Teaching how to make ethical decisions

Teaching how to make ethical decision – a framework and balancing toolkit

M make sure of all the fact e.g. diagnosis, treatment options, prognosis
O outcome of
R relevance to the
A agents involved    e.g. what matters most to the patient (>family>other patients>staff>NHS) e.g. mortality, pain, distress, cognition, independence

L level out the arguments using the

Balancing Box

AUTONOMY      NON-MALEFICENCE

BENEFICENCE  JUSTICE

Futility = when holistic goals are non-acheivable

From Dan Harvey’s presentation at MTCCN conference

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