The Ethical Framework

Study Sessions

Defines ‘Ethics’ and ‘Healthcare Ethics’ and distinguishes ethics from other perspectives such as the law and professional codes.

Examines one case study from the west of Ireland that highlights some of the challenges involved in breaking bad news when a family member is worried about its impact. Presents arguments for, and arguments against, breaking bad news.

Considers the way in which the law understands patients’ rights and tries to protect them. Examines an Irish case that involved the withholding of artificial nutrition and hydration from a woman who had been in a persistent vegetative state for many years.

Explores what is involved in respecting patient autonomy. Looks at a UK case that draws attention to the issue of patient capacity and the process of informed consent in making decisions about treatment and care.

Looks at some of the ethical issues that arise in relation to the management of children’s pain. Examines one case involving the care of a dying four-year-old girl that focuses on the need for good communication with patients’ families.

Takes a critical look at the ethics involved in recording a Do Not Attempt Resuscitation (DNAR) order on a patient’s chart. Examines one case where the religious beliefs of the family played a significant role.

Explains the importance of patient confidentiality and considers the extent to which it should be maintained after the patient has died. Considers one Irish case that came to the attention of the Information Commissioner.

Looks at the role of clinical ethics committees and ethical consultants in healthcare settings. Considers a case involving the, possibly, ‘futile’ care of a premature neonate and offers some processes to support ethical decision-making that have been used in clinical practice in the UK and the US.