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Goals of Medicine
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Cure the ill, preserve life, ease pain. Restoration of health, relief of symptoms, restoration of function. Saving or prolonging life - Palliative CareEducating and counseling of condition and prognosis; avoiding harm to patient
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What is sanctity of life?
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Sanctity of life assumes every life has intrinsic value, regardless of condition, personal potential or disabilities
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What is stewardship?
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Imposes prima facie obligations or duties on its recipients and his/her caretakers to preserve and enhance human life
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What is quality of life?
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Patient-centered moral criterion, what is best for the individual
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Ordinary/Proportionate Means
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In the judgment of the patient offer a reasonable hope of benefit and do not entail an excessive burden or impose excessive expense on the family or community
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Extraordinary/Disproportionate Means
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In the patient's judgment do not offer a reasonable hope of benefit or entail an excessive burden, or impose an excessive expense on the family or the community
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Patient-centered approach
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Gives weight to autonomy of patient and examines the impact of technologies and treatments on the patient's medical and non-medical condition as a whole = total well-being of the patient
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Palliative care is always ____, comfort measures are always _____.
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Required, required
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Benefit: prevention
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Burden: excessive pain
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Benefit: cure / treatment
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Burden: excessive discomfort
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Benefit: prolongation of life
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Burden: prolongation of death
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Benefit: palliation or comfort
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Burden: inconvenience, expense
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What makes something a non-beneficial medical treatment?
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There is no reasonable hope the patient truly will benefit from the care. Well-being of the whole patient must be taken into account
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Futility involves a _____ _____
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Value judgment
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There is no ethical distinction between what?
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Withdrawing and withholding life-sustaining treatment
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