Breach - didn't do his/her job according to professional opion
Cause -But-for and predictable-outcome
damages
4 ethical principles of clinical medicine
Autonomy- right to choose what can be done to our own body
Beneficence - doing good
none maleficence - not doing bad
justice - doing what best for society
Physican-patient relationships
implied contractral relationship with implied promoise to help the patient
You can't gunrantee an outcome because you will have a breach of contract
Mutual Assent
part of the contract where the two parties must be thinking about the same thing
Exception to confidentiality
when safety of specific person or group is in danger
specific threat needed
patient and law need to be informed
each state has reportable diseases
Physicians can't let go of his patient
need to draw up contract
if breach of contract exists than allowed to let patient go
Birth
fetus is subordinate to women
child-centra consideration when children are seriously ill unless (comatose, only prolong death, won't survive or inhumane)
Minors
Parents can't withold consent if lack of treatment will place minor in danger
Mature minor >16 yrs. don't need consent in some cases
Organ donation
only certified people can request organ donation
don't ask people to donate their organs
family can override organ donor card
medical research
autonomy
beneficence
justice
consent
IRB
insititutional review board
pre-research review- harm, value etc
medical futility
continuing medical care when there is no "reasonable" hope of benefit
ethical to withold care when its deemed medical futility
NOT OBLIGATED to provide medical futil care
euthanasia or physican aid in dying
NEVER OK
maybe wonky in WA and OR but not on STEP questions
ok for law of double effect: terminal illness pain managment. The dose required for managment will depressor respiratory is considered ok, BUT not ok to give dose with the intention to speed up dying