being faithful, loyal or honest Conflict when there’s divided loyalty VERACITY: truth­telling or quality of truthfulness Respect for others Fidelity/promise/keeping and contract Health professional­patient relationships JUSTICE: being just Distributive justice based on need, effort, contribution, merit or free­market exchange Treatment accessibility Equal employment opportunities Institutional Review Boards (IRBs): administrative entities established by institutions to protect ethical rights  of humans participating in research conducted under their supervision Can review research protocols, require modifications or disprove research activi
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