Ethics
*Home
*Core ethical Principles
- ALWAYS BE NON JUDGMENTAL
- autonomy, benevolence, nonmalificiance, justice
Non-Maleficence
- do NO harm
*Patient rights
*Refusal of medical information to a patient
- note that patients have a right to refuse getting information or a diagnosis if they want
*Physician rights
*Abortion and Physicians rights to refuse on conscience
- no matter what you MUST provide the referral
- it is the patients right to have access to the procedure
Information to family members
- note that in emergency situations you can give only basic information of a patient to the family if you have not gotten EXPLICIT consent from the patient
*Minors legal rights
Minors <18 can give their own consent in certain situations
- emancipation = means getting legal rights independent from your parents
--> say when you get legally married
--> you parents no longer have a say in your medical decisions
*DIRTY USMLE notes
*DIRTY USMLE review
*Capacity and Competency
*Capacity vs Competency
Capacity
- capacity can CHANGE
- capacity is by a PHYSICIAN
- capacity is CASE SPECIFIC
Competency
- Competency is CONSTANT
- Competency is by a JUDGE and is GLOBAL
*Capacity Notes
- If a patient is making a STUPID decision
--> like refusing ABX for sepsis, etc.
--> always find patients capacity FIRST
How did you come to that decision?
--> assess the 4 components of capacity
*Competency Notes
- Competency is CONSTANT
- Competency is by a JUDGE and is GLOBAL
Capacity High Yeilds
- note that psych disorders don't make you lose your capacity
--> Classic example above shows a pschyzo man who has capacity - Capacity changes from moment to moment
--> can technically ask someone 30 minutes later and their capacity has changed - ONLY exception that people LOSE CAPCITY is if they tell you they are leaving the hospital to go kill themselves
--> you then have an OBLIGATION to commit them to psych ward
*DIRTY USMLE review
*Informed Consent
*Informed Consent
example of informed consent
*Exceptions to consent
example of informed consent
