Medical Technology Ethics Ethical problems associated with medical practices and bioscience fall within the scope of medical technology ethics. Ethics does not only deal with patient-physician relationships from a moral point of view, but extends to social issues related to health, animal welfare, and environmental concerns. Types of Ethics 1. General Ethics – this type of ethics presents truths about human acts, from which the general principle of morality is deduced. 2. Special Ethics – this involves the application of the principles of general ethics in different departments of human activity both at the individual and social levels. 3. Professional Ethics – branch of moral science that deals with how and what a professional should or should not do in the workplace. A professional has obligations to his profession, to the public, and to his or her clients. Moral issues may sometimes arise in the workplace. Knowledge on professional ethics can guide staff in analyzing assumptions and arriving at ethical decisions. Code of Professional Ethics The objectives of professional ethics are as follows: Perform duties and responsibilities objectively in accordance with relevant standards and guidelines Serve in a lawful and honest manner, while maintaining high standards of conduct and character and not engage in acts discreditable to the profession. Maintain privacy and confidentiality of information obtained in the course of duty unless disclosure is required by a legal authority. Such information should not be used for personal benefit or released to inappropriate parties. Maintain competency in respective fields and agree to undertake only those activities which one can reasonably expect to complete with professional competence. Perform tasks with full confidence, absolute reliability, and accuracy. Be dedicated to the use of clinical laboratory science to promote life and for the benefit of mankind. Board of Medical Technology Code of Ethics As I enter into the practice of Medical Technology, I shall accept the responsibilities inherent to being a professional; uphold the law and shall not engage in illegal work nor cooperate with anyone so engaged; avoid associating or being identified with any enterprise of questionable character; work and act in a strict spirit of fairness to employer, clients, contractors, employees and in a spirit of personal helpfulness and fraternity toward other members of the profession; Use only honorable means of competition for professional employment or services and shall refrain form unfairly injuring, directly or indirectly, the professional reputation, projects or business of a fellow medical technologist; accept employment from more than one employer only when there in no conflict of interest; perform professional work in a manner that merits full confidence and trust carried out with absolute reliability, accuracy, fairness and honesty; review the professional work of other medical technologists, when requested, fairly and in confidence whether they are subordinates or employees, authors of proposals for grants or contracts, authors of technical papers or other publications or involved in litigation; advance the profession by exchanging general information and experience with fellow medical technologists and other professionals and by contributing to the work of professional organizations; restrict my praises, criticisms, views and opinions within constructive limits and shall not use the knowledge I know for selfish ends; I shall treat any information I acquired about individuals in the course of my work as strictly confidential, and may be divulged only to authorized persons or entities or with consent of the individual when necessary; report any infractions of these principles of professional conduct to the authorities responsible of enforcement of applicable laws or regulations, or to the Ethics Committee of the Philippine Association of Medical Technologists as may be appropriate. To these principles, I hereby subscribe and pledge to conduct myself at all times in a manner befitting the dignity of my profession. and personal lives. Medical professionals have to deal with daily ethical dilemma in clinical settings because the community relies on critical decisions made in time, which sometimes have far-reaching consequences. Moral Principles in Medical Technology Ethics Medical Ethics This is a field of applied ethics that studies moral values and judgements as they apply to medicine. Medical ethics are a set of norms, values, and principles that serve as guidelines for medical practitioners such as physicians, nurses, medical technologists and other associated professionals in making decisions in clinical settings. Medical ethics can affect the well-being of patients and even the medical practitioner’s professional Autonomy – this principle dictates that the patient has the right to refuse or choose their treatment. Beneficence – this principle indicates that a practitioner should act in the best interest of the patient. Nonmaleficence – this principle provides that evil or harm should not be inflicted either on oneself or on others. Justice – this principle is concerned with the distribution of scarce health resources and the decision on who gets what treatment in terms of fairness and equality. Respect for dignity – this principle provides for all the necessary means of care, high regard for the person or the patient, and needed information to make a relevant decision. Truthfulness and Honesty – this is simply the dedication of a person to his job and is reflective of being honest and concerned. Stewardship – this principle refers to the expression of one’s responsibility to nurture and cultivate what has been entrusted to him. Values of a Medical Technologist The values of an employee are important to keep order within the workplace. A code of conduct which defines the expected behavior of an employee, is set within the workplace. In a professional setting, values and ethics serve as the foundation of an organization. Ethical School of thought Virtue Ethics - is currently one of three major approaches in normative ethics. It may, initially, be identified as the one that emphasizes the virtues, or moral character. 2. Deontology - defined as an ethical theory that the morality of an action should be based on whether that action itself is right or wrong under a series of rules, rather than based on the consequences of the action. Teleology - The explanation of phenomena in terms of the purpose they serve rather than of the cause by which they arise. century denoting the branch of philosophy that deals with ends or final causes. Postmodernism - a late 20th-century movement characterized by broad skepticism, subjectivism, or relativism; a general suspicion of reason; and an acute sensitivity to the role of ideology in asserting and maintaining political and economic power 3. 4. Human Existence of Ethics Humans are born with many undifferentiated potentials. They have the innate capacity to acquire ethical beliefs, but the value system that they develop is dependent upon the cultural framework in which they live. Also, they have an innate capacity to become a truly ethical being and to conform to some universal principles of mutual cooperation and altruism. Moral Issues and Ethical Considerations 1. Stem cells 5. There is an ongoing debate about the ethics of embryonic stem cell therapy because the isolation of embryonic stem cells requires the destruction of the embryo which some people would consider as living. Creating and killing embryos for instrumental use is seriously and morally wrong with this view. Euthanasia Practice of euthanasia in the opponent results in mercy killing even it is against the will of the patient, supporters of euthanasia believe in the right of terminally ill person to avoid excruciating pain and to have dignified death. Cloning In the process of isolating the embryonic stem cells, the embryo is sometimes destroyed. Some have denied that there is a moral difference between using surplus embryos in in vitro fertilization (IVF) and cloned embryos. In their opinion, if killing is wrong, then it is wrong regardless of the embryo’s origin. Artificial Birth control Pro life movements argues that the use of artificial birth control is a deliberate attempt to suppress the natural outcome of a sexual act which is procreation. Contraceptives oppose the traditional church teachings wherein the purpose of sexual intercourse within the context of marriage is for procreation and not for sexual pleasure and are viewed as a form of abortion because it kills future babies. Organ Transplants and Blood donation. Reasons for Donation and Ethical Issues Living Related Donors – such individuals donate to family members/friends in whom they have an emotional investment. Paired Exchange – also known as organ swap involving two organ recipients who swap willing donors. Good Samaritan – or altruistic donation is a gift of an organ or blood to someone not known to the donor. Compensated Donation – the donor receives money in exchange of the donated organ. Allocation of Donated Organs – donated organs should be allocated in a fair and unbiased manner, depending on the need of the patient and the closeness of the match between the donor and recipient. Forced donation – individuals in custody or detention are not in the position to give free consent to donate their organ. The members of their immediate family can decide on the organ donation. Involuntary or forced organ harvesting is illegal. References: Suba, S. et al. 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