Introduction to Bioethics
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ET1001: INTRODUCTION TO BIOETHICS

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OBJECTIVES

The Case Manager will be able to:

1. Define Advance Care Planning and Advance Directives and discuss the differences between the two.

2. Explain the Four fold goals of Advance Care Planning.

3. Identify the 5 categories of patients who are at Higher Risk for decisional incapacity (and would most benefit from information on Advance Care Planning).

4. Apply Robert Buckman’s 6 Step Protocol for Breaking Bad News

5. Define the following Ethical Principles (Action Guides)

  • Autonomy
    o The Concept of Autonomy
    o Informed Consent
    o Refusal of Treatment, and
    o  Autonomous Suicide
  • Justice
    o The Concept of Justice
    o Micro/Macro-allocation and Health Policy
  • Beneficence
    o The Concept of Beneficence
    o  Costs and Benefits
    o  Paternalism
  • Non maleficence:
    o  Killing and Letting Die,
    o  Optional and Obligatory Means of Treatment, and
    o  Proxy Decision Makers: Standards and Procedures

6. Explain the Professional / Patient Relationships

  • Rules of Veracity
  • Rules of Confidentiality and Privacy
  • Rules of Fidelity
  • Conflicts Among Contractual and Role Obligations

7. Apply the 5 Goals of a “Good/Decent” Death.

8. Describe the 4 fold framework for Hospice Care and the 4 things clinicians must know to care for the dying.

9. Explain the 3 functions of an Ethics Committee and identify the differences between an ethics committee and an ethics consultant.

10. Define “medical futility” and explain the ethical obligations of physicians when an intervention is clearly futile.

11. Describe the differences between “futility”, “rationing” and  “experimental intervention”.

12. Identify the key distinctions between the following Sources of Authority:  Law, Ethics and Risk Management

13. Define Physician-Assisted Suicide (PAS) and Explain the key arguments for/against PAS.

14. Explain the 6 key Obligations / Values of a Professional Physician.


OUTLINE

A. ADVANCE CARE PLANNING

B. ADVANCE DIRECTIVES

C. BREAKING BAD NEWS

D. COMPLEMENTARY MEDICINE

E. CONFIDENTIALITY

F. CROSS-CULTURAL ISSUES & DIVERSE BELIEFS

G. DO NOT RESUSCITATE ORDERS

H. END OF LIFE ISSUES

I. ETHICS COMMITTEES AND ETHICS CONSULTATION

J. FUTILITY

K. HIV AND AIDS

L. INFORMED CONSENT

M. INFORMED CONSENT IN THE OPERATING ROOM

INTERDISCIPLINARY TEAM ISSUES

N. LAW AND ETHICS

O. MANAGED CARE

P. MATERNAL-FETAL CONFLICT

Q. MISTAKES

R. NEONATAL / ICU ISSUES

S. PARENTAL DECISION MAKING

T. PHYSICIAN-ASSISTED SUICIDE

U. PROFESSIONALISM

V. PUBLIC HEALTH ETHICS

W. RESEARCH ISSUES

X. RESOURCE ALLOCATION

Y. SPIRITUALITY AND MEDICINE

Z. TERMINATION OF LIFE-SUSTAINING TREATMENT

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