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Bioethics: Autonomy and Informed Consent

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Legally based ethics concentrate on minimum requirements. How does this relate to the three-tiered system of obligations?

What do you feel is the greatest threat to physician autonomy? Why? Defend your answer.

Practice guidelines are often perceived as a threat to physician autonomy. However, the true challenge to physician autonomy is the rising costs of health care, which in turn is the result of continued progress in medical research. Since, inevitably, choices must be made about how our limited resources are expended, an increasing number of physicians are concluding that health care providers should assume financial risk for providing care - so that providers can make the decisions about which interventions are used for which patients. In this context, groups of physicians are adopting practice guidelines as an important strategy for providing high quality and efficient care under capitation. At least in some areas, practice guidelines are emerging as a critical tool for physicians to assume financial risk, and thereby protect professional autonomy.

"many writers in bioethics believe that all intentional suppression of pertinent information violates a patient's autonomy rights and violates the fundamental duties of the health professional." Do you agree or disagree with this statement? Why?

Why do you suppose that informed consent came into being? What are the drawbacks to informed consent?

What special problems are encountered with the duty to tell the truth when the patient is a child or an adolescent?

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Solution Summary

Referring to the case scenario, this solution addresses the question posed about informed consent, problems getting informed consent from adolescents, etc. It also examines in some detail the statement "many writers in bioethics believe that all intentional suppression of pertinent information violates a patient's autonomy rights and violates the fundamental duties of the health professional."

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ethics

1. Which of the following would be considered acts of negligence?

1.Patient falls off the examination table
2.Incorrect therapeutic dose of radiation is given
3.Smashing a patient's hand against the wall while transporting
4.Leaving an incoherent patient unattended
a.1,4
b.2,3
c.3
d.1,2,3,4

2. Describe three patient rights articulated in the Patient's Bill of Rights.

4. The "scope of practice" for the radiologic technologist
a.Could never be used in a court of law
b.Describes the responsibilities of the technologist
c.Can be used to defend t he actions of a nurse
d.Can be used to defend the actions of a physician

5. What is the rationale for formulating and publicizing a code of ethics?

7. Non-maleficence occurs when which of the following takes place?
a.Good is done
b.Evil is avoided
c.Evil is done
d.Good is avoided

8. Define therapeutic privilege.

9. You receive a call from a secretary in another department wanting to know what type of examination Miss Carter is having and what the latest progress note reads in her chart. You would respond:
a.I'm sorry but I am not allowed to give that information over the phone, it is confidential information
b.The physician is at lunch, call back in an hour
c.I'll call you back just as soon as I locate her chart
d.I'll call you back just as soon as I review her chart

What ethical principle supports your response?

10. What are two ethical problem-solving theories?

11. How could you avoid being accused of assault in the clinical setting?

12. For defamation to be proven, a false statement must be made/published about another and:
a.The publisher must be at fault at least to the degree of negligence
b. The statement must be harmful to the subject's reputation
c.Harm must have resulted form the publication
d.All of the above

14. Define the following:

Biomedical ethics-

Unintentional tort-

Unlawful restraint-

16. Informed consent should include the following:

1.
2.
3.
4.

17. Paternalism is defined as which of the following?
a.Mother-like care taking
b.Father-like (God-like) care taking
c.Necessary
d.None of the above

18. The legal criteria for the use of restraint includes all but one of the following"
a.The restraint is discontinued as soon as practicable
b.Restraint that has not been consented to is needed to protect the patient
c.Restraint that has not been consented to is needed to protect health care team members
d.Restraint has to be in the form of intravenous drug

19. An imaging or therapy professional's part in a lawsuit may include being a witness or a defendant.
True/False

20. Discuss three ethical principles presented in Hippocrates Oath for physicians.

21. The signed consent form could never be introduced into court during litigation.
True/False

23. In some instances, confidential information regarding a patient may be disclosed.
Give 2 examples of such instances.

27. The clinician has no right to refuse to care for a patient when the reason for refusing is related to personal beliefs.
True/False

28. Laws in place regarding the reporting elder abuse and child abuse supports:
a.The principle of autonomy
b.The principle of beneficence
c.The principle of non-maleficence
d.The principle of justice

30. How might you prevent being accused of "invading privacy" of patients in the clinical setting?

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