Tag Archives: ethics

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

To do or not to do?

Does it need to be done now? If deferred is the outcome likely to be different/better/worse/the same?

If surgically patient needs to be done but needs a level x bed and none available – if on balance the surgeons agree that, though not ideal and increased chance of mobility/mortality without higher level is recognised, if the outcome is still likely to be better than if deferring – proceed.