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Ethics and medical technology
Medical Technology and Ethical Issues
Ethics and medical technology
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Medical Technology and Ethical Issues
Just a few days ago terrorist attack the Paris where many people die and injured, and run on the emergency rooms. I cannot imagen how the chaos that existed especially for all of the doctors that tried to save them. In the article “Medical Technology and Ethical Issues” William E. Thomson and Joseph V. Hickey point out that discuss sociological and ethical issues related to medical technology that also try to save life. There are some argument about overreliance on new computerize system to make important decision about the patients treatment. Also, medical technology is going to change future but “where do we draw line”?
In the article “Medical Technology and Ethical Issues”. The authors describe that how computerize system uses in emergency rooms. The RIP is a computer program which is helping the doctors make knowledgeable decision about whether to manage life treatments or just patients to die. Program investigate all of the input on specific patient and makes prognosis on the probability
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of survival. Also, they are talking about some critic’s discussion that RIP should not make decision about the sharing of medical resources to patients and telling that the computer can make mistake in about 5 present of all case. The other debate is that doctors can make better determinate who should and should not be treated. The authors mention that medical technology is growing every day and bring in same issues while is increasing. In my opinion, computerize system is amazing program. Doctors are reaching too many patient when they arrive the hospital at same time and by the RIP they can make faster decision about the treatment. “If the odds are greater than 5 percent that the patient will survive, the computer not only indicates the probability of survival but also print out recommended treatment procedures. All this happens milliseconds” (Thompson and Hickey, 2011 para 2). Both doctors and RIP can make mistake but computerize system has only 95 percent of guaranty and I don’t know percentage of the doctors guaranty maybe small than 95 percentage who knows! Computerize system have storage more information which doctors’ mind does not have an ability keep all information like a computer. Moreover, if a doctor does not have enough experience compute provide any type of information what doctor need to do for treatment. The RIP provides an equal treatment for all patients. It does not matter race, gender, and social class for computerize system. However, computerize system is bringing up some issue while it is growing all over the World.
I think people are relying on computer too much. They cannot think that it is a machine and humans are creating it which always makes wrong decision 5 presentence of all situation. “Medical ethicist Arthur Caplan of Philadelphia argues that computer should not be used to make decision about the allocation of medical resources to patients and point out that the computer will be wrong in about all case”( Thompson and Hickey, 2011 para 3). Also, hospital staff may give wrong information into computer during the busy emergency room life. Hoops! What happen know? RIP is just print out information, it does not have any ability to see consequences. Technology developing so fast we need to either wait what is going to happen or we should draw a line somewhere because some people try to use The RIP for illegal staff not only making they life
easier. As a final point, There are some debate overreliance on new computerize system to make important decision about the patients treatment. Technology often grow at a much quicker rate than the public’s ability to grasp its consequences and to rethink the significant values, attitudes, standards, and beliefs that surround its practices. Put your back all of debate and think about whole benefit it has for all people.
Planning included reaching out to other health organizations, objectives, and goals of health fair were established. The implementation includes getting volunteers, set up for the health fair. The evaluation of the process occurred throughout the implementation and changes were made as needed. The evaluation will be completed by gathering information from health booth to determine the number of participants. Review vendor and participant evaluations about the health fair including how they heard about the health fair, ratings of booths and suggestions for improvements. Record everything to determine changes. Reflection on past experiences and what worked and did not work.
Nathan Rosillo, a key product developer at Chem-Tech Corporation finds himself in the middle of an exceedingly complex ethical dilemma (Pg. 156). He is the moral agent (Pg. 156) of the company who needs to decide if he wants to protect his beloved Dutch Valley River from the waste materials that can be dumped into it after the loosened requirements of the regulatory agencies. The new lubricant product developed by Nathan and his team is seen by his company supervisor and plant manager as key to reviving the financial fortunes of a cash strapped Chem-Tech. The cost savings arising from less need to reduce and recycle the waste from the new product seem to resonate well with the management’s profit-maximizing view (Pg. 167), and also allow them to stay in compliance with the loosened environmental standards. Nathan has the following 3 choices:
In Rethinking Life and Death: The Collapse of Our Traditional Values, Peter Singer examines ethical dilemmas that confront us in the twentieth century by identifying inconsistencies between the theory and practice of ethics in medicine. With advancements in medical technology, we focus on the quality of patients’ lives. Singer believes that in this process, we have acknowledged a new set of values that conflicts with the doctrine of the sanctity of life.
Imagine a gravely sick person in a hospital bed. Tubes and wires connect him to whirring machines like medical jumper cables; he lays almost lifeless except for the barely perceptible vitality pumped into them by the system of machines we call life support. Take a moment to think about the roles that computers play in this scenario. Now imagine the scene and the patient's condition without computers. That's easy. There is nothing: no slow breathing, no whirring of machines, no dripping IV, no beeping heart monitor. Not only would the person probably be dead, but everything from the reclining bed to the nurse call button to the life support system relies on computers.
There are questions about transplant allocation in regards to the four major ethical principles in medical ethics: beneficence, autonomy, nonmaleficence and justice. Beneficence is the “obligation of healthcare providers to help people” that are in need, autonomy is the “right of patients to make choices” in regards to their healthcare, nonmaleficence, is the “duty of the healthcare providers to do no harm”, and justice is the “concept of treating everyone in a fair manner” ("Medical Ethics & the Rationing of Health Care: Introduction", n.d., p. 1).
In the modern era, the use of computer technology is very important. Back in the day people only used handwriting on the pieces of paper to save all documents, either in general documents or medical records. Now this medical field is using a computer to kept all medical records or other personnel info. Patient's records may be maintained on databases, so that quick searches can be made. But, even if the computer is very important, the facility must remain always in control all the information they store in a computer. This is because to avoid individuals who do not have a right to the patient's information.
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 Creative Destruction of Medicine is a book written by Eric Topol, who is a M.D. He is one of the most top citied researchers in medicine and was named Modern Healthcare’s #1 Most Influential Physician Executive in Healthcare in 2012 (Topol, 2012). This book explains how the future of medicine will change dramatically from what it what was then and how it is now. The book is split into three different parts. Part I is “Setting the Foundation” where it explains where the technology began and how it has changed in the modern day. Part II is “Capturing the Data” explains the different ways that modern day technology can show what is wrong with a patient easier and more convenient than ever before. Part III is “The Impact of Homo Digitus” here
A major component of clinical decision support system is it helps locate and prevent errors made by many providers. Other components of a clinical decision- support system are speed- this can make or break at system, it is very annoying if you have to set and wait for the system to perform a simple function as looking up information, the need and delivery of real time- if there is lag time and the information needed doesn’t appear in seconds it can pose as the system is not performing up to par, fit of the users work –flow- the alerts, guidelines, and algorithms need to be in place so there are no confusions when a users are dispersing medications, usability- this makes a tremendous difference in how a system performs many clinician want to be able to use a computer system with ease, if the system is to complicated it can appear as not user friendly, being aware that there will be resistances from the provider- offend many providers will give pushback on changing there mind without input as to way a change is required; for example should x-rays be taking on all patients with abdomen pain, approximately five percent of physician actually went with the recommendation of not ordering x-rays on patie...
Telemedicine is a new comer to the field of medicine and it is the treatment of patients by means of telecommunications technology. Telemedicine is carried out in a variety of ways whether it is by smart phone, wireless tools or other forms of telecommunications. Examples of telemedicine include: 1) transmission of medical images 2) care services at the home of the patient 3) Diagnosis at distance 4) education and training of patients. The diversity of practices in what is known as telemedicine raises many questions and one of those questions, which is extremely important, relate to the safety of the practice and the risks involved.
Ethics and morality are among the most difficult subjects to define and discuss. Opinions concerning these matters are frequently automatic, held on a preconceived notions and are never subject to verification until after the fact and, often, not even then. To some critics, any use of technology leads to increasing alienation and dehumanization therefore, technology is considered far from moral. However, most people recognize great improvement of the quality of human existence which has been possible only with technology.
In the past several years the healthcare system has experienced new changes in its structure and technology. The macro trends in healthcare are healthcare reform and the regulations of technology in healthcare that the government has put in place. Healthcare systems in the past have had some real complications both in the provided care and computer technology
The term bioethics refers to the moral principles used when one is making a decision while in the healthcare field. It is the moral compass that humans use to decide what is the right thing to do versus the wrong thing to do when faced with an ethical dilemma. These decisions may be based on principles, reasoning, personal beliefs, emotions, natural science, or other influential factors.
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
In other words, ICT basically promotes professionalism and reduce human effort as well as reducing the chances of erring. Healthcare simply means preventing, diagnosing and curing ailments that terminate life and reduce lifespan of human and all living things. In other words, the prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services offered by the medical and allied health professions. Information and Communications Technology (ICT) play a vital role in improving health care for humanity. It is efficient in providing, communicating and storing certain information about users and uses. ICT helps in bridging the gap created in health sector and may be used to enhance efficient relationships between the healthcare providers and health researchers. In other words, through the development of databases and other applications, ICT enhances health research and; this provides the capacity to improve health system efficiencies and prevent medical errors. The use of ICT can never be evaluated without