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Summary PPVE for finals
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summary of PPVE module aimed at finals level
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PPVE for FinalsImportant Theories
Ethical code of Conduct
Deontology
concerned with
following rules guidelines person
focused on action virtue Ethics
the end doesNOTjustifythe means
Autonomy is priority
Emmanuel Hunt is universibility
Utilitarianism consequentialism Their Actions
x concerned with the consequences ofactions Deontology
The end JUSTIFIES the Means
the greatestgood forthe mostpeople
x Benefienceis The Consequences
Virtue Ethicspriority utilitarianism
x looks the virtue or moral characters
x a good person who lives virtuously
5 virtues Highlighted
trustworthy
integrity
discernment
b compassion
being conscientious
Four Principles
Absolute Duties Benefience Non Malefience Justice
Autonomy descion the duty todogood duty to do no harm distribution of
Respecting the Act in a way to the patient goods risks costs
making capacities of which benefitsthe ifharm should fair distribution
patient notoutweigh the aRespect of pts
apt
xinformed decisions benefits rights
Rational t moral respecting laws
decisions
often in conflictbutgenerally
SCOPE net benefience with the
maybeadded minimal harm
Refers to how thrownas double effect
widelyyouapply
the 4 principles
, Four Quadrants factors to think about when
each situation
L Medical Indications analysing
not duties
Review of situation options
benefits of Mx thought in the specific order
2 patient preferences
of the pt
wishes
3 Quality of Life
if the Mx wouldimprove Q o L
4 Context
D economic religious cultural factors
is impact of descions
Prima Facie Duties principle is binding until it
comes into conflict with
4 principles are prima facie another principle
a
duty that can be
ove
by ruled
another
The Hidden Curriculum Students also
learning from
experiences t working in
Doctors often reinforce this but can erode the placement
ethics of it
Whistleblowing Dutyto raise concerns when
patients safety or care
u
History is compromised by colleagues
Developed from 2 major scandals systems or workplace culture
the Bristol heartscandal
into ts paediatric cardiology
inquiry
deaths
the Stafford hospital scanout the NHS
poor 1 undignified deaths freedom to speak
Developed the francis Report up
Report suggested
Blame free culture
training to raise concerns Hcp struggle to
whywhistle
support ofthose who raise concerns blow
xincld medical students collegial culture
GMC Says disloyal
is
legal 1 moral duty to raise concerns x Betrayal
The Interest Disclosure Act
public seen as unproffessiona
protects whistleblowing done in good faith is not knowing howto
maltreatmentfrom current future employers whistleblow
is generous to whistleblowers
However itcan't stop discrimination against
whistleblowers
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