MindMap Gallery Medical ethics principles
Principles of medical ethics: The most basic medical ethics principles and requirements determined by the doctor's profession and that medical staff should consciously abide by are the fundamental guiding principles for adjusting various medical relationships and the most basic standard for measuring the level of medical ethics of medical staff.
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This infographic, created using EdrawMax, outlines the pivotal moments in African American history from 1619 to the present. It highlights significant events such as emancipation, key civil rights legislation, and notable achievements that have shaped the social and political landscape. The timeline serves as a visual representation of the struggle for equality and justice, emphasizing the resilience and contributions of African Americans throughout history.
This infographic, designed with EdrawMax, presents a detailed timeline of the evolution of voting rights and citizenship in the U.S. from 1870 to the present. It highlights key legislative milestones, court decisions, and societal changes that have expanded or challenged voting access. The timeline underscores the ongoing struggle for equality and the continuous efforts to secure voting rights for all citizens, reflecting the dynamic nature of democracy in America.
This infographic, created using EdrawMax, highlights the rich cultural heritage and outstanding contributions of African Americans. It covers key areas such as STEM innovations, literature and thought, global influence of music and arts, and historical preservation. The document showcases influential figures and institutions that have played pivotal roles in shaping science, medicine, literature, and public memory, underscoring the integral role of African American contributions to society.
Principles of medical ethics: The most basic medical ethics principles and requirements determined by the doctor's profession and that medical staff should consciously abide by are the fundamental guiding principles for adjusting various medical relationships and the most basic standard for measuring the level of medical ethics of medical staff.
Section 1 Guiding Principles of Medical Ethics
Guiding Principles of Chinese Traditional Medical Ethics Ambitious to help, universal and equal Guiding Principles of Contemporary Medical Ethics in my country Save lives and heal the wounded, prevent and treat diseases, practice socialist humanitarianism, and serve the people's physical and mental health wholeheartedly.
Principles of medical humanitarianism (core): Medical humanitarianism: Sympathy and care for patients shown in medical activities, especially in the doctor-patient relationship, respecting the patient's personality and rights, safeguarding the patient's interests, cherishing the value and quality of human life ethical thoughts and theories.
(1) The formation and development of medical humanitarianism
1. Ancient simple medical humanism Promote doctors to care, sympathize, and pity patients, and provide patients with the greatest help Confucianism: Benevolent people love others Mohism: universal love and mutual benefit "Huangdi Neijing": Medicine is the art of benevolence "Hippocratic Oath": No matter where I go, whether I meet men or women, nobles or slaves, my only purpose is to benefit the sick.
2. Medical humanitarianism in feudal society Representative figures: Zhang Zhongjing, Sun Simiao, Chen Shigong, etc. Zhang Zhongjing: The upper level is used to cure the illnesses of the king and relatives, and the lower level is used to save the poor and humble. Sun Simiao: To universally rescue the suffering of souls, patients should be treated equally
3. The formation and development of humanism after the Renaissance (1) Humanistic period (2) Humanitarian period (3) Humanistic period
4. The difference and connection between general humanitarianism and medical humanitarianism Contact: Medical humanitarianism is the specific embodiment and development of general humanitarianism in the medical field. Both emphasize respect for human dignity, value, rights and personality. Differences: (1) The applicable fields and scopes of the two are different: medical humanitarianism is applicable to medical practice, and general humanitarianism is applicable to the social field. (2) The two have different backgrounds: medical humanism emerged with the emergence of the medical profession, while general humanism emerged during the Middle Ages and Renaissance in the context of the bourgeoisie’s opposition to feudal autocracy and religious theology. (3) The goals pursued by the two are different (essential difference): the only goal pursued by medical humanitarianism is the moral goal (universal ethics), which is common, universal, and universal for all mankind; while the main pursuit of general humanitarianism is political Goal (political ethics), with class, particularity, and nationality
(2) Main contents of medical humanitarianism
1. Noble people (valuing people as valuable): Affirming the subject status of people, respecting personal will and rights, establishing the moral subject and laying the theoretical foundation for medical ethics. Confucianism: Human beings are precious between heaven and earth "Huang Di Nei Jing": The sky covers the earth, all things are prepared, nothing is more valuable than others
2. Zunsheng (respect life) Sun Simiao: Human life is as important as a thousand pieces of gold. "Huangdi Neijing": Human emotions are all about hating death and rejoicing in life Feuerbach: Life is man’s highest treasure, life itself is happiness
3. lover Care, understand, love and help patients. Confucius: A benevolent man, if he wants to establish himself, he can establish others; if he wants to achieve himself, he can help others. Mencius: I am an old person and I am an old person; a young person and I am a young person and I am an old person. Fan Zhongyan: Worry first when the world is worried, then rejoice when the world is happy
The principle of serving the people wholeheartedly
(1) Service is the fundamental attribute of the medical industry It is the basis and essential characteristic of the medical profession that medical personnel serve the people's physical and mental health wholeheartedly. It is the highest requirement and ideal personality in the basic principles of medical ethics. Serving people's physical and mental health is the core content of medical ethics.
(2) Service content and its inferences 1. Service objects come first 2. Study medicine intensively and develop medicine
principle of fairness and justice
(1) What is justice? Justice is the act of giving people what they deserve, that is, the behavior that the object of the action deserves, and the behavior of giving people what they deserve and not giving people what they don't deserve.
(2) Concept of justice
1. Egalitarian view of justice "Equal equality between rich and poor, equality between high and low", "Killing all will not equal the peace", "Don't worry about the scarcity but the inequality", either the rich or the poor. It takes harmony and unity as its value orientation, but suppresses the advancement of the strong. and pioneering.
2. Retributivist view of justice He advocated "life for life, eye for eye, tooth for tooth, hand for hand", "I will not offend others unless they offend me, but if they offend me, I will offend them." This view of justice pays attention to human dignity, but is prone to indiscriminate revenge and causes more and greater injustice and harm.
3. Hierarchical view of justice It is believed that life is destined and wealth is in heaven. We should abide by the hierarchy of superiority and inferiority, and everyone should be in their proper place. They are not allowed to resist, and tend to be stable and peaceful, but at the expense of the interests of the oppressed class.
4. Utilitarian view of justice It advocated rewards based on merit, distribution according to work, those who did not work did not get food, focused on efficiency and interests, and ignored the personal dignity of the weak.
5. Humanitarian justice concept It is believed that people are born equal, and everyone should equally enjoy political, economic, employment, education, medical and health rights, affirming people's value and happiness, and helping to protect the weak. Humanitarian justice is the best choice for medical ethics.
(3) Treat equality correctly
1. Concept of equality Equality is the similarity between people related to the acquisition of benefits; inequality is the difference between people related to the acquisition of benefits. Identity: The benefits obtained are the same; the sources of benefits obtained are the same.
2. Specific principles of equality (1) Egalitarian view of equality: Focusing on equality of end points and distribution, and ignoring equality of starting points and opportunities; it is beneficial to social stability, but it can easily lead to a situation where everyone eats from one big pot. (2) The liberal concept of equality: focuses on equal rights and opportunities, advocates that everyone has an equal starting point for competition, and acquiesces to the inequality of the end point; it is conducive to stimulating individual enthusiasm, but not conducive to social stability. (3) Marxist concept of equality: It not only advocates equality of rights and opportunities, advocates an equal starting point for competition, but also advocates equality in process and distribution, jointly abide by the rules of the game, and opposes polarization.
3. The connotation of equality in medical ethics Equal treatment equal treatment
Optimization principles
(1) Overall optimization
1. Comprehensive inspection of service objects in their environment Diagnosis and treatment of patients should take into account their environmental background (natural environment and social environment) Diagnosis and treatment of diseases must protect the environment When diagnosing and treating diseases, the patient’s living environment must be considered
2. Consider the service recipient as a whole
3. View disease and service needs from a holistic perspective
(2) The greatest good result—active optimization Choose the greatest of all good things - the greatest good result: the ethical value orientation of choosing the medical plan or measure with the largest positive value among several non-negative value medical plans or service measures to achieve the best result among several good results. Choose the medical solution with the best curative effect, fastest recovery, least pain, lowest risk, smallest side damage, and the most economical and convenient option.
(3) Minimum evil consequences - negative optimization Choosing the smallest of all evils—minimizing the evil consequences: Among several negative-value medical plans or service measures, after comprehensively weighing the pros and cons, choose the medical plan or service measure with the smallest negative value. This is called choosing the smallest of all evils.
Section 2 Basic Principles of Medical Ethics American scholars Beauchamp and Charles have four principles of bioethics: Principle of autonomy, principle of non-maleficence, principle of beneficence, principle of justice my country has modified it to: Principle of respect, principle of non-harm, principle of benefit, principle of justice
1. Respect the principle Medical staff respect the ethical principle of patients, which recognizes that patients have dignity and rights as human beings. For patients with autonomy, any medical behavior that involves their interests should be performed with the patient's permission in advance. The realization of respect is a necessary condition for protecting the fundamental rights and interests of patients and establishing a harmonious doctor-patient relationship. (1) Respect the patient’s life and quality of life (2) Respect the patient’s personality and dignity (3) Respect patient privacy (4) Respect the patient’s autonomy
2. The principle of do no harm In the medical field, it means that medical personnel do not cause undue harm to the patient's body and mind throughout the entire medical behavior. The principle of do no harm is the bottom line principle and the most basic requirement for medical personnel. ①Intentional harm and unintentional harm ② Known damage and unknowable damage ③Controllable damage and uncontrollable damage ④Responsible injuries and non-responsible injuries
3. Benefit Principle Put the health of patients first and truly seek their interests ethical principles. Doing no harm is the minimum requirement and embodiment of the beneficial principle. Low level - do not harm the patient High level – for the benefit of patients.
4. Principle of justice Rawls' principles of justice
The first principle of justice: the principle of equal freedom Everyone shall have an equal right to a system of liberties corresponding to the most extensive and equal system of fundamental liberties available to all ① Complete equality of basic health rights ② Reasonable differences in non-basic health rights
The second principle of justice: the difference principle Social and economic inequalities should be arranged in such a way that, consistent with the principles of justice, they are adapted to the greatest interests of the least favored (the difference principle), and that positions and status are distributed to all under conditions of fair and equal opportunity. Openness to people (the principle of fair and equal opportunities) Justice includes substantive justice and procedural justice Substantive justice: focus on fair results Procedural justice: the principles and processes of distribution, focusing on the fairness of processes and rules Substantive fairness is the purpose and basis of procedural fairness, and procedural fairness is a necessary condition for achieving substantive fairness.
Section 3 Basic Principles of Medical Ethics
1. Overview of the basic principles of medical ethics: The basic principles of medical ethics refer to the specific medical ethics norms that constitute the main part of the medical ethics normative system. The code of medical ethics is the specific embodiment and supplement of medical ethics principles. It is formulated based on certain medical ethics theories and principles. It is a code of professional conduct that medical personnel should abide by in specific and typical medical situations. It is used to adjust various specific practices in medical practice. Interpersonal relationships and direct evaluation of medical behavior are the main criteria for good and evil.
2. Analysis of the basic principles of medical ethics (1) People-oriented, saving lives and healing the wounded (2) Rigorous and realistic, striving for excellence (3) Treat patients equally and treat all patients equally. (4) Be honest and trustworthy, and keep medical confidentiality. (5) Respect and learn from each other, unite and cooperate (6) Be willing to contribute and be enthusiastic about public welfare (7) Practice medicine with integrity, abide by disciplines and laws (8) Behave steadily and be civilized in words and deeds