Medical ethics :
Attack to the doctor: Why?
Doctors wrong fault, most of the cases are false.
Emergency area How to tackle
Basic principle – To do no further harm.
Basic required: – professional competence – Good relaxation between colleague and patients – Professional ethical obligations (medical and clinical practice)
Are we following the ethical guidelines> patient srenot aware Law morals and ethics – similar – Law: rule seetup by govering body, not similar in country and are – Morals: religious practices and perceptions- what the religion belief – Ehics- action, habit, character
How they behave and society behave
ETHICS: Not common for all citizen: Changed or modified
Conclusion: Moral -fixed, ethics- they can be changes/bond according to situation
WHO definition: right and wrong Medical ethics – moral issues in medical practice – Moral applied in same to all – Bioethics is different (research related) but medical ethics – during over medical practice
Important of medical ethics –
Practice medical means need to abide by ethics – Patient and professional – Clinical decision invoke an ethical decision> the medical decision should be guide by medical ethics..
medical ethics never should guide by medical decision.
But there are some exceptions too, Some exception:
Medical ethics
Autonomy: self directed decision – patient has power to decide – Any disease to go to the treatment, patient decision is foremost – This complication of the disease and treatment modality – Patient rights for determination – Patient has freedom to take for health care decision – Conflict of the paternalistic attitude has provided the trouble, he donnot knows about, but patient power exist
Beneficance – patient benefits – Whatever the modality patient benefits – Surgery and medical modality: burden financial>> should think of the patient rather than the society, doctor – Best interest must overweight risk
Confidentiality – clinical practice,, information, tells everything ,, relationship,, cannot say to anybody untill and unless consent provided bu patient – Eg:illiterate – hiv- cannot tell- untill serious condition – Break: some notifable diseases- if not tell it may spread: eg cholera (consultatancy can be done called previleged communication) to the society concerned. – Law asked for the information- we need to say to them- previleged communication – Eg: child abuse- child cannot give consent you can do
Malificence: – procedure do no harm to the patient– think that procedure will benefit or not– adverse risk manipulation should be done – In intention of quick, money- 1 percentage harm shouldnot be there – no injury – Eg: morphine: dying patient- morphine. Unethical to use morphine (Double effect)
Equity / justice – catagorization to the patient to any criteria – Fair and equal distribution – Eg: a new drug – effective to treat disease– whom to give– decision should be guided by medical ethics –
HOW TO AlLOcATE SCARE HeaThCaRE REsources
— medial need — medical benefits Medical need according to registration€>> priorities Medial benefits– although medical registration is previously.