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Health professionals have to reconcile the general presumption against telling lies with these other principles of medical ethics. While healthcare professionals are as concerned to tell the truth as any other group of people, there are cases where the principles of medical ethics can conflict with the presumption against lying.
The fundamental principles of medical ethics are:
Telling the truth is not an explicitly stated principle of most systems of medical ethics, but it is clearly implied by the principle of respect for autonomy - if a patient is lied to, they can't make a reasoned and informed choice, because they don't have the information they need to do so.Respect for patient autonomy is particularly important in the case of people who are terminally ill, as they are likely to be particularly vulnerable to manipulation of the truth.
So why might healthcare professionals want to lie 'for the good of patients', and what are the arguments against this sort of lying?
Healthcare professionals must tell the truth and make sure that the patient understands it properly when they are obtaining the patient's consent to a procedure or treatment.If the patient is not told the truth they cannot give 'informed consent' to the proposed course of action.A patient can only give informed consent if they know such things as the truth about their illness, what form the treatment will take, how it will benefit them, the probabilities of the possible outcomes, what they will experience during and after the treatment, the risks and side-effects, and the qualifications and track-record of those involved in the treatment.There is also evidence that patients do better after treatment if they have a full understanding of both the treatment and the illness, and have been allowed to take some participation and control of the course of their treatment.
By: Mona Kaushal ProfileResourcesReport error
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