PHLB09H3 Lecture Notes - Lecture 3: Primum Non Nocere, Paradigm Shift, Lifesaving

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Last time we left off with a question. Principles of biomedical ethics: respect for autonomy, beneficence, nonmaleficence, justice. The ability to make one"s own choices in light of one"s own values. The principle of respect for autonomy emphasizes that we respect this capacity in all human beings. Treats autonomy of all persons as a fundamental value. Places constraints on legitimate interferences with patient decision making. Paternalism is the policy or practise on the part of the people in positions of authority of restricting the freedom and responsibility of those dependent on them in their supposed interest. Sometimes we can distinguish between strong and weak paternalism. Example: the canadian government makes it mandatory to wear seatbelts while in cars. There must be a good reason why it can be justified. Weak paternalism: the interference on an individual"s decision making process on the basis that they are not capable to make the decision.

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