Ethics and communication

Published on 05/05/2015 by admin

Filed under Internal Medicine

Last modified 05/05/2015

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1 Ethics and communication

Questions

Regarding medical ethics, if a man is discovered to be hepatitis B or C positive, is it advisable for the physician to inform the wife or sexual contact of the patient?

Is it unlawful in most countries to limit medical care, particularly by rationing the usage of drugs? Surely rationing must be against the oath we took as doctors to provide the best care available.

What is meant by QALYs? Is there a difference between quality and quantity of life?

Are ‘Do not resuscitate’ orders illegal in most countries?

What is a living will?

I’ve heard of the Bolam principle but when I mentioned it to my lecturer I was told it was out of date. Could you explain please?

Why is counselling required before an HIV test can be done on a patient? We don’t counsel patients when we look for a tumour marker to diagnose cancer, which is often more serious for a patient.

As a junior doctor, I have to attend many multidisciplinary team meetings. I am concerned about the confidentiality of these meetings as they are attended by a diverse group of healthcare workers.

Is the role of the advocate in a medical interview to help the patient or the doctor?

We are always asked by our seniors to make sure that the patient has signed the consent form. Isn’t verbal consent enough? Also, for what procedures do I have to get consent, e.g. urinary catheterization in a patient with retention?

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