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Essay on medical ethics
Essay on medical ethics
Patients and physicians differing ethics
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Act Utilitarian
The act utilitarian believes that an action is right if the results are good or wrong if the results are bad. A person who believes in the rule of utilitarianism will judge the doctors based on the results. An example is if the experiment is a success and the cure of cancer is found then, it is a correct. On the other hand, if the experiment fails, the action would be judged as wrong, since no good has come out of it .This will not only paralyze the patient’s health, but the hospital will also have to face punishment due to their unethical behavior (Shafer-Landau, 2014). The fact that the hospital acted in an irrational way it has to be judged as an act of that lacks human decency.
Act utilitarianism is also based on utility.
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One is which rule will he be following or breaking if he carried on with certain action. In this case, the doctors were breaking medical rules concerning patients. The other question would be if the rule was followed would it result in happiness. The doctors following the rule of injecting the patients without their consent would not be a pleasing thing. This will help determine that it is a wrongful action. In another case maybe, if the rule was followed it would lead to maximum happiness since perhaps the cure for cancer would be found. It is then, worth noting that for an action to be perceived as a rightful one it has to follow both rules, not just one. A person following the utilitarian rule would thus, be against the hospital’s action (Shafer-Landau …show more content…
This principal is based on a maxim. A maxim refers to the reason one does something and the act that has been done. Maxim states that an action is either right or wrong based on the reason for doing it. In relation to the maxim, the doctor’s actions are considered right. The doctors argue that they did so in an attempt to find a cure for cancer and because the patients would not agree to the experiment. In addition, the principle of universalizability disagrees with maxim and sees this as a wrong act (Shafer-Landau 2014). This principle argues that before attempting an action one should ask what would the world be if everyone world acted in a similar manner. The answer would definitely be that the world would be a nightmare and this answer would perceive it as the wrong action. Another factor is morality and rationality principle would also judge these actions as rightful action. The doctors have appeared to be among the moralist, people who know what is right or wrong but do not care about rightfulness at all. The hospital can be said to have hypothetical imperatives because they have done what suits them best. Injecting the patients with cancer cells so as to experiment their ideas. They also might care or not maybe have a little empathy but still, go on to do so thus they are categorically imperative people. This terms used to describe doctors can be used to illustrate
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
The one example of this that I found most relevant in the book is the situation of Armando. Armando was shot and the bullet lodged in the spinal canal. It caused enough damage to make him a paraplegic, but not enough to kill him. The ethics committee had decided that it was best to encompass a DNR because he had no health insurance, and his quality of life was not what it was before. When the doctors went to approve this with Armando, he denied the DNR and said that he wanted what ever was necessary to be done to him to save his life (Belkin p. 58-59). This made Cindy worried for the cost of keeping him alive was substantial. All the doctors and caretakers believed that he should be placed under DNR, however that was not what Armando wanted. The doctors believed that was the wrong decision. This correlates to what the quote was from the book on page 70; doctors can tend to be narrow-minded when it comes to the care of a patient. They believe that their course of action is the best and do not agree if the patient wants something different. This I have found is also true in my own personal experience with doctors. For example, when I was about 17 my wisdom teeth were growing in. I was in terrible pan from two of my wisdom teeth being impacted. My
Utilitarianism is an example of Consequentialist Ethics, where the morality of an action is determined by its accomplishing its desired results. In both scenarios the desired result was to save the lives of thousands of people in the community. Therefore, a Utilitarian would say that the actions taken in both of the scenarios are moral. Since an (Act) Utilitarian believes that actions should be judged according to the results it achieves. Happiness should not be simply one's own, but that of the greatest number. In both scenarios, the end result saved the lives of 5,000 members of the community. The end result is the only concern and to what extreme is taken to reach this result is of no matter. In these instances the things that are lost are an Inmates religious beliefs or a mothers fetus, on the other hand Thousands of citizens were saved from dying from this disease.
Slosar, J. P. (2004). Ethical decisions in health care. Health Progress. pp. 38-43. Retrieved from http://www.chausa.org/publications/health-progress/article/january-february-2004/ethical-decisions-in-health-care
In the medical ethics case study given to me, Justin is new nurse at a hospital and has become great help to the other employees but he makes mistakes often. When it comes to medical ethics, it is important to do what you know is morally correct. We all want to be good Christians and make the right decisions but sometimes those decisions will affect others negatively. We may not always act how we ought to but those decisions do affect who we are.
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
The case under study is of the surgeon who has to decide killing of a normal, but unjust person for the sake of saving five sick people. An act utilitarian in this case would be considering every probable consequences of sacrificing the sixth normal patient while on the other hand, a rule utilitarian will possibly look for the consequences associated with performing such an operation every time a situation like thos would arise. One of the potential rules would claim that: whenever any surgeon can kill one healthy person for the basic purpose of transplanting his organs to save more than one person who actually needs them, then he can surely do it.
Ethical principles in healthcare are significant to the building blocks of mortality. The principles are beneficence, autonomy, justice, and nonmaleficence. Although these principles can be certainly followed they can also be disregarded. Beneficence is a theory that assures each procedure given is entirely beneficial to that patient to help them advance within their own good. For example, There was a young girl, the age of 17. She had been being treated at a small private practice since she was born. She was recently diagnosed with lymphoma and was only given a few more years to live. Her doctors at the private practice who had been seeing her for years were very attached to her and wanted to grant this dying girl her every wish. They promised
Doctors have to go through many years of studying and many more hours of practicing on people. These qualities make any doctor seem god-like to the eyes of everyday people. Doctors are trusted blindly and people are led to believe that doctors are always honest. In the story, The Use of Force by William Carlos Williams, the parents of Matilda question the tactics the doctor is using to properly diagnose the girl but trust that the doctor knows what he is doing and lets him use force anyway. These cases are seen all over the world as well. There have been many reported cases of doctors using force to allow patients to get treated. Some patients however, do not wish to be treated because of things like religion or preference or other reasons but doctors still treat them in order to save them from themselves. The power struggle creates anger and resentment from both parties and blurs the line between personal rights and saving lives. In an article written by Jessica Grose, doctors force a woman to have a C-Section because they believe it was in the baby’s best interest. However, the woman did not want to have the surgery performed. This led to the doctors threatening to sue the woman for possible child endangerment. The woman, in fear of possibly killing her child, sided with the health care providers even though personally she did not want to have the surgery performed. This
At times, ethical questions do arise when the correct path is not present or when there is a disagreement between the medical professional and the patient. Common ethical questions could arise which include
Steinbock, Bonnie, Alex J. London, and John D. Arras. "Rule-Utilitarianism versus Act-Utilitarianism." Ethical Issues in Modern Medicine. Contemporary Readings in Bioethics. 8th ed. New York: McGraw-Hill, 2013. 12. Print.
Case #2 is a perfect example of a case that causes one to question which ethical principles are most important and to whom those principles should be applied. Case #2 involves Jane Trause who has had a history of drug use and is currently pregnant. Upon being admitted into labor and delivery, it quickly becomes evident to medical staff that the fetus is medically unstable and needs to be delivered immediately. However, it is determined by the medical staff that the baby will not survive a natural delivery and that the only way the baby will be born alive is by a C-section. Jane and her husband Doug adamantly refuse to allow a C-section and remind the staff that they have a right to refuse treatment. The residents of the hospital must decide if they can morally respect Jane’s autonomy and allow her to deliver naturally, while putting the fetus’ life in jeopardy or if they will override Jane’s wishes and perform the C-section without her permission to ensure a safe delivery.
The delivery of healthcare mandates a lot of difficult decision making for healthcare providers as well as patients. For patients, much of the responsibility is left to them especially when serious health problems occur. This responsibility deals with what treatments could be accepted, what treatments could be continued, and what treatments could be stopped. Overall, it considers what route should be taken in regards to the health interests of the patient. However, there are circumstances in which patients cannot decide for themselves or communicate what they want in terms of their healthcare. This is where the ethical issue concerning who should be responsible for making these important healthcare decisions occur if a patient was to be in this sort of situation. Healthcare providers can play a role in the healthcare decision making as their duty is to act in the best interest of the patient.
I think that both issues could have resulted in patient harm, even if that was not the intended action. The results in this case deals with beneficence and nonmaleficence. This is the basic duty of a health care professional: to do good and avoid harm. Both of which were violated in this case. I feel that Dr. Strunk realized that the hospital’s policy was violated his morals and code of ethics. I believe that the hospital’s administration only looked out for themselves. Although no visible harm was done to the patient, the best course of action was to inform the patient of the mistake. One could argue no harm, no foul, but I believe that the hospital should consider the patient’s overall well-being. If the patient found out about the error down the road, the hospital may be in even more trouble.
Health care providers are faced with bioethical issues every day when caring for a wide variety of patients. Bioethical principles are outlined in order to help these professionals provide the best possible care for their clients. The first principle focuses on the autonomy of individuals. This is the foundation of “informed consent” that is required before performing any medical care on a patient. The patient must completely understand the benefits and risks associated with any medical acts and make their own decision. The second principle states that no intentional harm or injury to the patient can result from the medical decision. This principle of nonmaleficence helps set standards of care to prevent wrongdoing. Beneficence is the third bioethical principle that states that it is the responsibility of the health care provider to benefit the patient. The fourth bioethical principle refers to justice and that each patient is treated with fairness. Every patient is entitled to impartial medical care to ensure the appropriate distribution of goods and services (McCormick, 2013). These bioethical principles help guide health care professionals when making difficult decisions related to controversial topics and practices.