What are the foreseeable consequences of your decision? Can you justify this decision
Professionalism
5.
What are the foreseeable consequences of your decision? Can you justify this decision to accommodate: the patient or the patient’s family value; to your consultant; and to your
peers?
Vignette 3 Tony is 35 years old and is married. He has had unprotected sex with prostitutes on 2
occasions. Although he is asymptomatic, he becomes anxious about the possibility of having contracted a venereal disease and consults his physician. After conducting a
thorough physical examination and providing appropriate counselling, Tony’s physician orders a number of tests. The only positive result is for the HIV blood test. The physician
offers to meet with Tony and his wife to assist with the disclosure of this information, but Tony states that he does not want his wife to know about his condition.
Assignments: 1. What is the ethical issue in this case?
2. What are the principles of biomedical ethics which can be implied in this case? 3. Should the doctor disclosed this information to his wife? Explain your arguments based
on prima facie duties, the principle of confidentiality, ethical theory, KODEKI, and legal aspect
4.
What are the foreseeable consequences of your decision? Can you justify this decision to accommodate: the patient or the patient’s family value; to your consultant; and to your
peers? 5. Does it make any difference if the Tony’s diagnosis is not HIV? Explain
Vignette 4 A 75-year-old woman shows signs of abuse that appears to be inflicted by her husband. As
he is her primary caregiver, she feels dependent on him and pleads with you not to say anything about it.
Assignments:
1. What is the ethical issue in this case? 2. What are the principles of biomedical ethics which can be implied in this case?
3. Should you report this case to the police? Explain your arguments based on prima facie duties, the principle of confidentiality, ethical theory, KODEKI, and legal aspect
4. What are the foreseeable consequences of your decision? Can you justify this decision
to accommodate: the patient or the patient’s family value; to your consultant; and to your peers?
5. If you are asked to testify and disclose patient information in court, what would you do?