JKO JMESI - Bioethics One: Concepts and Principles
Which of the following terms relates to the norms about right and wrong conduct?
Morality
What ethical approach or concept specifies standards of conduct for a particular profession?
Professional morality
Which of the following arguments are supported by the ethical principle of justice?
All of the above
Which of the following moral rules of obligation are supported by the bioethical principle of beneficence?
All of the above
What term refers to the set of universal norms that all "morally serious persons share"?
Common morality
Which of the following ethical philosophies or theories can be summarized in one simple statement: "one should do good and avoid evil"?
Natural Law
What ethical principle forms the basis of informed consent in patient care?
Respect for autonomy
Which ethical justification approach or concept is most frequently used when making a moral justification or decision?
Deductive Approach
What bioethical principle is closely associated with the maxim, primum non nocere -- first do no harm?
Non-maleficence
What ethical philosophy or theory purports that the moral rightness of a decision is based on whether it brings more good than other alternatives?
Utilitarianism
A small-town physician conducted a research study on his female patients without their awareness or formal consent. He took blood samples from all his patients and told them that it was simply routine blood work. (The blood samples were used as part of the experimental research.) Given this situation, what ethical principle was not taken into consideration?
Non-maleficence
Respect for Autonomy
Respect for Autonomy
T
T or F:
Both bioethics and medical ethics are applied ethics.
Bioethics
It is a combination of ethical theory and various
disciplines such as medicines, law, social science, philosophy, and like to address the ethics of clinical decision-making and medical research.
Bioethics
It involves the basic concerns of human beings and their close relationships with other organisms.
Bioethics
It also the ethics of biology which may be subdivided into environmental, animal and medical ethics.
Objectives of Bioethics
1. Build positive attitude and behavior towards a chosen profession
2. Show concern for human life and those of other living organisms.
3. Produce professionals in body, mind and spirit.
4. Establish a functional philosophy in life.
Goals of Bioethics
1. Ethical Guidance
2. Clarification
3. Disciplines
4. Structures
5. Internal Auditing
6. Inter-disciplinary Approach
Ethical Guidance
The goal of bioethics that provides ethical guidelines in the delivery of ethical
reasoning in work and assigned tasks
Clarification
The goal of bioethics that is not limited to ethical reasoning and moral clinical
decisions as it also shows a deep concern for and an awareness of these complicated issues
Disciplines
The goal of bioethics that covers the other life science disciplines, especially the moral questions and issues concerning humans, animals, and nature
Structures
The goal of bioethics that is structured to elucidate important arguments in rendering ethical judgment and, therefore, sets its floor for discussions and debates about
bioethical issues
Internal Auditing
The goal of bioethics wherein bioethicists examine the implications of combining new data from the natural sciences and principles of bioethics because both aspects may
influence the creation of new concepts and principles of basic ethical issues and
concerns.
Inter-disciplinary Approach
The goal of bioethics wherein different approaches from the natural sciences may provide a better and more balanced input to bioethics, such as medical ethics from the field of medicine, and social, legal, information, religious, and feminist ethics in
solving moral issues and concerns in questions.
Medical Ethics
Subdiscipline of bioethics that was derived from the introduction of the Hippocratic Oath
Hippocratic Oath
It marks the beginning of Western ethical reasoning in medicine.
Medical Ethics
Exhibits medical doctors' behavior and the ethical rules of the principles or non-maleficence and beneficence in the inter-relationships between physicians and patients and the principles of
confidentiality and prohibition in exploiting patients' rights.
Animal Ethics
A subdiscipline of bioethics that was founded in the USA and Europe as a result of their sensitivity to animals
Jeremy Bentham
Who stated that although animals
cannot have ethical reason, the most important consideration is that animals usually suffer from the decision of humans.
Environmental Ethics
A subdiscipline of bioethics that evolved in the 1970s when there were issues on the global threat to the natural
basis of existence, increasing number of extinct species, destruction of
ecosystem and natural resources, and the ever recognized danger associated with technology inventions such as nuclear power, most particularly the
radioactive wastes and biohazards, and the emergence of biotechnology such as genetic engineering
Anthropocentrism
Approach such as virtue ethics and deontology which stress the particular human perspective and claim that values depend on human beings only
Non-anthropocentrism
Other term for physiocentrism
Physiocentrism
Approaches share the common
claim that there are "objective" or more straightforward naturalistic values which are non-relational (intrinsic) and do not presuppose the rational human beings
Deontology Theory
The Divine Command Theory, the Natural Right Theory, the Pluralistic Theory, and the Contractarian or Moral Theory of
Contractianism are under what theory?
Natural Law Ethics in Deontology Theory
The Principle of Double Effect and Principle of Totality are under what ethics/theory?
Teleogical Theory
The Utilitarian Theory, Hedonism Theory, Egoism Theory, Asceticism Theory, Altruism Theory, Rule Consequentialist Theory, and Negative Consequentialist Theory are under what theory?
Deontology Theory
It is focused on the rightness or wrongness of an action done. Therefore, if an action has a
relevant features, it is one's duty or
obligation to do or perform it.
Immanuel Kant
One of the proponent of deontological
theories was formulated by ____________.
deon
The term deontological was derived from the
Greek word _______ which means "obligation or
duty."
Divine Command Theory
An action done is right if declared by the Almighty God to be right.
Divine Command Theory
It is an obligatory duty once commanded by the Almighty God.
Divine Command Theory
It has a strong commitment to religious presupposition and claims that morality and absolute sources of sacredness of human life emerged from existence of the Almighty God.
Divine Command Theory
The moral obligations arise from the commands of the Almighty God.
John Locke and Thomas Hobbes
__________ and __________ hold that humans have absolute human rights (such as the universal right), which are inherent in the field of ethics
and not parallel to human action and belief.
Categorical Imperative
Affirms the humans' rational
capacity and asserts the inviolable moral law
Natural Right Theory
In this theory,
a man, according to Kant, must act in accordance with his duty.
William David Ross
Who rejected the utilitarian
notion?
Prima Facies Duties
W.D. Ross described this
as a list of duties that he considered binding on all moral agents.
Duties of Fidelity
Telling the truth, keeping actual and implicit promises, and not representing fiction as history
Duties of Reparation
Righting the wrongs we have done to others
Duties of Gratitude
Recognizing the services others have done for us
Duties of Justice
Preventing a distribution of pleasure or happiness that is not in keeping with the merit of the people involved
Duties of Beneficence
Helping to better the condition of other beings with respect to virtue, intelligence, or pleasure
Duties of Self-Improvement
Bettering ourselves with respect to virtue or intelligence
Duties of Non-Maleficence
Avoiding or preventing an injury to others
F
T or F:
W.D. Ross ranks the prima facies duties in order of importance.
Pluralistic Deontology Theory
This theory affirms the importance of 7 prima facies duties.
Beneficence
A prima facies duty of the Pluralistic Deontology Theory that entails helping other people
Non-Maleficence
A prima facies duty of the Pluralistic Deontology Theory that entails not doing harm
Justice
A prima facies duty of the Pluralistic Deontology Theory that entails equal rights
Gratitude
A prima facies duty of the Pluralistic Deontology Theory that entails benefiting other people for help extended
Reparation
A prima facies duty of the Pluralistic Deontology Theory that entails recompensing other persons for wrong acts
Promise-Keeping
A prima facies duty of the Pluralistic Deontology Theory that entails keeping explicitly and implicitly the promises made
Self-Improvement
A prima facies duty of the Pluralistic Deontology Theory that entails improving oneself
Contractarian or Moral Theory of Contractarianism
This moral theory is derived from moral obligation as stipulated in the contract.
Contractarians
These people are skeptical of the possibility of grounding morality or political authority in either divine will or some perfectionist ideal of the nature of humanity
John Rawls
This person is an important contemporary political social contract theorist who effectively resurrected social contract theory in the second half of the 20th century.
David Gauthier
This person is primarily a moral contractarian, and he, along with John Rawls, effectively resurrected social contract theory in the second half of the 20th century.
Contractarianism Theory
This theory follows Kant's idea that man's
action, whether right or wrong, must be justified in accordance with what has been agreed upon.
Natural Law Ethics
This holds that through the application of reason, it should be possible to establish a body of moral principles and rules.
Principle of Double Effect
It is intended to help resolve these kinds of conflicts.
Principle of Double Effect
It signifies that an action should be performed only if the intention is to bring about the good effect.
Principle of Totality
This principle holds that an individual has right to dispose of his or her organs or to destroy their capacity to function only to the extent that the general well-being of the whole body demands it
Teleological Theory
It is otherwise known as the "consequentialist theory."
Teleological Theory
In this theory a certain action is morally right if the consequence or outcome is good
Utilitarian Theory
This theory holds that an action is morally right if it results in happiness and satisfaction
John Stuart Mill and Jeremy Bentham
The Utilitarian Theory was formulated by ____________ and ____________.
Utilitarian Theory
This theory is based on the consequence of an action
Principle of Utility
States that people should do an action that may bring
happiness or the greatness number of people
Utilitarian Theory
Holds that the rightness or wrongness of an action can be determined by the goodness or
badness of its consequence
Utilitarian Theory
This theory can be called "theory of greatest
happiness."
Hedonistic or Classical
Theory
This theory attests that the goodness or badness of an action is based on its effect on happiness
of the individual
Hedonism Theory
This theory holds that the pursuit of humankind is pleasure on its maximum level (net of pain or suffering)
Hedonists
These people state that the only way to attain maximum pleasure in happiness.
Epicureanism
This holds that the maximum happiness that a patient can obtain is when accurate and reliable laboratory results are achieved.
Egoism Theory
This theory argues that a right action is maximized when it benefits oneself
Individual Egoism
A subdivision of the Egoism Theory that entails doing things that benefit oneself.
Personal Egoism
A subdivision of the Egoism Theory that entails doing things at one's best interest but makes no claims
about anyone else ought to do
Universal Egoism
A subdivision of the Egoism Theory that entails acting in a way that benefits everybody
Asceticism Theory
This theory speaks of Auguste Comte's dictum which means "live for others"
Asceticism Theory
This theory holds that man should act to bring the best consequence for others at the expense of his/her own personal interest
Rule Consequentialist Theory
This theory states that a moral behavior or action should follow a certain rule, but such rule should be based on the consequence
Negative Consequentialism Theory
This theory is simply the passive avoidance of bad outcomes
Negative Consequentialism Theory
This theory is one way of minimizing bad consequences and promoting the good ones
Virtue Theory
This theory is based on the inherent nature of an individual rather than on the consequence of the acts
Agent-Based Theory
This is a subcategory of the Virtue Theory that entails doing an action that is based on common sense or intuition
Extent of Care
This is a subcategory of the Virtue Theory that entails citing the feminist theory which holds changing the
point of view of morality towards more marginalized virtue
Principles of Bioethics
These are important and are applicable in medical and
public health service delivery
Principles of Bioethics
1. Respect to Autonomy
2. Beneficence
3. Non maleficence
4. Justice
Respect to Autonomy
It is the act of respecting the decisions for others
Prioritization of One's Decision
It is a view with respect to autonomy wherein it is always the decision of the patient that prevails since such decisions is more beneficial rather than harmful. It is also the same patient who chooses the kind of life he/she wants to
live.
Intervention from Other People
It is a view with respect to autonomy that is adopted when the patient is
terminally ill, such that the physician should decide on the best treatment the patient should have
Physician
With intervention from other people, the _________ chooses the best kind of life for the patient.
Informed Consent
In the field of medicine, most specially laboratory medicine, respect to autonomy is applicable in __________________.
Prudent Person Rule
One of the standard rules of full disclosure in order to satisfy the informed consent wherein the patient must know and understand the diagnosis, nature and purpose of the proposed treatment; the known risk and consequence of the proposed treatment; the rates of doctor's and hospital's success and failure of the treatment; the
benefits expected of such a treatment; the complete information
of the alternative treatment; the prognosis if no treatment is given;
and all costs and burdens of the proposed treatment
Subjective Substantial Disclosure
One of the standard rules of full disclosure in order to satisfy the informed consent wherein every information of the treatment should be properly disseminated to the patient and after the patient has presented his/her opinion, beliefs, norms and values
F
T or F:
Explicit consent is needed in case of implied (i.e., procedures are not risky and invasive); therapeutic privilege (i.e. information is really detrimental to the patient's condition or illness); and emergencies
(i.e., patient is incompetent and no surrogate is available).
Medical Paternalism
Overrides the patient's decision but such action may benefit the patient
Strong Paternalism
Overriding the patient's competent decision is
generally rejected
Weak Paternalism
Acting on the patient's incompetent decision is always justified
Beneficence
The principle of bioethics of doing an action that benefit others
Beneficence
Doing good in terms of increasing the ration of good vs evil
Act of Beneficence
This includes the following:
1. Prevent the infliction of needless pain.
2. Prevent killing a person.
3. Prevent incapacitating others.
Principle of Beneficence
In case there is a sufficient reason (not an obligation) to do a good act, the healthcare provider must execute the goodness of this action
Non-Maleficence
A principle of bioethics that is the avoidance of doing "harm" to others
Non-Maleficence
This is precisely the very essence of rendering laboratory services and delivering health care which is doing the least harm to the patient.
Non-Maleficence
Examples associated with this principle in the field
of medicine:
1. Do not kill
2. Do not cause needless pain
3. Do not incapacitate others.
Justice
A principle of bioethics that is the application of legal ethics in the practice of medical laboratory science.
Justice
This principle holds that ethical theories, especially legal ethics, should impose fairness to everyone involved.
Justice
This principle holds that clinical decision
should be consistent with ethical theories.
Theory of Justice
This theory states that it can be understood as attempting to combine the strengths of
utilitarianism and deontology while avoiding the weakness of each view.
John Rawls
The Theory of Justice was formulated by this philosopher
John Rawls
According to him, the central task of government is to preserve and promote the liberty and welfare of the individuals.
Principles of Justice
Needed to serve as standards for designing and evaluating social institutions and practices.
Equality
A rule of distributive justice wherein all benefits and burdens are to be distributed equally
Need
A rule of distributive justice wherein the principle of need is an extension of the egalitarian
principle of equal distribution
Contribution
A rule of distributive justice wherein people should get back that proportion of social goods
that is the result of their productive labor
Effort
A rule of distributive justice wherein the degree of effect made by the individual should determine the
proportion of goods received by the individual