Ethics of health care introduction
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ETHICS OF HEALTH CAREINTRODUCTION
Brenda Holmes MSN/Ed, RN
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GOAL
At the end of this introductory material, the student should understand the need for the health professional to develop the science and professional conduct aspects of his or her craft.
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KEY TERMS
Ethical dilemmas Ethical, legal, professional etiquette Legal requirements Professional ethics Value Ethical humility Ethical courage Ethical empathy Ethical fair-mindedness
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INTRODUCTION
Health Care Practice: Best of science Noblest of human arts Offer careers that never stops growing, challenging, Provides opportunities for personal development
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INTRODUCTION
Health Care can be: Rewarding Engaging Exciting Meaningful Frustrating Overwhelming
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INTRODUCTION
Finally someone recognizes what you have done over the years.
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CHANGES IN HEALTH CARE PRACTICE
Past history Physician, dentist, nurse and pharmacist well
established though evolving Patient had less chances of benefitting from an
encounter with a physician Physician often had little to offer other than a
caring attitude, sat by the bed and watched over while disease processes takes over
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CHANGES IN HEALTH CARE PRACTICE
20th century Technology and therapeutic advances over 100
specialist were added to the health care team Physical therapist Dieticians
Growth: Direct patient care provided to over 80% of health care
professional
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HEALTH CARE PRACTICE
Not only technical competence but also must have legal, ethical, and professional etiquette requirements Legal requirement: need to follow a set of
principles and processes by which the people within a society settle disputes and problems without resorting to violence or force
Professional Ethics: rules that require health care professional to stay within the law in professional conduct Based on traditions of good practice and good
manners Involves issues such as avoid talking badly about
another practitioner especially to patients; need to stay within the role of boundaries of our speciality
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HEALTH CARE PRACTICE
Health care ethics Designed to promote order and maintain civility Deals with the rights and welfare of people Failure to follow ethics can result in serious
sanctions Characteristic of those that do not follow
ethics Boorish and rude
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HEALTH CARE PRACTICE
Note below the results of lapses in appropriate legal, ethical, or professional etiquette
Sanctions Associated with Lapse of Ethical, Legal, or Professional Etiquette
Area Judgement SanctionEthical Conduct Right or wrong Loss of professional reputation
Loss of professional consortiumPersonal remorse
Legal Requirements Legal or illegal Loss of professional reputationLoss of professional consortiumPunishment as prescribed by law
Professional Etiquette
Proper or improper
Loss of professional respect and fellowship
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HEALTH CARE PRACTICE
Health care ethics Realm of human values Morals Individual culture Intense personal beliefs Faith
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HEALTH CARE PRACTICE
Hedonistic For decision making based on:
Desire and aversion Nothing can be right or wrong apart from them Attitude of self absorption
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HEALTH CARE PRACTICE
Involvement in unethical practice harms the patients we serve By association
Harms all fellow practitioners Lowers the level of trust and esteem in which
health are providers are held Harms the community at large
An analogy is that health care practice can be considered a community commons.
All practitioners in the community use the field and are responsible for the upkeep
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HEALTH CARE PRACTICE
Obligations to provide ethical care is the obligations of many To maintain the space so that we can come again Leave the commons healthy so that others can replace
us in the labor Personal ethics
Responsible for our own and for our colleagues Take on the obligation to be peer to others of the
health care team Part of the decision-making processes
Self-regulating
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ETHICAL DILEMMAWhat is your opinion of this doctor talking with his patient? Ethical or unethical
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HEALTH CARE PRACTICE
“Health care ethical issues are challenging and as health care professionals we need to come to decisions that represent the best interest of our patients, colleagues, and community.”