l3 - paternalism & patient autonomy

define autonomy

a persons rational capacity for self-governance

is there a difference between autonomy and autonomy principle?

yes

define autonomy principle

autonomous people should be allowed to make decisions for themselves

define paternalism

overriding a persons decicion for their own good

what moral theory is relevant to paternalism

utilitarianism is more supportive to paternalism but katian ethics rejects it

what are the 2 types of paternalism

weak

strong

what is weak paternalism

paternalism for someone who can’t exercise autonomy

what is strong paternalism

overriding a persons actions despite the person being substantially autonomous

do competent patients have the right to reject treatment (true or false)

true

define physician autonomy

a doctors freedom to determine the conditions they work in and the care that they provide to patients

what pressures impact phhysician autonomy

low productivity penalties

pharamaceutical encouraging expensie treatments

define what medical futility

ineffectiveness of administering treatments

can patients refuse futility (true or false)

true (patients can ask and insist that everything posisble be done)

what is an advance directive

a legal document that speaks for you if you are inacpacitated (i.e. dnr)

what are FOUR physician-patient relationship models

paternalistic

informative

interpretive

deliberative