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Autonomy in patient's rights
Ethical safeguards in clinical research
Autonomy in patient's rights
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Dr. Raku is aware of the concerns Ms. Pals has about chemotherapy, discovering that she is unaware of the risks this new treatment can pose to hair loss, Dr. Raku should not administer the chemotherapy. In order to respect the autonomy of the patient, Dr. Raku should inform Ms. Pals about the potential risk of hair loss and advise her to speak to her physician for more information and then see if she wants to continue treatment or if other alternative therapies should be sought out. Dr. Prichford has made it clear that he felt no need to tell Ms. Pals about the potential side effects, whoever it is unclear if Dr. Pritchford is aware of Ms. Pals’s concern about her job. Dr. Raku and Dr. Pritchford have the patient’s best interest in mind, but
Anne is a seventy-four year old female with multiple comorbidities. The patient I interviewed is a sixty five year old male with a past medical history of hypothyroidism and no other reported medical conditions. Additionally, Anne requires assistance with completing her activities of daily living such as shopping, transportation and managing her finances. Also she rarely leaves her home, and is inactive due to chronic pain. The patient I interviewed is able to care for himself independently and is rather active. The patient I interviewed continues to work outside his home and routinely
Today, there are so many legal dilemmas dominating trial for the courts to make a sound legal decision on whose right in a complicated situation. Despite the outcome of the case, the disagreement usually has a profound effect on the healthcare organization, and the industry as a whole. Many cases are arguments centered around if the issue is a legal or moral principle. Regardless what the situation maybe, the final decision is left to the courts to differentiate between the legality issues at hand opposed to justifying a case based on moral rules. According to Pozgar (2012), an ethical dilemma arises in situations where a choice must be made between unpleasant alternative. It can occur whenever a choice involves giving up something good and suffering something bad, no matter what course of action is taken (p. 367). In this paper, I will discuss cases that arose in the healthcare industry that have been tried and brought to justice by the United States court system.
It is also made very clear that Vivian’s other doctor, a resident named Jason, cares more about the research to be done on Vivian’s cancer and chemotherapy, than he is with Vivian. He is only doing a cycle of patient care because it is required of him. He is much more interested in research, and is not that invested in the patients
Bearing undergoes a series of examinations, she comes across Dr. Jason Posner, who is a former student of Dr. Bearing’s. Dr. Posner, much like Dr. Bearing, is a complete scholar, motivated solely by the possibility of discovery. One can immediately tell from his interactions with Dr. Bearing, that Dr. Posner is not exactly the most hospitable physician. He asks Dr. Bearing how she is feeling today but he asks not because he is genuinely interested in her answer, but because by doing so he satisfies the need to empathize. In one particular scene, Dr. Posner is preforming a pelvic exam on Dr. Bearing and lets out an alarming gasp when feeling her tumor. He does nothing to console or comfort Dr. Bearing and upon finishing the exam, he leaves quickly and abruptly. This tense and uncomfortable situation is quickly contrasted with Nurse Susie Mohanan’s response. In this terribly awkward moment, Susie offers Dr. Bearing a tissue and sympathizes with her simply by being there. The contrast between Dr. Posner and Susie in regards to the way in which they treat Dr. Bearing is strikingly different. This juxtaposition is further exemplified when Dr. Bearing becomes ill from all numerous rounds of intensive chemotherapy treatments. Dr. Posner insensitively diagnoses Dr. Bearing with fever and neutropenia, but at the same time vehemently refuses to lower her treatment doses. Susie tries to argue that Dr. Bearing’s quality of life is clearing suffering, but Dr. Posner will have none
Jack’s case is an example of medical negligence. The physician that prescribed the prescription should have done a full physical and medical exam on the patient. Jack’s physician failed to ask if he was allergic to any medication. Before prescribing any medication one of the first questions should be what or if they are allergic to anything. Jack faced several health complications such as difficult breathing, turning red, and falling to the floor. He went into anaphylactic shock due to the fatal allergic reaction. The last encounter with Sulfa, Jack developed a rash due to the allergic reaction. Health professionals are required to undergo training
The purpose of the article, “Ethical Dilemmas in the Intensive Care Unit,” is to discuss two important ethical issues that health care workers in the intensive care units face. The first dilemma is treating a nonverbal patient, the second being medical futility. I chose this article because I intend to go into the critical care field once I finish nursing school. I also felt the topic of medical futility was of great important with recent headlines in the news regarding Brittany Maynard. Critical Care health workers are facing a growing patient population; this increase in patients leads to an increase in ethical issues and dilemmas surrounding the critical care field.
In the medical ethics case study given to me, Justin is new nurse at a hospital and has become great help to the other employees but he makes mistakes often. When it comes to medical ethics, it is important to do what you know is morally correct. We all want to be good Christians and make the right decisions but sometimes those decisions will affect others negatively. We may not always act how we ought to but those decisions do affect who we are.
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
As modern humans, we understand that the quality of our health is affected by the negative impacts, such as air pollution, water and food. Science is developing in much faster way but at the same time number of problems are also arising. Problems like infectious diseases, diseases without any treatment or whose treatments are available up to a lesser extent such as Lung cancer, prostate cancer, skin cancer, ovarian cancer, pancreatic cancer, penile cancer etc. Cancer is responsible for one in seven deaths. It is epidemic disease thefore its consequences can be seen worldwide. More than twelve million new cases diagnosed yearly and the rate is increasing much faster (Hegde, j.j. 2009). Large number of patients die after developing cancer despite the availabity of various treatments, therefore there is a increase demand for a developing new approaches to cancer therapy. There are number of treatments available but the problem is that they have number of side effects, disturbance or effect on the norm...
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
The ethical situation in question is a culmination of intolerance, ignorance, cultural insensitivity, and failure to follow hospital protocols and procedures. The location of the facility in which the ethical dilemma took place is a small, rural hospital in the Midwest of the United States of America. A new male patient has been admitted and he is currently a practicing Muslim. The facility does not have a large Muslim population and does not have any cultural protocols in place to accommodate the Muslim religion.
Euthanasia should not be accepted as part of the standard way of dying because it not only contradicts the most respected moral principle of ‘thou shalt not kill’, but also good medical practice. The four principles of biomedical ethics can be used as a framework to help guide moral decision-making in difficult situations including euthanasia. Arguments against the moral permissibility of euthanasia which are based on respecting autonomy and non-maleficence outweigh those related to beneficence and justice. In any case of euthanasia, careful evaluation of the interests of the various parties involved is crucial because ethical principles can be contentious at times and their meanings could be interpreted differently from theory to theory (Robison
Chemotherapy is the use of chemicals to cure cancer. Chemotherapy is also known as “chemo”. The term for chemo came from the German bacteriologist Paul Ehrlich around the year 1900. He came up with the term when he was examining aniline dyes and arsenicals as possible treatments for diseases such as syphilis. He envisioned “magic bullets” that would be able to target invading organisms but still leave the host unscathed. This goal has been providing therapeutic benefits without many side effects in all areas of drug development. There has been a lot of success with compounds that modulate normal biochemistry within the body.
Discussion between the physician and the patient regarding treatment options and the risks and benefits of treatment.
While chemotherapy is beneficial at curing or helping a disease such as cancer, it can has a negative effect on a person’s body too.