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During the current outbreak in West Africa Healthcare workers are frequently being infected with the virus while treating patients (WHO, 2015). During times of disease epidemics such as an Ebola outbreak it is commonly believed that Health Professionals have an obligation to care for patients even though it may posses a threat on them. This obligation has arisen from many ethical reasons. However there does seem to be vagueness to what degree this obligation stands. One reason this obligation applies to health professionals is highlighted under a deontologist view. That no matter what the consequences is, there is a moral rule that healthcare professionals should administer care in all circumstances (Sokol, 2006). It is about understanding …show more content…
On the flipside we have the idea that Healthcare professionals should also have an obligation to themselves. So acting in a way that will not bring harm upon them. This can come from the impression of protecting their autonomy. So having the right to refuse giving care. Autonomy is the idea that people should have the right to govern themselves without an outside control (Varelius, 2006). It puts them in a position where they get to decide what is good or bad for them. It is about knowing what is right for you and doing it. Beauchamp and Childress (2009) highlight the idea that in having autonomy one should have liberty and agency. So having independence and the ability to make our own choices. In terms of an Ebola epidemic this would mean that Health professionals should have the choice to decide for them whether or not they should provide care or based on how they think it would impact them. And have the ability to make this choice independent of any other influences. Beauchamp and Childress (2009) state that although respect for autonomy is a strong moral principle it should not override or have more weight over other moral ideologies. So perhaps on its own it would not back the idea or give weight to the idea that health care professionals have an obligation to look after themselves during an Ebola …show more content…
This would come under the obligations of the Government. So the Government has the obligation to protect health care professionals during an Ebola outbreak. This would also connect in with having the obligation to help its citizens during an Ebola epidemic as through aiding health care professionals means that citizens will get the care needed to care. Meaning both health care professionals and citizens would be protected. This obligation would also come under the human right to health. Even more so then it would apply to a health care professional. Having a right to a decent minimum of health definitely comes under the obligation of the government, as they are naturally the primary protector of human
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
Why is it so important that healthcare executives adhere to a professional code of ethics?
Autonomy is an important ethical principal that should be considered with great attention, especially with the limitation of personal autonomy one finds in hospitals. Burkhardt (2008) and Nathaniel define autonomy as self-governing and describe it as including four elements, the ability to determine personal goals, decide on a plan of action, to be respected, and to have freedom to act on choices. In John’s situation, his vulnerability in contrast to the power that the health care professionals hold over him put all four of these elements into jeopardy. Since his advance directive and his current choices differ, the matter of respec...
Within public health, the issue of paternalism has become a controversial topic. Questions about the ethics of public health are being asked. The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re-examined in their applied context (Med J Aust. 1994). Clinically, patients are treated on a one on one basis, but public health’s obligation is toward the protection and promotion of an entire population’s health. So, based on this difference, the gaping questions targeting public health now becomes, under what conditions is it right to intervene and override an individuals’ autonomy?
The four major ethical principles in health care are: Autonomy – to honor the patient’s right to make their own decision (the opposite is paternalism - the health care provider knows best for the patient), Beneficence – to help the patient advance his/her own good, Nonmaleficence – to do no harm (many bioethical controversies involves this principle), and Justice – to be fair and treat like cases alike. All 4 principles are considered to be in effect at all times. In theory, each is of equal weight or importance. Ethical responsibilities in a given situation depend in part on the nature of the decision and in part on the roles everyone involved play.
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
This respect gives the individual in question the right to essentially make their own decision in any given situation. Unfortunately not all individuals have the correct information or education on the topic to make the appropriate choice. The other issue with autonomy in regards to quarantine is that the individual is only thinking of themselves and not the people around them and how the decision they make may or may not affect them. In the film, The most dangerous woman in america, Mary Mallon was given a few opportunities to play a part in her initial testing and plan of care. Even in the end when respectively entrusted by the Commissioner of Health for New York City to change occupations and avoid spreading typhoid fever she made the decision that best suited
This provides people with control over their health care when they cannot speak for themselves. In other words, a health care directive is a legal document recognized by a legislative body to promote autonomy (The Health Care Directives Act, 1992). Autonomy is described as the quality to function independently (Mosby, 2013). Autonomy is the fundamental concept of health care directives, it allows people to openly express their personal values and beliefs, without judgement of health care decisions, “…autonomous decisions as those made intentionally and with substantial understanding and freedom from controlling influences” (Entwistle, Carter, Cribb, & McCaffery, 2010). When all information is provided, the individual can make an informed decision about their health care and have a right to no influencing factors. The health care directive document provide people the opportunity to consent to or refuse treatment and who will have the authority to make decisions on the individual’s behalf if unconscious, or mental incapacity arise (The Health Care Directives Act, 1992). In order to fully practice autonomy, especially in regards to health care directives, the appropriate mental development is key to comprehending
In the article, doctors surrendered their own health and lives to save the lives of strangers when there was a Ebola outbreak. The doctor, Brisbane was a emergency director, who sacrificed his own life to protect the lives of patients, that he did not even know. According to Mugele and Priest, “ Dr.Brisbane didn’t have to stay at JFK and continue to care for patients...with his wife and children and grandchildren. He was terrified at Ebola, and...we’d find him there, seeing his patients”. (Mugele and Chad) Dr.Brisbane did not have to do the job, but he cared for his patients. He thought it is important for him to save the lives of his patients, rather than going to his family or his own health. He sacrificed his own health to help the sick people who needed his help. Eventually he died when he got infected with Ebola. If he just stayed at his home, then he might have not been died. In the novel, Cleo Berry and Kate was two brave volunteer, who were ready to save the lives of other people without caring about their own health. Earlier in the book, when a stranger on the street got sick Cleo stated that, “We knelt on either side of him...We turned him over...Kate lifted the man’s head off the sidewalk so it rested against her skirt”. (Lucier 145) Both Cleo and Kate felt that it was important for them to save the man. Nobody came to the man except Cleo and Kate. To other people, their life was more valuable than the life of a stranger. But, Cleo and Kate did not have any concern about their health. It was like if they do not care, if they get the influenza . They offered their health to help the stranger laying on the street. When Cleo was in the hospital, she decided that she can not do this job anymore. She said, “ I looked at Kate, at Hannah, at the bucket filled with vomit, at the endless rows of patients...I asked, “May I
The principle of autonomy states, that an individual’s decision must be respected in all cases, also an individual can act freely in accordance to their plan. For example, in a case where a patient and family demands to continue medical or surgical care and a physician want the patient to stop further treatment. In this case the patient’s choice will matter the most. According to the principle of autonomy it will be the patients and family choice whether to continue or discontinue treatment. The principle of beneficence which states, “one must promote good” comes into play in this case. In accordance to beneficence the patient will not benefit from the physicians responses personally. He/she will not benefit from harming her body with more surgeries. The patient will be going against the principle non-maleficence, which states that “one must cause no harm to an individual” by causing harm to herself. In this case the physician is justified in his/her actions by discontinuing medical or surgical care to the patient because it will not it her. These principles are what healthcare provider use to help and guide patients with the ...
The aim of the analysis is meant to clarify the meaning of the word autonomy thereby the introduction of a concept. Clarification is needed as the word autonomy does have several meanings and not all apply to medical terminology, some meanings span to philosophy, technology and general decision making. The medical meaning is significant in the care of patients for improved outcomes through choice and educated decision making on the part of the patient. Autonomy can be empowering as a concept or even as a single word.
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
Thesis Statement: The deadly virus Ebola is killing thousands of innocent people world wide, but there are some simple steps that are being taken to prevent this coming tide of death.
...ary 2014)”. The Ebola epidemic helps remind the U.S. That other nations are there to work with them, and unite to prevent a rapid growing disease. CDC partners with programs from other nations, such as the Global Disease Detection Centers, and the Field Epidemiology Training Program, which work to stop the Ebola virus. Information systems will grow stronger, more partnerships dedicated to stopping outbreaks will be formed and laboratory security will also grow. The writer of the paper cannot agree more to this.
Autonomy is a principle that allows a patient or authorizing agent to make decisions regarding healthcare decisions without any outside influence (Burkhardt & Nathanial, 2014, p.440) As the nurse, it is important to understand