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Ethics in the medical field
Ethics in the medical field
Ethics in the medical field
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Read the posted case study about Benita Vasquez and discuss the following questions: 1. What are the clinical causes of death in the story? a. Senora Vasquez died because of uncontrolled diabetes, Infected wound and diffusing kidneys. With not well-controlled diabetes and acquiring an infected burn wound makes it harder for the patient to get treatment. Thus with the condition of the patient and her current social status, she is unable to afford the treatment and medications needed to alleviate her suffering. Her health conditions worsen and added more suffering to both health and expenditures. By the end of the story, Mrs. Vasquez had below the knee amputation, infected wound and diffused kidneys, which needs dialysis. Also, the co occurring …show more content…
The cultural identity that contributes to the poor health outcome of Senora Vasquez is that initially she doesn’t want to receive treatment from the hospital upon having a burned leg. Since they don’t have enough money to support the treatment Senora Benita has stop drinking the antibiotics and changed the dressing for only few times which makes the site become more infected. Prior to that, upon having the burns she put some lard or butter to the site and some herbs, which is not proven to be helpful in treating burn areas this lead to infection of the patients burn site. Also, self-care beliefs, the tendency of using home remedies, which was perceived as minor problem, was not given attention …show more content…
The intersection of health policy to the case of Senora Benitez is brought by social, political and environmental factors. First social, Senora Benitez with no children, husband who got laid off from work and a life in a trailer truck added in worsening the health condition of Senora. I think if only the husband can have work and if they have children who can support their needs it will be easier for the family to support the treatment needed by the patient. Political wise because of the surgeon who’s been wanting to have his own vascular surgery clinic and did a wrong surgery. Also it is stated that he started the patient on additional antibiotic, which makes the kidney of the patient to diffuse. I think because of the dream of the doctor the budget allotted to the patient was consumed and the hospital administrators became worried. I also want to assume that educational background was also not tackled, it is important to know that the patient is understanding the teaching well and know the importance of the treatment and possible outcome if not followed. Also, social isolation when the author described Mrs. Benitez not attending church and the only option for her would be her neighbor who barely let them borrow the car to drive for 12 miles. The distance of the health care center is also a factor and the reason why can’t do follow up
The concepts discussed within the article regarding medicalization and changes within the field of medicine served to be new knowledge for me as the article addressed multiple different aspects regarding the growth of medicalization from a sociological standpoint. Furthermore, the article “The Shifting Engines of Medicalization” discussed the significant changes regarding medicalization that have evolved and are evidently practiced within the contemporary society today. For instance, changes have occurred within health policies, corporatized medicine, clinical freedom, authority and sovereignty exercised by physicians has reduced as other factors began to grow that gained importance within medical care (Conrad 4). Moreover, the article emphasized
Amy Widener is a real estate agent, mother of two, and a sepsis survivor. In 2013 Amy was in the best shape of her life. She had just finished a Disney half marathon and was reaping the benefits of her intense training, little did she know that that training was going to save her life. One night she woke up with extreme abdominal pain and was rushed to the emergency room where she learned that she had a kink in her intestines. They performed emergency surgery and released her after a little bit of recovery. Instead of Amy’s pain getting better with recovery after her surgery, it got worse. This resulted in subsequent trips to the E.R. only to be sent home with more and more antibiotics. Two months after her surgery she went into the emergency
Perhaps the greatest problem faced throughout this tale was that of miscommunication. The Merced Community Medical Center or MCMC for short was the place where Lia was being treated. This hospital was the Merced county's only hospital and unlike most rural county hospital it is state of the art, ."..42,000-square foot wing ... that houses coronary care, intensive care, and transitional care units; 154 medical and surgical beds...."3 This was a teaching hospital made up of interns mostly, but also with some great doctors like Peggy Philp and Neil Ernst. Peggy and Neil are married and have children. They graduated together at the top of their class, and have created quite a practice for themselves. Although MCMC is a great rural hospital, it also has the same problems as most rural hospitals do which is the health care crunch, where most of the money goes to the urban hospitals and then the leftover money is spread among th...
The author Jane Yolen said, “Literature is a textually transmitted disease, normally contracted in childhood.” This disease she referenced I never seemed to contract. My experiences with literature, both reading, and writing, have been dull, to say the least. There was never anything that stuck out to me or had a changing impact on my perception of literature. Literature was a job that I had to show up to and pay attention to when I was told This was true until I began reading a biography about one of my favorite artists. It was a book about Selena, who's full name is Selena Quintanilla Perez, and was written by her husband, Chris Perez. As I was reading this book, I experienced the first time that a piece of literature can have an impact on
There are certain aspects that may have provided better treatment, but probably could not have prevented the tragedy. Clear communication and understanding for the culture were essential aspects that were lacking during her treatment. Additionally, the presence of a questionnaire like the one developed by Arthur Kleinman would have bridged the gap between the patient and the provider (Fadiman, 1997, p. 260).
This ethical scenario presents an 86 year old female with numerous health issues and chronic illnesses. Mrs. Boswell’s advancing Alzheimer’s disease makes it extremely difficult to initiate dialysis, leading her physician to conclude a poor quality of life. The ethical dilemma portrayed in this case is between nonmaleficence and autonomy. Health care workers should focus on promoting the patient’s overall wellbeing and weigh the benefits and risks of the course of action, while also considering what the family declares they want done. Since the patient is deemed unable to make decisions, the goal is to collaborate with family, assess patient quality of life, address prognosis, and establish realistic care goals.
Sitting there it is difficult not to listen in on the many conversations that people are engaging in, while waiting. So many different voices all whispering because in the next room everyone knows that the curandera is healing; using her spiritual tools (prayer) to cure. Two women sitting to the right of us were having a detailed conversation about their reasons for coming to the curandera. The younger women with skin the color of “canela” (cinnamon) as is typical among Latinas was sharing her story with an elderly women that seemed to be in her early sixties, she had so many laugh wrinkles around her eyes and mouth that it was easy to diverge into another train of thought about the type of life that the old women might have lead. The younger girl was telling the older women that she works at the United Postal Service (U.P.S.) unloading boxes from the back of semi-trucks. This is where she was injured, in an attempt to pick a box she hurt her shoulder. The elderly woman asked her a series of questions such as why she worked at a place that seemed so labor intensive and if see complained to her supervisor. What was
In this case, communication and medications adoptions were the main difference in the treatment of a Lia. Though Lia’s parents and her doctors want best for her, but the above barriers were creating a hindrance in her treatment. They both were not understanding each other and interpreter was also not there, doctors want to transfer her to another best hospital because they were not getting with her disease but her parents misunderstood the situation and thought they were shifting her for their own benefit.
As I was listening to Carol’s story, I realized that her story is one of many patients. Sure, she was lucky that her husband had advocated on her behalf when she was most vulnerable and she took over once she could but how many people could not? Juggling only two balls in the air becomes tricky once we name them “patient care” and “budget”. If we were to place Carol in an ideal hospital, would she have had the same expe...
Curanderismo has evolved well throughout the Chicano community. This type of alternative for medicine dates back with the Spanish settlement and beliefs of the curanderos around that time. There are four parts of where a curandero can heal a person which are physical , mental, emotional and spiritual. Out of these four parts physical illness is the most treated. Although one may not believe a person can cure such things , the one thing that takes to cure is hope from the healer and the patient.
On the other hand the treating doctor, regardless of hospital is a more viable choice for determining the correct course of action for the patients in question. Autonomy on the side of the hospital and physician is given by the patient’s choice of hospital or the family’s choice. The hospital will have its own policies and guidelines to follow and those that choose their hospital are essentially agreeing to the fact that they deem the institution is fit to assume care of them in their time of distress. Therefore the Catholic health institutions have a right to their own autonomy to follow their doctrines and beliefs. If the patient enters into one of their hospitals and decides to stay there they are informally accepting that they agree to the hospitals, practices and
To conclude, health care is a primary responsibility of governments. They have to make sure that everybody has a total insurance which ensures equality between all members of the society with no segregation between rich and poor. Marxist theory mentioned that medicine became a profitable project more than a human task to serve people and save their lives as it was linked to capitalism. John, the poor factory man was guilty for doing such a sever action to keep hostages but at the same time he wasn’t guilty to be poor and didn’t have an insurance to save his son’s life. Physician role is to be fair when dealing with patients and to think of morals and ethics of the profession before thinking of money.
3). Angela Garcia explains that when treating a patient, the concept of chronicity is taken into consideration because of many reasons. It is very common for individuals to consider addiction has a chronic disease, meaning long term. Also, relapse is expected during or after treatment, especially if there are psychological, physical, or environmental factors. The chronicity model was established in 1960s as a solution to the high incidence of relapse seen in heroin addictions. The main goal of the chronicity model is to prove that heroin addicts weren’t always going to relapse and are not psychopathic. Also, in 1960s, a new drug named methadone was introduced as a longer-acting drug than heroin and could be administered to prevent withdrawal.
Mrs S. is an 88 years old female patient who lives on her own, and was admitted into a rehabilitation ward following a hip operation due to a fall at home. She has a past medical history of Congestive Cardiac Failure (CCF), diverticulitis, and asthma. Also, Mrs S presented with rapid weight loss, palpitation, feeling tired, peripheral oedema, fatigue, difficulty breathing when lying flat in the bed, waking up at night with shortness of breath and anxiety. In addition to all that she had a pressure sore in her bottom that was not broken. In order to have good holistic care of Mrs S, the nursing process was used as identified by Sibson. Sibson (2010) identifies four key steps to the nursing process, which are assessment, planning, implementation and evaluation; which are important for ensuring a quality standard of nursing care.
The Health care foundation is based on the relationship amongst the patient and physician. There are four models identified by Veatch that helped describe the relationships between a patient and their physician. The Engineering Model Physician informs the patient with necessary information regarding their health care but the patient has final say on treatment. Priestly Model is when the patient usually the elderly accepts the steps recommended by their health care provider towards their health. The contractual model is a legal foundation between two parties with shared goals. The patient comprehends the consequence of the rapport. The last model being collegial model assumes that any decision made towards a patient’s health care is made by