1. THE FIDUCIARY RELATIONSHIP
FOSTERING TRUST

2. THE NATURE OF THE RELATIONSHIP
THE FIDUCIARY RELATIONSHIP IN THE HEALTHCARE SETTING IS ONE OF MUTUAL TRUST IN WHICH THE BENEFICIARY TRUSTS THE FIDUCIARY TO PROVIDE APPROPRIATE AND COMPETENT SERVICE AND THE FIDUCIARY TRUSTS THE BENEFICIARY TO HAVE THE CAPACITY AND INTEREST IN BEING A MEANINGFUL PARTICIPANT IN THE THERAPEUTIC RELATIONSHIP.

3. RESPECT AND TRUST RESPONSIBILITY FOR WELFARE OF THE OTHER MUTUAL TRUST
CAREGIVER TRUSTS PATIENT
EMPOWERING BY GIVING INFORMATION
PATIENT TRUSTS CAREGIVER
EMPOWERING BY CONSENT
MUTUAL RESPECT
AUTONOMY OF PATIENT
INTEGRITY OF CAREGIVER

4. SPECIAL PROBLEMS MEDICAL UNCERTAINTIES MEDICAL PROBABILITIES
HOW TO COMMUNICATE THE UNCERTAINTITES OF MEDICINE WITHOUT UNDERMINING THE PATIENT’S TRUST IN THE HEALING POWER OF THE PHYSICIAN AND HIS/HER DEDICATION TO CARE
MEDICAL PROBABILITIES
HOW TO MANAGE MEDICAL PROBABILITIES AND INVOLVE PATIENTS IN ASSESSING PROBABILITIES, TAKING RESPONSIBILITY FOR WEIGHING THEM, AND TOLERATE THE RISKS OF THEIR MANAGEMENT