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Ethics . Theories and Principles. Aims. Definition Scope Theories and principles. Relevance of Ethics. Public profile/ Awareness/ Policy: Frozen embryos Transplant funding Euthanasia Consent Resuscitation …………. Relevance of Ethics. 2)Technology 3)Information : Better/worse.
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Ethics Theories and Principles
Aims • Definition • Scope • Theories and principles
Relevance of Ethics Public profile/ Awareness/ Policy: • Frozen embryos • Transplant funding • Euthanasia • Consent • Resuscitation • …………..
Relevance of Ethics 2)Technology 3)Information : Better/worse
History and Scope Socrates Aristotle Hippocrates Nuremberg Tuskogee
Primary Theory Deontological Utilitarian (Consequentialist)
Operational Principles • Beneficence • Non-Maleficence • Autonomy • Truth telling • Confidentiality • Preservation of Life • Distributive Justice
Autonomy : Competence • Capacity • Consistency • Consequences
Beneficence, Non-Maleficence 1)Is the patient your only concern? (conflict with utility?) 2)Do we always know what is good for the patient?
Truth Telling“In much wisdom is much sorrow: and he that increases knowledge increases sorrows”(Ecclesiastics 1:18)
Confidentiality • Trust • Clash : abuse • Should patients have access to their notes?
Preservation of Life • When does life begin? • Can we assess another person’s quality of life?
Euthanasia • Active:active intervention to end life • Passive: withholding treatment • Voluntary • Doctor assisted suicide • Non-voluntary : ending life without consent of the patient • Involuntary: ending life against a patient’s will
Distributive Justice When resources are scarce… • Pandemic • Economic catastrophe