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Recommended: Essays on autonomy
Introduction
The concept analysis of autonomy will be analyzed according to the Walker and Avant method of concept analysis. Walker and Avant (2005) present a strategy for analyzing concepts in a comprehensive manner to present new theories and a common definition for different concepts. The current as well as historical meaning is an important aspect to analyze the concept of autonomy, as one must understand how one simple four syllable word grew into such a powerful concept. Definitive attributes drawn from the concept mapped for future use as well as case study as outlined by Walker and Avant (2005). The necessary attributes are then plugged into model, borderline, related and contrary cases so that full concept involvement and understanding is determined. Antecedents as well as consequences of the concept are also discussed for positive and negative connotations can clarify the meaning of the concept of autonomy. Finally the empirical referents of actual phenomena can be realized as Walker and Avant (2005) strive to explain and simplify the concept analysis.
Aims of the Concept
The aim of the analysis is meant to clarify the meaning of the word autonomy thereby the introduction of a concept. Clarification is needed as the word autonomy does have several meanings and not all apply to medical terminology, some meanings span to philosophy, technology and general decision making. The medical meaning is significant in the care of patients for improved outcomes through choice and educated decision making on the part of the patient. Autonomy can be empowering as a concept or even as a single word.
Current Uses of Autonomy
Autonomy is defined by dictionary reference as the state or quality of self-governing, also known as th...
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...Bioethical aspects of the recent changes in the policy of refusal of blood by Jehovah’s Witnesses. British Medical Journal 322(7277), 37-39.
Pantilat, S. (2008). Autonomy versus beneficence. Retrieved from http://missinglink.ucsf.edu/lm/ethics/content%20pages/fast_fact_auton_bene.htm
Paternalism. (n.d.) Dictionary.com Unabridged. Retrieved from http://dictionary.reference.com/browse/paternalism?s=t
Piper, M. (n.d.). Internet encyclopedia of philosophy: A peer-reviewed academic resource. Retrieved from http://www.iep.utm.edu/aut-norm/
Walker, L.O., & Avant, K. (2005). Strategies for theory construction in nursing (4th ed.). Upper Saddle River, NJ: Prentice Hall.
Will, J. F. (2011). A brief historical and theoretical perspective on patient autonomy and medical decision making: Part ii: The autonomy model. American College of Chest Physicians 139(6), 1491-1497.
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
Beauchamp and Childress (2012) defined autonomy as self-ruled, self governance or self determination. John Peter Smith hospital did not respect the advance wishes of Mrs. Munoz. Although Marlise did not have a formal advance directive Mr. Munoz, her surrogate, continued to advocate her wishes . Mrs. Munoz right to autonomy
Autonomy is the basis of authenticity allowing individuals the ability to make choices that directly reflect their own values. The application of these values to one's decisions can result in both positive and negative outcomes. Hedonism claims that happiness is the only thing that carries value to life. All other things (e.g. autonomy) work in accordance to improve our lives only to the extent that they make one happier (Shafer-Landau 39).
What autonomy does is it helps stimulates an atmosphere of self-improvement in a community rather than people being dependent on others. Besides not using people as mere means O’Neill believes in helping develop others’ ends so that they can be independent.
In the article “Individual Autonomy and Social Structure”, Dorothy Lee talks about individual autonomy. She goes through the topic by examining different groups such as; the Wintu Indians of California, the Sikh family, the Navaho Indians of Arizona and New Mexico, and the Chinese culture. All of these different groups and societies give personal freedom to the individuals regardless of age groups. The example of Navaho Indians is used by Lee to demonstrate how “personal autonomy is supported by the cultural framework” (Lee, 1959, p.5). She points out the individual autonomy of non-western societies to the individuality of western society. One group gives full independence to an individual while the other does not and puts restrictions in place through some form. She states “...in a heterogeneous society such as ours, and in an era of induced change and speeded temp of living, it has been difficult to implement this tenet in the everyday details of living” (Lee, 1959, p.5). She points out the fast living pace of western society, where the personal autonomy given from the other cultures is lacking.
Patient autonomy was the predominant concern during the time of publication of both Ezekiel and Linda Emanuel, and Edmund D. Pellegrino and David C. Thomasma's texts. During that time, the paternalistic model, in which a doctor uses their skills to understand the disease and choose a best course of action for the patient to take, had been replaced by the informative model, one which centered around patient autonomy. The latter model featured a relationship where the control over medical decisions was solely given to the patient and the doctor was reduced to a technical expert. Pellegrino and Thomasma and the Emanuel’s found that the shift from one extreme, the paternalistic model, to the other, the informative model, did not adequately move towards an ideal model. The problem with the informative model, according to the Emanuel’s, is that the autonomy described is simple, which means the model “presupposes that p...
Within public health, the issue of paternalism has become a controversial topic. Questions about the ethics of public health are being asked. The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re-examined in their applied context (Med J Aust. 1994). Clinically, patients are treated on a one on one basis, but public health’s obligation is toward the protection and promotion of an entire population’s health. So, based on this difference, the gaping questions targeting public health now becomes, under what conditions is it right to intervene and override an individuals’ autonomy? And if so, is the paternalistic intervention justified? Part of the concern
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
In “The Conflict of Autonomy and Authority” Robert Paul Wolff argues that the state’s authority is in conflict with having genuine autonomy. He reasons as follows. If there were a supreme political authority, which have a right to rule, there would be an obligation for a man to obey its laws. However, a man has an obligation to be autonomous, which means taking responsibility for making one’s own decisions about what one should do. Autonomous man has primary obligation to refuse to be ruled. Therefore, a supreme political authority does not have a right to claim authority over a man who has a moral obligation to be autonomous. He concludes by denying the concept of de jure legitimate state.
The purpose f this paper is to answer the following question- where does patient autonomy leave off and professional expertise begin in the practice of medicine? Also, a brief personal analysis about the differences between doctors encouraging patients to question their judgment and doctors who believe that such deference is “pandering.”
In his essay, “The Refutation of Medical Paternalism,” Alan Goldman discusses his argument against differentiation in the roles between physicians and patients. He says the physician may act against a patient’s will in order treat the patient in their best interest. Goldman makes his whole argument around the assumption that a person’s right to decide his or her future is the most important and fundamental right, saying, “the autonomous individual is the source of those other goods he enjoys, and so is not to be sacrificed for the sake of them.” His claim is that most people agree that they are the best judges of their own self-interest and there is an innate value in the freedom to determine their own future. On these principles, Goldman starts by discussing conditions under which paternalism may be justified.
The principle of autonomy states, that an individual’s decision must be respected in all cases, also an individual can act freely in accordance to their plan. For example, in a case where a patient and family demands to continue medical or surgical care and a physician want the patient to stop further treatment. In this case the patient’s choice will matter the most. According to the principle of autonomy it will be the patients and family choice whether to continue or discontinue treatment. The principle of beneficence which states, “one must promote good” comes into play in this case. In accordance to beneficence the patient will not benefit from the physicians responses personally. He/she will not benefit from harming her body with more surgeries. The patient will be going against the principle non-maleficence, which states that “one must cause no harm to an individual” by causing harm to herself. In this case the physician is justified in his/her actions by discontinuing medical or surgical care to the patient because it will not it her. These principles are what healthcare provider use to help and guide patients with the ...
Although healthcare providers are able to have some input in the decision making process in healthcare, they truly are not always aware of what their patients want. Only a patient has the responsibility to decide what direction according to their health that they want to go. It is a matter of choosing someone or something to lay out directives in case such a circumstance is to take place. Mo...
This class has enlightened me to many topics that make up the subject of organizational behavior. However, there is one topic that has gained my attention, and that is Autonomy. Autonomy gained my attention because it is when management lessens its controls on the way employees complete their tasks, sometimes even allowing employees to do their jobs without any supervision at all. Autonomy is interesting to me because it is breaking the traditional mindset of micromanaging and that it was the only way to improve productivity.
This idea has appeared especially vividly in the writings of Kant and John Stuart Mill. However, the notion of political autonomy is more specific than the general idea of it. Although approaches of various philosophers