Clinical Decisions Case Study

1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?

i. No conflicts of interests in the clinical treatment of Jamilah in regards to professional, or business.

2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?

i. Jamilah’s family have an interest in the clinical decisions being made. All three of her sons should be making decisions, but the decision maker at this time is the youngest son Bashir.

3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?

i. Jamilah must give her permission for her health/medical information to be shared with her family.

Are there financial factors that create conflicts of interest in clinical decisions?

i. Financial factors that create conflicts of interest in clinical decisions are if the Jamilah has health insurance, without insurance or with some insurance treatment may not be covered in full or at all, will she have the ability to pay if need be, does she still have the ability to pay for the ECF is lives in. Her son Bashir is struggling financially and could be waiting for his mother to pass away in order to collect as a beneficiary.

5. Are there problems of allocation of scarce health resources that might affect clinical decisions?

i. If Jamilah were to receive cardiac catheterization of a bypass surgery and need to stay at the hospital for a certain amount of time, that treatment would not affect anyone else as it is not a limited resource to the hospital or staff.

6. Are there religious issues that might affect clinical decisions?

i. The religious issues that might affect any clinical decisions are Jamilah and her sons still retain Turkish culture, which could go against some treatments, also her son’s act as patriarchs for the family, which would allow them to make decisions over their mother’s wishes.