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Introduction to Ethics in Health and Quality of life
The majority of Ethical issues deal with:?
☆1.) Public vs. IndividualWe also discuss several other topics like Describe the cinematography of the film, Schindler's list.
2.) Financial Issues XDon't forget about the age old question of How are rows and columns measured in a matrix?
3.) Research-related Issue XDon't forget about the age old question of Discuss the properties of ionic compounds.
4.) Rationing of Care XDon't forget about the age old question of What is the sense of smell and taste
•Study of the standards used to make moral decisions or judgements
•Used to answer moral questions where right and wrong are unclearDon't forget about the age old question of What are the benefits of studying Archaeology?
•Individual vs. Public rights
Where do they come from?
(based in beliefs and culture)
Principle of Bioethics
•Autonomy -self-determination and the right to make one’s own decision
•Beneficence -benefit, doing good
•Nonmaleficence -prevent needles harm
•Justice -fairness, hearing people, equally
•Fidelity -faithful to agreements
•Veracity -telling the truth
Principles Compete with Each Other
•In a high health care environment, the action of doing good (beneficence) has potentially
Equal harmful effects (nonmaleficence)
-New prescription or treatments come with significant risk of liver damage blood clots
-Genetic manipulation to treat disease
•Self-determination (autonomy) creates harm to others
What are Public Health Ethics?
•A systematic approach to balancing competing interests.
•Often individual rights of autonomy and privacy compete with community interests and responsibilities
•”Public Health Law provides authority to place sign. Restrictions on individuals
Modern Bioethics: Historical Roots
•Wazi experiment on living humans during world war II
•Tuskegee Syphilis Experiment
-Sanctioned study 1932-1972
-Black men with disease (399) without (201)
-No consent given
Alumberg Code (1947)
•Voluntary consent is essential
•Experiment has to yield good of society with knowledge that results will justify
•Should avoid harm or injury
•Necessary steps must be taken to prolet subjects against remote possibility of injury,
Illness or death
•Only done by qualified people
•Subjects can end @ anytime
Belmont Report (1979)
•A consequence of Tuskegee Syphilis Experiment
•Defined expectations of researches and rights of participates i.e, informed consent and
Review Board (IRB)
•Role of IRB
-Risk are minimized and realitive to benefit
-Subject selection is equitable, subjects are informed and consent
-Adequate provisions to protect privacy and safety of participant
Research Rights (Participant)
•Protect from harm
•Document that there is a Social good and reason
How are Ethical Issues resolved?
•All health related disciplines have a code of ethics they are expected to observe.
•Ethical Review Panel @ hospitals include clergy, ethicist, physicians and others who
•IRB reviews research proposals for protection.