Chapter 3: The Basic Principles of Health care Ethics: Developed to allow (health) professionals to determine right and wrong

g in regard to value issues. o Autonomy Personal liberty where one is able to choose/implement decisions free from deceit (dishonesty), duress (threat), coercion (compelling force of authority) o Veracity Habitual observance of the truth between patient and provider o Confidentiality - Ensuring that information is accessible only to those authorized to have access o Non-maleficence One ought not to inflict evil or harm o Beneficence One ought to prevent/remove evil or harm, to do/promote good o Justice Distributive Justice (in health care): as one struggles in distribution of scarce available resources. An attempt to systematically distribute to give individuals their due share basing it on: an equal share, to those in need, according to effort, contribution, merit, and ability to pay. o Role Fidelity The ethics of health care requires the practitioner to practice faithfully within the constraints of their assigned role. Paternalism is the intentional limitation of the autonomy of one person by another, where the person who limits autonomy appeals exclusively to grounds of beneficence for the person whose autonomy is limited. Example: Should a patient be able to refuse treatment even though they are in crippling pain and the treatment will reduce pain and restore function? Informed consent is the basis for autonomy, because in order for patients to make informed decisions they must have all of the facts. They must understand the nature of their condition, treatment options, and the associated risks. Justifiable benevolent deception: The lie benefits the person being lied to There must be a describable greater good The evil avoided by the lie is greater than the evil caused by it Allow for the violation of veracity (assuming equal circumstances)