Professional Documents
Culture Documents
Biomedical Ethics
Chapter 5: Professionalism and the Internal Morality of Medicine
Medical Futility:
Physiologic Futility:
Qualitative Futility:
EX: when physicians conclude that the last 100 cases a medical treatment
has been useless they should regard the treatment as FUTILE
Wanglie Case:
Baby K Case:
Gilgunn Case:
Goals of Medicine:
4 Goals of Medicine
Knowledge:
Organized body of information
Medical Knowledge:
Organized body of medical information
Skill:
Ability to do something well
Something done diligently:
Something done with care and effort
Care:
Serious attention and thought or caution to avoid damage or loss
CHAPTER 6: Confidentiality
Doctrine of confidentiality is a foundational principle in medical ethics.
Hippocratic Oath: What I may see or hear in the course of the treatment or
even outside of the treatment in regard to the life of men, which on no
account one must spread abroad, I will keep to myself.
4th principle of Medical Ethics:
A physician shall . Safeguard patient confidences within the constraints of
the law
o 1 of 10 professional responsibilities = commitment to patient
confidentiality
Confidentiality Problems:
1. Widespread use of electronic information systems for compiling patient
data & increasing availability of genetic information.
o Guidelines for Ethical Conduct for the Physician Assistant Profession
o PAs should maintain confidentiality, by that they respect and protect
their patient from discrimination based on medical conditions.
o Patients confident their privacy is protected = MORE LIKELY TO SEEK
MEDICAL CARE & discuss their problems candidly.
RIGHT OF PRIVACY:
Right against appropriation of ones name or likeness
Right against intrusion upon ones solitude or seclusion
Right against being painted in a false light in the public eye
Right against public disclosure of private facts
(Most important for our purposes in this chapter)
Gert, Culver & Clouser:
An individual or group has privacy in a situation with regard to others is and
only if in that situation the individual or group is normatively protected from
intrusion, interference, and information access by others.
Confidential communication:
statement made under circumstances showing that the speaker intended
the statement only for the ears of the person addressed.
Example:
Communications between spouses
physician-patient
Attorney-client
Confessor-penitent
The law protects these confidential communications from forced disclosure
on the witness stand at the option of the witness patient, client, penitent.
Confidentiality refers to a duty within a private situation
You have the responsibility not to divulge information to inappropriate
parties.
Privacy is INVADED but confidentiality is VIOLATED- that is, the duty of
confidentiality is violated.
Stature of Limitations:
Certain amount of time. Prevents burden to HCP from causes of actions of
past patients.
Case 1:
Case 2:
Case 3:
Hilding v. Williams
HIV INFECTION: