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THERE SHOULD BE
Systematic application of values
concerning the practice of medicine.
What
are the
components of
medical ethics?
COMPONENTS OF MEDICAL ETHICS
First do no harm
1. Oral
2. Written
What do you mean by
the term Informed
Written Consent.?
INFORMED CONSENT
An unconscious patient
A mentally subnormal or
abnormal
INFAMOUS CONDUCT
Abuse of alcohol.
May warn several times.
If the offence is repeated suspension or
erasure.
Drunken driving.
Drunk and treating (Also may constitute to
criminal negligence)
Drunk and misbehaviour
ADULTORY.
Cannot advertise.
Name boards must be in the prescribed size.
No leaflets banners.
Things change some countries have allowed GPs
to advertise to certain extent.
But not to the specialists.
They only can give information to the GPs.
ASSOCIATION.
Medical fees
Extra duty payments
Travelling
Other expenses
FORCE
Failure to exercise a
reasonable degree of skill and
care in the management of a
patient by an act of omission or
by an act of commission
The liability of medical negligence
is mainly under the civil law.
The plaintiff will ask for
compensation.
It is considered criminal when the
doctor has been grossly negligent
as to have no regards to the life
of
the patient.
What is criminal
negligence?
Prosecution is done by the state.
Knowledge
Facilities available
Circumstances .
What is Doctor Patient
Relationship.?
Extremely easy to start. (E.g. in
OPD
when enters the room.)
No need to formally accept the
patient. (E.g. Emergency, Good
samatarion)
No need to treat the patient.
(E. g.
Advice)
No need the patient to be
aware.
When a doctor examines a
patient for any reason other
than providing advice and
treatment there is no Doctor
Patient Relationship.
e. g. medico legal
examination/examination for
insurance / disability/
drunkenness.
But if any harm done during
WHAT IS BOLAM
TEST?
Bolam Test after a case in
1957.
A doctor is not guilty of
negligence if he has acted in
accordance with a practise
accepted as proper by a
responsible body of medical
men skilled in that particular
art
WHAT ARE THE
DAMAGES THAT CAN BE
SUFFERED BY THE
PATIENT IN A CASE OF
MEDICAL NEGLIGENCE?
1.Loss of earnings
Special treatment
Food/schooling
3. Reduction in expectation
of life.
4. Reduced
Loss enjoyment of
of a limb/eye/ear
life.
5. Reduced physical ability
Sexual ability/marriage
Child bearing
6. Pain and suffering
7. Death.
How can a doctor
Breach the Doctor
Patient Relationship ?
1.Failure to make an accurate
diagnosis.
Appendicitis/ MI/Fracture
Diathermy
Hot water bottles
Catheters
Injections.
Negligence
The patient is also responsible.
Denial of negligence