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UNIT 5:

AUTONOMY AND INDIVIDUAL RESPONSIBILITY

 

OUTLINE OF THE SYLLABUS

1. The concepts of autonomy and responsibility

a. Autonomy:
   i. Different levels (and notions) of autonomy.
   ii. Kantian and utilitarian approaches to autonomy.
b. Responsibility: its different aspects and dual nature.
c. Mutual correlation of autonomy and responsibility in ethics.

2. Collaborative character of decision making in medicine

a. Autonomy and patient’s right to self-determination in treatment.
i. Autonomy and paternalism.
ii. Autonomy as a right and an obligation.
b. The patient’s right to refuse a healthcare provider’s recommendation.
c. Special measures for protecting the rights and interests of socially and mentally disabled patients.

3. Patient autonomy and responsibilities in healthcare. The range of patient responsibilities

a. Evaluation of patient's self abilities to self-motivation and self-control.

 
FILM: The Sea Inside / (A. Amenabar, 2004)

Synopsis
Life story of Spaniard Ramón Sampedro, who fought a 30-year campaign to win the right to end his life with dignity. Despite his wish to die, Ramón taught everyone he encountered the meaning, value and preciousness of life.


Ethical Issues
The right to die with dignity. Responsibility degrees – among doctors, nurses, family and community – in a crucial issue of our time.