http://www.stomponstep1.com/ethical-principles-confidentiality-capacity-medical-ethics-beneficence-bioethics-law/ Ethical Principles • Autonomy = respect patient's decisions about their own health • Non-maleficence = do no harm. Can still take calculated risk if potential benefits outweigh the potential risks • Beneficence = promote patients best interests • Justice = distribute medical benefits fairly and do not discriminate against any particular group Capacity/Competence Capacity is a person's mental ability to make informed decisions about their own health. A capacitated individual has to be able to understand the medical information given to them, retain that information, use the information given to them to make an informed decision and communicate that decision to their providers. The decision they make must be in line with their previous beliefs and not be the result of psychiatric symptoms (hallucinations of delusions). Certain psychiatric disorders, neurologic diseases, lack of consciousness, developmental disorders, age, severe pain, drugs or alcohol can all temporarily or permanently prevent someone from being capacitated. A couple clinical indicators or concern by a family member is not enough to deem a patient incompetent. A thorough examination of the patient must be performed before a patient is deemed incompetent. Patients are assumed to be competent until there is substantial proof showing otherwise. An individual who lacks capacity cannot give informed consent. Capacity is similar to the legal term Competence. When a lack of capacity is involved, the requirement for informed consent is not removed. In these situations the responsibility of informed consent is transferred to a family member, friend or social worker. The physician should not be making these decisions for patient. Deciding which person will speak for the incapacitated patient follows a set of criteria. The first option is the patient speaking for themselves through an advanced directive or will. In this case the patient decides ahead of time what types of treatment they will want in certain scenarios. However, there are an infinite number of different scenarios that cannot all be outlined by the patient so a person is also needed to speak for the patient. The first person chosen to fill this role should be an individual identified by the patient (before they became incapacitated) through medical power of attorney. This person (called a proxy or surrogate) is identified by the patient ahead of time. If no such person has been identified by the patient a family member such as a spouse receives the responsibility. Whoever ends up being selected to speak for the patient should not be choosing what they want for the patient. They should be trying to relay what they think the patient would want if they could speak for themselves. Minors and Capacity Minors (patients under the age of 18) are considered to not have the capacity to make medical decisions. This means that the patient's parents give consent for medical treatment instead of the patient and that certain rules of confidentiality don't apply to the parents. Emancipation is the process in which a minor obtains the right to make their own medical decisions. For medical purposes a minor is emancipated if they file to become officially emancipated, live on their own, are married, have children of their own or are pregnant. In these cases a minor is treated as if they were an adult. There are exceptions to the rule where minors have the right to confidentiality and do not need consent from a parent. The way I remember these exceptions is the phrase "sex, drugs and rock n' roll." Sex stands for contraception, treatment of STDs, treatment of pregnancy or just the fact that they are having sex which might be found during the history. Drugs stand for knowledge of alcohol or drug related activities as well as medical situations that may arise as a result of these substances. Rock N' Roll stands for emergency situation in which a parent may not be able to be contacted in time to provide care. Abortion is a situation where informed consent and confidentiality for minors is handled a bit differently. Some states require parent's permission for an abortion (informed consent must be obtained from the parent) and other states only require parental notification (confidentiality is broken and parents are notified but they do not need to consent).
Views: 57285 Stomp On Step 1
In this Wireless Philosophy video, Julia Markovits (Cornell University) gives an introduction to the moral theory of utilitarianism. Utilitarianism is the view that the right moral action is the one that maximizes happiness for all. This is the first video in a three part series. Part 2: https://www.youtube.com/watch?v=uGDk23Q0S9E Part 3: https://www.youtube.com/watch?v=MoCuVa9UeR4 Help us caption & translate this video! http://amara.org/v/Fjql/
Views: 475412 Wireless Philosophy
This episode provides didactic material about ethical decision-making, which does not lend itself to a conversation. The importance of this podcast and Episode 5 is to set up vignette analysis in future podcasts. Everyone needs to be on the same page in order to apply ethical decision-making in instructional or real life situations. At the end of this video, the participant will be able to: 1. Describe the differences between ethical and clinical decision-making, 2. Outline the Acculturation Model, and, 3. List the five foundational principles for ethical decision-making. Resources American Psychological Association's Ethical Principles of Psychologists and Code of Conduct American Psychological Association's Guidelines for Practitioners Beauchamp, T.L. & Childress, J.F. (1994). Principles of biomedical ethics ( 4th ed). New York: Oxford University Press. Kitchener, K. S. (1984). Intuition, critical evaluation and ethical principles: The foundation for ethical decisions in counseling psychology. Counseling Psychologist, 12(3), 43-55. Handelsman, M. M., Gottlieb, M. C., & Knapp, S. (2005). Training ethical psychologists: An acculturation model. Professional Psychology: Research and Practice, 36, 59-65.
Views: 17622 John Gavazzi
After seven revisions, Principles of Biomedical Ethics continues to be a "live" work, evolving along with the field. (November, 2013) Watch the full video - http://www.peopleandperspectives.org/story/interview-beauchamp People & Perspectives (P&P) is a digital oral history library supported by Public Responsibility in Medicine & Research (PRIM&R). Visit http://www.peopleandperspectives.org to learn more. P&P features stories of those working in research ethics, many of whom were involved in the early years of the field. Those featured include IRB and IACUC professionals, research staff, committee members, institutional officials, researchers, subjects, advocates, regulators, industry representatives, ethicists, and others who consider themselves part of the human subjects and animal care and use enterprise.
Views: 2925 Public Responsibility in Medicine and Research
The Center's Certificate Program in Clinical Ethics and Health Policy provides healthcare professionals with skills to address ethical issues that come up "every single day."
Views: 360 PracticalBioethics
-- Created using PowToon -- Free sign up at http://www.powtoon.com/ . Make your own animated videos and animated presentations for free. PowToon is a free tool that allows you to develop cool animated clips and animated presentations for your website, office meeting, sales pitch, nonprofit fundraiser, product launch, video resume, or anything else you could use an animated explainer video. PowToon's animation templates help you create animated presentations and animated explainer videos from scratch. Anyone can produce awesome animations quickly with PowToon, without the cost or hassle other professional animation services require.
Views: 461 طفلي فنان
An online discussion exploring the ethical principles and issues of health systems research with Professor Adnan A. Hyder, MD MPH PhD. Johns Hopkins Bloomburg School of Public Health and Berman Institute of Bioethics 5 August 2014, 9-10am EST.
Views: 159 InisCommunication
On April 15th, 2014, the Kennedy Institute of Ethics at Georgetown University launched the world's first Introduction to Bioethics MOOC on the edX platform. Each of the course's six weeks opens with a TED-style talk from Institute director Dr. Maggie Little. This talk focuses on bioethics and justice: ethical issues in the allocation of scare health care resources from donated organs to expensive interventions, and ethical issues at the intersection of environmental and human health. Sign up to take the whole MOOC at https://www.edx.org/course/georgetownx/georgetownx-phlx101-01x-introduction-811 » Learn more about the MOOC at http://making-the-mooc.org/ » Learn more about the Kennedy Institute of Ethics at https://kennedyinstitute.georgetown.edu/ »
Views: 10437 The Kennedy Institute of Ethics
None-- Created using PowToon -- Free sign up at http://www.powtoon.com/ . Make your own animated videos and animated presentations for free. PowToon is a free tool that allows you to develop cool animated clips and animated presentations for your website, office meeting, sales pitch, nonprofit fundraiser, product launch, video resume, or anything else you could use an animated explainer video. PowToon's animation templates help you create animated presentations and animated explainer videos from scratch. Anyone can produce awesome animations quickly with PowToon, without the cost or hassle other professional animation services require.
Views: 295 K Melissa D
Health-care workers need to know both their roles and their responsibilities, especially if they are working in situations of armed conflict and other emergencies, often facing insecurity and ethical dilemmas. Based on their field experience, a doctor, a nurse and a forensic expert share their views and knowledge on the issue. ref. AV136 B
Views: 1721 International Committee of the Red Cross (ICRC)
Wylie Burke, M.D., PhD. is chair of the Department of Bioethics and Humanities at the University of Washington and an adjunct professor of medicine and epidemiology. Dr. Burke is also a member of the Institute of Medicine, co-chairs the Institute of Medicine Roundtable on Translating Genomic-Based Research for Health and is a past president of The American Society of Human Genetics. For more information, visit us at: http://individualizingmedicineconference.mayo.edu/?mc_id=youtube
Views: 1180 Mayo Clinic
MBRS-RISE Program UPR- Medical Sciences Campus Research Misconduct Workshop Guiding Ethical Principles in Collaborative Science By Marino De León, Ph.D. Professor & Director Center for Health Disparities & Molecular Medicine Department of Basic Sciences Loma Linda University, CA
Views: 123 RCMI Program UPR Medical Sciences Campus
On April 15th, 2014, the Kennedy Institute of Ethics at Georgetown University launched the world's first Introduction to Bioethics MOOC on the edX platform. Each of the course's six weeks opens with a TED-style talk from Institute director Dr. Maggie Little. This talk focuses on bioethics at the bedside: ethical issues centered on the patient encounter, including the vulnerability of illness, the importance of patient and provider autonomy, conscientious objection, and fair communication. Sign up to take the whole MOOC at https://www.edx.org/course/georgetownx/georgetownx-phlx101-01x-introduction-811 » Learn more about the MOOC at http://making-the-mooc.org/ » Learn more about the Kennedy Institute of Ethics at https://kennedyinstitute.georgetown.edu/ »
Views: 51540 The Kennedy Institute of Ethics
Austen Garwood-Gowers, reader in Law, author of some 40 or so publications in the field of health care law and ethics provides an overview of the LLM Health Law and Ethics, including the teaching approach, what he enjoys most about the course, the experience and research of the academic team and more! This course examines general principles such as consent to treatment and medical ethics, together with more specialist areas of Health Law. To find out more please visit http://www.ntu.ac.uk/healthlaw
Views: 1168 Nottingham Trent University
Health Care Reform: Medical Practice and Medical Ethics Michael Thaler Tuesdays, 10.am-noon Revolutionary advances in molecular genetics, organ transplantation, robotics, imaging, and information technologies promise healthier, longer, and more productive lives. But these advances also substantially increase the cost of health care and introduce unprecedented ethical and legal challenges. Address the development of a new biomedical ethics and legal structure to manage care, as well as conflicting demands among traditional humanistic values, modern specialized medical practices, and economic constraints. Examine how the principles of modern bioethics —patient autonomy, beneficence, informed consent, and fairness doctrines — shape and authorize health care in a pluralistic society with aging demographics and growing public health needs. Discussions will be based on actual cases. Michael Thaler M.D., professor emeritus at UCSF, trained in medicine, pediatrics, and history of health sciences. He has authored more than 200 scientific and clinical articles and is the recipient of prestigious awards for medical research and public service. His areas of interest include application of scientific advances to clinical practice, medical ethics, and future delivery of health care to seniors. For more information, visit http://olli.berkeley.edu.
Views: 349 OLLI @Berkeley
Medical ethics cases and medical ethics law is a fascinating subject. Explore many different historical cases with Sharon Hartline, PhD, a Professor of Philosophy at Radford University, where she teaches Ethical Theory and Bio-ethics. She is also a consulting member of a medical ethics committee at Carillon New River Valley Medical Center. Find out how critical ethical decisions play a role in the practice of health care. http://YHTV.us
Views: 7132 YogaHub
This is a preview of the CareerSmart Learning online continuing education course Ethics in Healthcare: An Introduction. This course can be purchased at http://careersmart.com/shop/ethics-in-healthcare-an-introduction-nursesccmcrccdmsca-bbsand-wc-ca-approved-2-5-ceuscontact-hrs/. This course provides a rich introduction to Ethics in Healthcare. By the end of this course, learners will be able to: define ethics and ethical considerations unique to healthcare; describe the four prima facie principles of health care ethics; discuss additional concepts important to healthcare ethics; examine ethical concepts related to the current healthcare climate; and examine ethical concepts related to classic ethics scenarios. Course is approved for 2.5 continuing education units-CEUs-contact hours to the following professions: • Nurses (RN, LVN, LPN) (all states) • Critical Care RN (CCRN): meets the criteria for CCRN Synergy Continuing Education Recognition Point(s) (CERPS) in Category B • Certified Case Managers (CCM) • Certified Rehab Counselors (CRC) • Certified Disability Management Specialists (CDMS) • CA Workers’ Comp Claims Adjusters Course is approved for 2.5 ethics credits for Nurses, CCM, CRC, and CDMS. To shop all of our online courses & course bundles go to http://careersmart.com. We provide online & live continuing education to nurses, case managers, CDMS, rehab counselors, OSHA, workers' comp, & RCFE admins.
Views: 3091 CareerSmart Learning
Seminars on ethical theory formed the basis of the Beauchamp/Childress book. (March, 2014) Watch the full video - http://www.peopleandperspectives.org/story/interview/walters People & Perspectives (P&P) is a digital oral history library supported by Public Responsibility in Medicine & Research (PRIM&R). Visit http://www.peopleandperspectives.org to learn more. P&P features stories of those working in research ethics, many of whom were involved in the early years of the field. Those featured include IRB and IACUC professionals, research staff, committee members, institutional officials, researchers, subjects, advocates, regulators, industry representatives, ethicists, and others who consider themselves part of the human subjects and animal care and use enterprise.
Health-care workers need to know both their roles and their responsibilities, especially if they are working in situations of armed conflict and other emergencies, often facing insecurity and ethical dilemmas. Based on their field experience, a doctor, a nurse and a forensic expert share their views and knowledge on the issue. ref. AV136 A
How Ethics Services Public Health “If you want to achieve the public good, marry ethics properly with the facts,” Dr. Arthur Caplan said May 7 in remarks to the National Science Board. Using the problem of low rates of flu vaccinations as a case study, Caplan tells how bioethics can change behaviors. Caplan is the 2014 individual recipient of the National Science Board’s prestigious Public Service Award, recognizing his leadership and successful initiatives in the field of bioethics.
Views: 2178 National Science Board
Clinical ethics film vignette Designed to encourage medical students to discuss the ethical implications of a teenager refusing medical treatment
Views: 13836 ash safdar
The Future of Research is being decided now! While we are fortunate to have a robust system of protections in place that help assure research will provide more benefit than harm, the regulations that guide research with human participants have been in place for 40 years. Society is changing, technology is changing, the capabilities and interests of all of us are changing. We need to evolve our research systems too. It is increasingly hard for one group to decide what would be considered a benefit, or a harm, for another. In this new People Matter Project video, we call to institutions and Institutional Review Boards (IRBs) to think creatively about how to conduct trustworthy research in this changing climate.
Views: 20267 UW EDGE Center
Sister Mary Christa Kroening, OSB Governance formation
Views: 417 Benedictine Health
Contemporary Healthcare Ethics-Summer 2014-Group #2 Critical Issues Presentation on Ethical issues concerning disaster plans.
Views: 54 Brent Johnson
Innovations and Ethics in Healthcare featuring: Prof. James W. McGinity: Pharmaceutical Inventions Developed by Students and Faculty in the College of Pharmacy Hear about two issued patents and a patent application on innovations developed by students and faculty in the College of Pharmacy. One of these, the ‘963 patent, protects the abuse-deterrent sustained release opioid tablet, “OxyContin®.” This patent has generated more revenue for UT than any other patent in the history of the University. In addition, this abuse-deterrent technology saves the lives of many who are unable to extract the opioid from these tablets. Prof. Lauren Ancel Meyers: Tracking and Curbing the Next Deadly Pandemic A discussion of global pandemics, the current threats of ebola and influenza, and how big data and modern computing are helping to fight contagion. Prof. William J. Winslade: Creative Interventions and Ethical Implications Innovations in medical treatment can result from new technologies or new uses of old technologies. But innovative treatment always raises ethical questions about appropriate and inappropriate uses. New treatments for nerve damage, eye diseases and mental illness will be used to illustrate.
Views: 3009 UTSchoolUGS
Guests 1. Dr. M C Mishra (Director, AIIMS) 2. Dr. Ashok Seth (Chairman, Fortis Escorts Heart Institute) 3. Dr. Sneh Bhargava (Medical Director, Sita Ram Bhartiya Institute) 4. Dr. Sanjiv Malik (Medico Legal Consultant & health Care Risk Management Consultant) 5. Dr. Sandip Chatterjee (Live from Kolkata studio) (Honorary Professor & Head, Neurosurgery, VIMS , Kolkata) Producer: Anand Mohan Anchor: Sanjeev Upadhyaya & Kiran Bhardwaj Assistant Producer: Kamal Pandit DDNewsOfficial
Views: 137 DD News
The 2014 Patient Care Conference was held at the Gaylord Opryland Resort in Nashville, TN. DebRA invited those with EB as well as their families, advocates, and care providers to listen to and meet with medical professionals who have developed expertise in particular areas of EB care, academic researchers, and organizations conducting research into treatments and a cure. Learn more at www.debra.org/pcc2014
Views: 310 DebraofUS