Professional Documents
Culture Documents
Leslei Kahari:
Department of Linguistics
University of Zimbabwe
October 09, 2014
What is ethics?
What is Bioethics?
Domain of ethics
Domain of ethics
Domain of ethics
Should I or shouldnt I?
40-year-old
school principal
70-year-old
woman
40-year-old
school principal
70-year-old
woman
TOPICS IN ETHICS
Abortion
euthanasia
the right to health care
the patient's rights while receiving
health care,
the limits of experimentation with
human subjects
TOPICS IN ETHICS
TOPICS IN ETHICS
TOPICS IN ETHICS
Ethical contexts
Ethical principles
The ethical principles that arise in health
practice and research include:
Informed consent
Confidentiality
Respect for human rights
Beneficience
Paternalism
Autonomy
Justice
Paternalism
Paternalism
Autonomy
The principle is based on the principle of respect for persons ,which holds that individual persons have a
right to make their own choices and develop their own life plan.
In health communication the principle translates into the principle of informed consent; You shall not treat
a patient without the informed consent of the patient or his /he lawful surrogate except in narrowly defined
exceptions
On one hand, patients may refuse treatment even though it is reasonable and would be beneficial
Respect for individual autonomy individuals are regarded as moral agents with duties and obligations
and the capacity to understand and make ethical decisions.
Autonomy
Autonomy
Autonomy
Autonomy
Autonomy
A couple who have been married for ten years visit a gynaecologist
for infertility treatment.
The woman has a history of irregular menstrual cycles.
The Gynaecologist treats the patient to stimulate the ovaries
without success.
After a few cycles of treatment the patient decides to see the
gynaecologist on her own.
She reveals that she had never had cycles (primary amenorrhea).
The patient does not wish her clinical condition to be discussed with
her husband because she is concerned about the consequences in
relation to her marriage.
Considering that the doctor was consulted by the couple for fertility
treatment.
whatshould the doctor do?
Beneficence
Principle of beneficence seek to do good
Counselor's responsibility duty - to promote and to
contribute to the welfare of the client.
Beneficence
Prevent harm
Beneficence
non-maleficence
non-maleficence
Justice
Justice
Justice
Distributive Justice sharing the scarce resources in society in a fair
and just manner (e.g. health services, professional time)
an equal share ?
just enough to meet their needs ?
what they deserve ?
what they can pay for ?
Justice
Fair is not synonymous with the same
Quality of services; matters of access to service; fees; time
allocation
Involves examining the interests and needs of both the
client and those involved and impacted by her/his actions
Client needs considered in context to those of others
The presence of stereotypes suggests absence of justice
Justice
Informed Consent
Informed consent
Informed consent
Informed Consent
what to communicate
Informed Consent
Informed Consent
Autonomy and informed consent.
Downs screening test: A pregnant woman decides to
have a triple marker test for Downs screening.
After she has given the blood she decides she does
not want to know the result as she wants to have the
baby. The test result shows a high risk of Downs
syndrome.
The clinician feels there will be a high social and
economic burden on the family and would like to
convey the test result to the patient to inform her
decision making.
What should the obstetrician do?
DIMENSIONS OF TRUTH
TELLING
TRUTH TELLING
Truth-telling
TRUTH TELLING
TRUTH TELLING
You are caring for Tawanda, a six-year-old boy with leukemia who is
clearly in end stage disease. Unable to accept that he is dying, his
parents continue to insist on aggressive management to the dismay
of many members of the team.
You realize too late to your horror that you inadvertently drew up
and administered a massive overdose of Tawandas s analgesic.
Returning to Jean Marcs room fifteen minutes after administering
the med you find him dead.
A DNR was in place so there is no need for intervention. Tawandas
parents are uncharacteristically not in the hospital that morning and
there were no witnesses to the death. You find yourself imagining
the horrible repercussions that will accompany an admission of this
error, especially since you havent been getting along well with your
supervisor.
TRUTH TELLING
Benevolent Deception
Benevolent Deception
Benevolent Deception
Benevolent Deception
Benevolent Deception
Benevolent Deception
CONTRACTUAL HONESTY
UNMITIGATED HONESTY
STRICT PATERNALISM
CONCLUSION
Thank you!
ASSIGNMENT 2
Question: Design a typed health risk message.
The message should in cooperate a text and
pictures to demonstrate the effect of verbal
and non-verbal strategies of communication
in health care.
The project will be based on health
communication concepts ,theory ,and
research
DUE DATE:30 October 2014
In groups of 5