Dr. Simmons Case Summary

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The best decision that Dr. Simmons can make from this point forward includes the discontinuation of prescribing the sleeping medication, Seconal®, to Mrs. Abbot as well as explaining the placebo effect she has been experiencing while taking the lactose pills instead of the active medication. I believe this to be the best possible decision for Dr. Simmons because it focuses to both end Mrs. Abbot’s addiction to the sleeping pills as well as demonstrate that Mrs. Abbot can in fact sleep without the assistance of medication. All in all, the goal is to respect Mrs. Abbot’s autonomy as a rational individual while also utilizing her own rationale and logic to perhaps solve her postoperative insomnia. The original substitution of Seconal® by sugar …show more content…

Abbot and Dr. Simmons situation, and analyzing the applicability of several ethical values and principles, I developed a list of several alternative decisions, from which I decided which would be the best option. Almost every decision I thought of included the discontinuation of the prescribing of Seconal®. It is quite clear that discontinuing the prescription is best. Now, Dr. Simmons, in order to guarantee that Mrs. Abbot will be taken care of at home, could notify Mrs. Abbot’s family. Of course, this decision violates physician-patient confidentiality. Though it would most likely bring about positive effects for Mrs. Abbot’s addiction, it would be best to confront her first to gauge her attitude towards the discontinuation of the prescription. Involving her family shouldn’t come before speaking with Mrs. Abbot on a one-to-one type basis. Dr. Simmons could also lie to Mrs. Abbot about the medication and explain that it is having negative effects on her health. This could potentially put an end to her dependence on the pills by appealing to her fear. However, this decision, though potentially good, is a continuation of the disrespect for autonomy that had happened previously. It would be in both Dr. Simmons’ and Mrs. Abbot’s best interest to be honest from this point

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