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Transcript of Fidelity-BIOETHICS.
of being faithful or loyal. we should be faithful to our duties,
obligations, vows, or pledges. Refers to one's loyalty to a worthy cause, telling the truth, keeping actual and implict promises and not representing fiction as truth. Treachery, deception, hypocrisy, trickery,
double-dealing, insincerity, betrayal, lying,
duplicity, cunning or craftiness Are the infractions of fidelity The Ethics of Promises The Implications of Fidelity . Five expectations associated with what patients might reasonably expect in terms of fidelity in the health care context: That you treat them with basic respect.
That you, the caregiver or other health care professional, are competent and capable of performing the duties required of your professional role.
That you adhere to a professional code of ethics.
That you follow the policies and procedures of your organization and applicable laws.
That you will honor agreements made with the patient. Conflicts with loyalty to the profession
as a whole or loyalty to the patient. Many of the professional codes require
reporting of incompetent or dishonest practices. Dishonesty Lack of Confidence This seems consistent with serving
the welfare of patients as well as showing loyalty to the profession. However, we also expected in life to be loyal to our friends and collegues. That's All, Thank you :) With promise, comes with a resposibility
by making it confidential. Principle of Confidentiality The principle of confidentiality is founded in the Hippocratic Oath; it was later reiterated by the World Health Association in 1948. It obliges health care providers to "respect the secrets which are confided even after the patient has died." As with the other axioms of ethics, confidentiality must often be balanced against other principles, such as beneficence. A classic confidentiality case involved a young man who had voluntarily visited an outpatient psychiatric unit for evaluation.
During his time with the psychologist, he related that he was planning to kill a certain young woman. Although the psychologist briefly had the patient detained, the young man appeared quite normal and demanded to be released.
Given the voluntary nature of the man's visit and his otherwise normal behavior, he was released. The psychologist's decision not to hold the patient or to warn the woman was based on confidentiality. The tragedy of this case is that the patient did go on to kill the young woman. When the parents of the murdered woman learned that the psychologist and security officers had been aware of the threat to their daughter's life but had made no effort to warn her of the potential harm, they sued. The court ruled for the parents, stating that the obligation to the innocent party outweighed the obligation to maintain patient confidentiality. Confidentiality is usually considered a qualified, rather than an absolute, ethical principle in most health care provider-patient relationships. These qualifications are often written into codes of ethics. A physician may not reveal the confidences entrusted to him in the course of medical attendance or the deficiencies he may observe in the character of patients, unless he is required to do so by law or unless it becomes necessary in order to protect the welfare of the community or a vulnerable individual." breaches of confidentiality are more often due to careless slips of the tongue than to rational decision making. Such social trading in gossip about patients is unprofessional, unethical, and in certain cases, illegal. Health professionals would do well
to adhere to the dictum found in
the Hippocratic Oath: "What I may see or hear in the course of the treatment or even outside of treatment of the patient in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things to be shameful to be spoken about." How are you loyal to the society?