The Four Horsemen of The Four Horsemen of EthicsEthics

Andrea, Annica, Brent and Andrea, Annica, Brent and SuhbaSuhba

April 2006April 2006

AimsAims

• Familiarity with 4 different ethical Familiarity with 4 different ethical modelsmodels

• Practice through examplesPractice through examples

• Draw together with conclusionsDraw together with conclusions

Why Ethics ?Why Ethics ?

• Exam preparation – oralExam preparation – oral

• Life experiences and dilemmasLife experiences and dilemmas

Four Ethical ModelsFour Ethical Models

• The Four PrinciplesThe Four Principles – – Beauchamp and ChildressBeauchamp and Childress

AutonomyAutonomy

BeneficenceBeneficence

Non maleficenceNon maleficence

JusticeJustice

The Jonsen FrameworkThe Jonsen Framework

• Indications for medical interventionIndications for medical intervention

• Preferences of patientPreferences of patient

• Quality of lifeQuality of life

• Contextual featuresContextual features

Modified version of Modified version of Pelligrino MethodPelligrino Method

• Relevant clinical and other factsRelevant clinical and other facts

• Appropriate decision making processAppropriate decision making process

• Available optionsAvailable options

• Features of each optionFeatures of each option

• Law issuesLaw issues

• Moral arguments Moral arguments

• Counter-argumentsCounter-arguments

• DecisionDecision

Schneider and SnellSchneider and Snell

• My core beliefsMy core beliefs

• How have I acted in the pastHow have I acted in the past

• Opinions of othersOpinions of others

• Experience of othersExperience of others

Small Group WorkSmall Group Work