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4 medical principles of ethics
Applying medical ethical principles
Applying medical ethical principles
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Both the Hippocratic Oath and Principles of Medical Ethics of the American Medical Association focuses on giving full benefit to the patient. However, there are some major differences between the oath and medical ethics of American Medical Association on various subjects such as patient’s rights, duties of physicians towards the benefit of the society etc. Hippocratic Oath was earliest code of ethics to govern conduct in medicine. Unlike many modern professional codes, its intent was to describe a moral vision for members of the medical community rather than to protect members of the community from incurring on the law. This oath and AMA medical ethics are similar as the primary goal of both codes of ethics is to give full benefit to the …show more content…
The major difference is that while both codes of ethics place a huge emphasis on benefiting the patient, only AMA discusses the duties of physicians to benefit the society. AMA specifies that while the physician’s major responsibility is his/her patient and the treatment, he also has a great amount of responsibility towards the society and his profession. Also, AMA highlights that every physician has a duty to contribute towards the betterment of his/her community. The oath mentions the duty of physician towards his/her patient and teachers but never a society which I believe is very important especially now a days. The other major difference is that the code of ethics mentions providing care with “compassion and respect for human dignity and rights,” whereas there is no discussion about the rights of a patient or even upholding human rights (Veatch, 189). To me this is a huge issue as I believe every person should be aware of his/her own rights in every walk of life especially medicine , and no one should have any right to make a decision on behalf of anyone or in this case without patient’s consent. The oath forbids abortion, euthanasia, and doing any harm to a patient. Whereas, AMA does not mention anything that specifically forbids such actions. In the oath, a physician will leave operations/treatments to specialists to which he
According to Terrence F. Ackerman, as of the 1980s the American Medical Association had to include the respect for a person’s autonomy as a principle of medical ethics (Ackerman 14, 1982). This includes having the physician provide all the medical information to the patient even if the information could cause negative implication onto the patient. The physician is also expected to withhold all information of the patient from 3rd parties (Ackerman 14, 1982). Although it is seen as standard in today’s world, in
In certain situations it is difficult for a person to decide between a moral and immoral choice. In the field of health there are physicians and patients that may have two different mindsets. One may be a patient that believes a decision is moral, while a physician may think the decision is immoral. How can the physician stick to his beliefs and morals when he must make a choice to go against them or not?
Miles, S. H. (2005). The Hippocratic oath and the ethics of medicine. Oxford: Oxford University
When a patient’s/family’s religious beliefs go against recommended medical treatment, it brings up an ethical issue. If the patient is a minor, this makes the case even more complex. In such a case, the parents would need to be evaluated to see if they were properly representing their child’s best interest. Depending on the child’s age, the child would need to be consulted to see if he/she meets the criteria of having the capacity to make his/her own medical decisions. Finally, the physician needs to be consulted to determine what his/her beliefs are on the case and under what circumstances would he be willing to perform the surgery.
The Hippocratic Oath generally stated by Hippocrates says, “I will follow that system of regimen which, according to my ability and judgment, I will consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous. I will give no deadly medicine to any one if asked; I will not suggest any such counsel, and ...
So, how do we who are aspire to be Hippocratic physicians achieve this goal? First we must look at the foundations for our personal ethical frameworks through meta-ethics. Meta-ethics refers to the systems by which we establish morals and ethical principles. Today there are many philosophies of meta-ethics, divided into two basic categories, moral absolutivism and moral relativism (Lawhead, 2000). The difference between these is in the nature of ethical principles, whether subjective or objective. Say something exists objectively, like a vase on a table. The subject’s perception of the vase must conform to the true vase. If, however, the subject is simply thinking about a vase, that vase exists subjectively, and its properties are contingent to the subject’s contemplations. So, how do these differing systems affect the physician in attaining the Hippocratic ideal? Let us first consider relativism.
EX1 Moreover, a good example of the irrelevance of the Oath in modern medics is the statement that a doctor may never “use the knife”, without using knifes, practicing modern surgery would be impossible (Markel, 2004). CR2 In the most Oaths administered by US medical schools, the parts about euthanasia are simply omitted, EV2 by 1993 only 14 percent of the vows taken by students prohibited euthanasia (Markel, 2004), IC this demonstrates that even if the Hippocratic Oath is the moral touchstone of physicians, most Oaths taken by students do not even prohibit euthanasia. CR3 Sometimes in order to safeguard the mysterious power and dignity of life, it is better to administer a soft death to avoid further suffering, EV3 this is also literally stated in the Hippocratic Oath: “I will keep my patients from harm and injustice”(Edelstein, 1967). C Considering all of the reasons mentioned above, the Hippocratic Oath has clearly lost its relevance regarding the prohibition of
We'll be deliberating two cases from an Ethical point of view so first we need to know the four principal of medical ethics
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
In conclusion, every patient is worried about their rights to care but not so much are focused on the rights of the physicians providing the care. It is hard to establish a respectable practice if you are required to perform care for instances in which you object or do not want to be a part of. This detracts from the ethical background of practice and procedure every physician should hold to the highest standard.
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
Ethics refers to the values and customs of a community at a particular point in time. At present, the term ethics is guided by the moral principles that guide our everyday actions. These moral principles guide the researcher into deciding what is ‘right’ or ‘wrong’. The foundation of medical ethics is governed by two philosophical frameworks: deontology, and utilitarianism. However, ultimately, the ethics committees need to balance the risks, and benefits for the participants and the community associated with the particular research proposal.
As with every code of ethics the Physician Assistant profession has revised its code of ethics to keep with the changing times in the medical field. Four main bioethical principles broadly guided the development of these guidelines: autonomy, beneficence, no maleficence, and justice.3This Physician Assistant (PA) should follow the do no harm rule, understand the patient has the right to make decisions about their care, always act in the best interest of the patient, and treat all the patients the same and make sure care is consistent for every
So although the patient can sue for malpractice, it will be based on laws related to the ethical principles, but not the Ethical Principles themselves. For example, if a patient feels that they were treated differently because of race, they would file a discrimination suit, which is legally sanctioned under other legal legislature. It seems quite complicated, but it is important to recognize the difference between ethics and the law.
Integrity, respect for persons, justice, non-maleficence, and responsibility are all identified within the code, however compassion is not directly stated but is implied. To show compassion for others during suffering is an almost automatic response in nursing. When nurses decide to act either beneficently or non-maleficently they are doing a service to those being cared for. When dealing with human lives moral value becomes especially important, and is not situationally dependent. Ethical neutrality does not have a place in professional ethics, and an obligation to respect the moral values is necessary. The code deals with specific issues related to the nursing profession, and ensures standards are upheld. Creation of code of ethics within a profession limits misconduct, create safeguards, promote trust for the profession within society, and preserves the integrity of the profession (Soskolne, 1984) It is important for me to emphasize the difference between the nurse’s code of ethics and the Hippocratic Oath. The nurses ethical code is tailored toward the care provided to the patient, and not the involved science and diagnostic aspect of the