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Essays about ethics in healthcare
Chapter 4 summary of health care ethics
Ethical issues in healthcare
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Author Christine Mitchell’s “When Living is a Fate Worse Than Death” told the story of a girl Haitian named Charlotte. Charlotte was born with her brain partially positioned outside of her cranium which had to be removed or she would have not survived. Her skull had to be concealed by a wrap in order not to cause further damage. Charlotte was born with less brain cells which allowed her only to breath and not feel much of the pain. Charlotte’s parents thought that the doctor’s in Haiti did not know what was best for their daughter. The doctors in Haiti thought Charlotte should not be resuscitated, undergo anymore horrible treatments and die peacefully. Charlotte’s parents were not happy with the doctor’s guidelines and thought the United States medical care would have better technology and could save their daughter. Charlotte’s parents bought her a doll which Charlotte’s parents thought otherwise, the Ethics Advisory Committee had to get involved. The debate surrounded if the doctors were in the right to control the life of someone who were incapable of deciding themselves, or is it the parents right. The Ethics Advisory Committee, stated that the parents were superior to those of the hospital and the hospital should conduct with less painful test. Charlotte’s parents wanted the doctors to continue testing until it was determined that her life diffidently had no chance of remaining. Because, of Charlotte’s parents’ desires unfortunately caused Charlotte to die a painful death without her parents. If the patient is unable to speak for their selves, the family should be able to have some say in the medical treatment, however; if the doctors have tried everything they could do, the hospital should have final decisions whether or not the patient dies or treatment
Mary Hoge had gone into labor Sunday 23rd of July 1972 giving birth to her fifth child, Robert Hoge. When Robert Hoge was born, his own mother didn’t want him. Robert’s mother Mary thought he was too ugly, that he was, in appearance, a monstrous baby. Robert was born with a tumor the size of a tennis ball right in the middle of his face and with short twisted legs. Robert was born in Australia, where he would have to undergo numerous operations that carried very high risk in order to try and live a “normal” life.
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 case of 17-month old Emilio Gonzales was seen and heard nation wide. A conflict between the mother and the physician emerged after the physician no longer expected there be an improvement in his health. This led to the decision of discontinuing providing care for the child and requesting the parents find another facility willing to provide such medical care. The main issue of this case revolved around whether the physician’s decision was morally permissible or legally just. Under Kantian Ethics, Children’s Hospital has moral reasoning to terminate treatment for Emilio and thus is morally justified in withdrawing treatment.
Erin George’s A Woman Doing Life: Notes from a Prison for Women sheds light on her life at the Fluvanna Correctional Center for Women (FCCW) where she was sentenced for the rest of her life for first-degree murder. It is one of the few books that take the reader on a journey of a lifer, from the day of sentencing to the day of hoping to being bunked adjacent to her best friend in the geriatric ward.
In the story My Left Foot, Christy Brown was diagnosed at the age of three with cerebral palsy. Many people began to give up on him, but his mother did not. She told everyone that they were all wrong and that he was a normal child. She worked with Christy every chance she could get and tried to teach him how to write and read. One day, his mother’s perseverance finally paid off.
This case was taken into the British court system where, after a long trial, a judge upheld the doctor’s decision not to resuscitate. The reasoning was that the judge felt he could not order the doctors to perform actions that would cause increased suffering for the child. After considering the doctrines of the sanctity of life and the...
Healthcare creates unique dilemmas that must consider the common good of every patient. Medical professionals, on a frequent basis, face situations that require complicated, and at times, difficult decision-making. The medical matters they decide on are often sensitive and critical in regards to patient needs and care. In the Case of Marguerite M and the Angiogram, the medical team in both cases were faced with the critical question of which patient gets the necessary medical care when resources are limited. In like manner, when one patient receives the appropriate care at the expense of another, medical professionals face the possibility of liability and litigation. These medical circumstances place a burden on the healthcare professionals to think and act in the best interest of the patient while still considering the ethical and legal issues they may confront as a result of their choices and actions. Medical ethics and law are always evolving as rapid advances in all areas of healthcare take place.
The ethical principle of nonmaleficence demands to first do no harm and in this case protect the patient from harm since she cannot protect. Nurses must be aware in situations such as this, that they are expected to advocate for patients in a right and reasonable way. The dilemma with nonmaleficence is that Mrs. Boswell has no chance of recovery because of her increasing debilitating mental incapability and the obvious harm that outweighs the intended benefits. If the decision were to continue treatment, suffering of the patient and family would be evident. Autonomy is the right to making own decisions and freedom to choose a plan of action. When making decisions regarding treatment of another person, it is important to respect the expressed wishes of the individual. John says that his mother would want to live as long as she could, but questions arise related to her quality of life and perception of prolonged suffering by prolonging the dying process. In BOOK states that quality of life changes throughout one’s life ...
There is a low susses rate for a child of a maternal brain dead mother for the baby to live. When a woman is declared brain dead they are sent for burial or other final respects. In this case, however, the woman is pregnant and there is a fetus to think about. The problem lies with the susses rate of the child be born or being born without any complications. There are only 5 reported successful cases of brain death births (Lsaacson et al. 1996). The body at this point is just used for an incubator for the unborn child. The rate for the child to come out with no complications or in the body of the mother to produce complications is less than 10% (Lsaacson et al. 1996). Knowing all of this, why would one want to put their body through all of this for such a low success rate with current medical technologies.
...d how these determinations effect a physician’s approach to various types of critically ill patients? These types of questions come in to play when one attempts to critically analyze the differences between the types of terminally ill patients and the subtle ethical/legal nuances between withholding and withdrawing treatment. According to a review by Larry Gostin and Robert Weir about Nancy Cruzan, “…courts examine the physician’s respect for the desires of the patient and the level of care administered. A rule forbidding physicians from discontinuing a treatment that could have been withheld initially will discourage doctors from attempting certain types of care and force them prematurely to allow a patient to die. Physicians must be free to exercise their best professional judgment, especially when facing the sensitive question of whether to administer treatment.”
The recent death of Riley Hughes and numerous other deaths of babies arouses the attention of the public to the serious issue of anti-vaccination and whether or not parents should vaccinate their infants. In the opinion piece entitled "Don't let any more babies die because of anti-vaccination lobby" published in The Herald Sun on March 24, 2015, author Susie O'Brien targets especially the anti-vaccinators parents of the young children, in addition to the general adherents of it. Accordingly,it professes the opinion of the parents should definitely vaccinate their infants to preclude them from suffering from the fatal diseases. Consequently, the incipient tone that O' Breins used is distressed towards the fact of a number of babies died from
Although minors are not fully educated or mature enough to make medical decisions for themselves, there are some minors who have been through treatment a lot that do understand their condition. In the article, “Right to Die”, the author James Deacon states that for a child to refuse treatment, they must have the maturity and intelligence to make an informed choice. But the most important is that the child must have the clarity of thought under the circumstances to understand the consequences of either being treated or refusing treatment (Deacon). The author is concluding that if the child is new to this situation and doesn’t know what is going on, then they shouldn’t be allowed to refuse treatment and the medical professionals have every right
Recently, a family decided to end treatment for their 21 month old baby girl in the only “humane way” possible: nutrition withdrawal (Bever, 2014). In September, 19-month old Natalie Newton wandered into the family’s pool unsupervised by her parents. When she was found, Natalie was blue in the face from lack of oxygen and immediately rushed to the hospital. Though they were able to revive her, doctors informed the family that Natalie would not live; she was deaf, blind, unable to move and ultimately brain dead from being withdrawn from oxygen for as long as she had been. While Natalie remained immobile and dead to the world, her parents begged the physicians to euthanize their child. However, currently in the state of Texas, euthanziation is illegal and the hospital’s ethics committee would not allow it. The only method they allowed that they considered humane, was to withhold both nutrition and hydration from Natalie. While it’s always traumatic for any parent to watch their child die, the Newton’s looked on as it took nine full days for Natalie to finally pass away from lack of nutrition. The parents argue ...
ethically right for the family and all agreement to Alice’s end life decisions. Ethics committee
I wrote this story 2009, in my personal statement for entrance into medical school. It still holds true; now 5 years later that little girl may have survived, 23 weeks is currently the youngest children survive in most hospitals, which seems like a miracle to me given what I witnessed in that nursery. Medicine is evolving and I want to take it further.