Wednesday, March 14, 2018

Medical Paternalism

March 15 Medical Paternalism Case Studies
Clorissa Campbell, Joseph Churchill, Cameron Oldham








1. What is “autonomy” drawn from vs. “paternalism” being drawn from the role of the father?

2. According to Childress what makes paternalism morally interesting?

3. In what cases should a physician override one person's autonomy?

4.What does Dworkin call liberty in contradiction to liberty as license?

5. what are the two factors of justification often given for paternalistic interventions?

6.What two matters does the duty to respect autonomy involve?

7. What could a policy that affirms “you should care for yourself” be interpreted as?


Discussion Questions
1. Do you agree with the 3 examples of when a physician can override a person's autonomy? What other conditions would you add if any?
2. Would you view Liberty as a license or as independence? Explain your reasoning.
3. Childress talks about having some procedures of moral reasoning and accountability. What procedures would you suggest?

6 comments:

  1. Quiz questions:
    1. What is the name of the chapter that we are reading for this presentation?
    2.what are the topics discussed in this chapter?
    3. Physicians have the duty to ____ their patients?
    4. What were the three questions the author highlighted?
    5. Name some conflicts that arise between paternalism and autonomy.
    6.what is autonomy?
    7. What is paternalism?
    8. Paternalistic intervention should have a reasonable chance to prevent ___.

    Disscussion questions:
    1. Does autonomy shoos respect for the patient and their right to make descisions?
    2. Can a patient autonomously ask the doctor to make descisons for him/her?
    3. Is autonomy perceived to have a geniune competitive advertising in terms of technology?
    4. Why is autonomy important in healthcare?
    5.why is the respect for autonomy important?

    ReplyDelete
    Replies
    1. 2.) respect to patient autonomy, what positions of authority oversee the maintenance of said respect, and the balance extenuating circumstances by which autonomy should be broken.

      3.) Respect the autonomy of

      5.) A vegan patient may not want to take or ingest certain medications, depending on how the medicine was derived.

      Delete
  2. Alternate quiz questions:
    1.) In your own words, describe paternalism, and relate that description to a medical example.
    2.) What general positions of Authority may challenge a physician's idea of what is medically best for a patient given religious or ideologic standpoints of the patient.
    3.) T/F: Physicians have a responsibility to respect the autonomy of their patients?

    ReplyDelete
  3. Discussion questions:

    What sort of regulations could be put into effect to ensure patient autonomy is maintained? As a hospital administrator, what sort of policies would you enforce, and how?

    As with most anything, homeostasis is maintained with balance between things. For what reasons should patient autonomy be violated, if ever?

    If a sick child's parents refuse medical treatment for religious purposes, and harm to the child is the outcome, should they be prosecuted?

    ReplyDelete
  4. Alternative Questions:
    1. Who is the beneficiary of medical paternalism?
    2. What did Parsons regard the patient as?
    3. What is the patients duty in the role of being sick?
    4. Who is the genuine trustee in the relationship?
    5. What happens if the patients moral authority is not taken in consideration?

    ReplyDelete
  5. Alternate Quiz Questions:
    1. Define autonomy.
    2. Define paternalism.
    3. What does paternalism suggest about the role of the physician?
    4. How did sociologist Talcott Parsons’ describe the “sick role”?
    5. (T/F) The role of the healthcare professional is marked by the presumption of competence, ability, and skills.
    6. Does Parsons’ description of the “sick role” show an equality between the patient and healthcare professional? Explain.
    7. (T/F) It is acceptable to refuse a person’s wishes, choices, and actions to protect the right of others.
    8. (T/F) It is acceptable for a health professional to refuse a person’s wishes, choices, and actions, when no one else is involved, simply because the professional disagrees with the patient’s values.
    9. John Rawls states that what must hold true to justify paternalism?
    10. If we accepted the W.H.O.’s definition of health what definition of medical responsibility would we develop?
    11. What is benign neglect?
    12. (T/F) We need practices and procedures that can indicate care and concern while also defining situations in which paternalism is necessary and situations in which autonomy should be accepted and situations in which paternalism or autonomy should not take precedent.

    ReplyDelete