For example, a patient who quadruplets may not know what exactly her values are in the beginning (whether to secure her own life or that of her 4 embryos). The doctor works with her to discover and develop her values, and presents carefully selected medical information to her. After discussion, they make a decision on preserving the embryos. (For teachers’ reference) What are the models of patient-doctor relationship for the 2 cases above? The case of Michael Jackson: Informative Model The case of Deliberative Model Evaluate the doctors’ performances in the following aspects in both cases: Dr Murray Dr Martha (in the case of Michael Jackson) (in the case of Nadia) Promoting The patient’s well-being was The patient’s was Patient’s not fully considered. Dr Murray well-addressed. Not only the well-being overdosed the patient with patient’s own physical condition Demerol regardless of his was considered, but her physical condition, which religious values, psychological caused his sudden death. health and even her husband’s views were also addressed. Respect for The patient’s autonomy The patient’s autonomy and the autonomy outweighed the doctor’s doctor’s professional judgment professional judgment in this were well-balanced. The doctor case. As per the patient’s facilitated the patient and her request, Dr Murray injected him family to express their views; with a huge dosage of Demerol. while the doctor provided professional advice based on their values to come up with a mutually agreed medical plan. Informed Although the doctor did tell the The doctor told the patient consent patient that the dosage he gave about the details of the medical him put an elephant to procedures and the possible ‘would sleep’, the warning of its risks before she made the fatalness was not explicit. decision.
For example, a patient who quadruplets may not know what exactly her values are in the beginning (whether to secure her own life or that of her 4 embryos). The doctor works with her to discover and develop her values, and presents carefully selected medical information to her. After discussion, they make a decision on preserving the embryos. (For teachers’ reference) What are the models of patient-doctor relationship for the 2 cases above? The case of Michael Jackson: Informative Model The case of Deliberative Model Evaluate the doctors’ performances in the following aspects in both cases: Dr Murray (in the case of Michael Jackson) Dr Martha (in the case of Nadia) Promoting Patient’s well-being The patient’s well-being was not fully considered. Dr Murray overdosed the patient with Demerol regardless of his physical condition, which caused his sudden death. The patient’s was well-addressed. Not only the patient’s own physical condition was considered, but her religious values, psychological health and even her husband’s views were also addressed. Respect for autonomy The patient’s autonomy outweighed the doctor’s professional judgment in this case. As per the patient’s request, Dr Murray injected him with a huge dosage of Demerol. The patient’s autonomy and the doctor’s professional judgment were well-balanced. The doctor facilitated the patient and her family to express their views; while the doctor provided professional advice based on their values to come up with a mutually agreed medical plan. Informed consent Although the doctor did tell the patient that the dosage he gave him ‘would put an elephant to sleep’, the warning of its fatalness was not explicit. The doctor told the patient about the details of the medical procedures and the possible risks before she made the decision.
Bioethics_CH1_Eng.docx