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Autonomy and Morality?” essay
The principle of respect for autonomy
The principle of respect for autonomy
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The ethical theory I am choosing for my final paper is autonomy. Autonomy is defined as “personal self-determination; the patients’ right to participate in and decide on questions involving their care.” It is a form of personal liberty. Within the realm of health care, autonomy is based on three elements: the ability to decide, the power to act on the decisions, and the respect for the autonomy of other individuals. Individuals are free to use their autonomy and make decisions based on informed consent. Trials number two and three address patient autonomy. Trial number two involves her rights to decide her own fate, even against her parents’ judgments. The third trial involves the rights of a parent to care for her child in the manner that …show more content…
Once a person has freely made his choice, health care providers are required to respect the patient’s decision as part of the patient’s autonomy. A patient’s family might demand doctors to keep a patient alive living off of either machines or pain medication, even after doctors established such methods would not be effective anymore. Even though, the patient’s family knows that the treatment is no longer achievable, they may still expect doctors to do everything under the patient’s autonomy. However, the true reason is that the family is not ready to let go of a loved one. Therefore, they are willing to put the patient through pointless pain and suffering at the end of his or her life. In such cases, it would be easy for a doctor to obey the family’s request, but it would not be the right thing to do for the patient. Doctors must educate and instruct patients and their families about patient autonomy, and the principle of “do no harm” in …show more content…
A pregnant woman and her fetus should be understood of as a unit, and any other involvements during pregnancy should benefit both mother and child. Hospitals and doctors, who are taking care of a drug-exposed baby, must clearly understand all of the legal and ethical issues involved. After birth, intervention strategies should continue to be intended to benefit both the mother and the child. There should be a strong assumption in continuing the mother-child relationship, and the right of the mother as a decision-maker for the child, unless the mother is not acting in the best interest of the child. Reporting maternal illegal substance delivery to a baby to the authorities has serious effects on the mother and their children. It could remove the children from their mother's care and put them in protective custody or in foster care. To achieve the best possible care and positive outcome for the infant, babies should not be separated from their
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
Physician-assisted suicide (PAS) is a topic, which proponents often support by the affirmation of patient free will or as the exercise of patient autonomy. The purpose of this paper is to examine this argument further from an inter-disciplinary approach, regarding PAS from medical, ethical and legal standpoints and to examine the concept of free will from the philosophical discipline. Are these concepts compatible in a meaningful context and can a sound argument be constructed to support PAS on the basis of patient free will?
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.
Increasingly, people know from their own experience some painful dilemmas involving elderly or handicapped individuals who are in pain. While the achievements of modern medicine have been used to prolong and enhance life for many, they have also helped create an often dreaded context for dying. Costly technology may keep persons alive, but frequently these persons are cut off from meaningful relationships with others and exist with little or no hope for recovery. Many fearfully imagine a situation at the end of their lives where they or their trusted ones will have no say in decisions about their treatment.
Drug and alcohol use in pregnancy poses a threat to the neonate’s development and the obstetric provider has an obligation to screen for substance use. Substance use in pregnancy can place the developing fetus at risk for in-utero opioid dependence, fetal-alcohol syndrome, preterm labor, and other consequences of maternal alcohol, tobacco, and illicit drug use.(6) Within the past three years La Crosse County has seen a marked increase in the amount of heroin use.(7)
A divergent set of issues and opinions involving medical care for the very seriously ill patient have dogged the bioethics community for decades. While sophisticated medical technology has allowed people to live longer, it has also caused protracted death, most often to the severe detriment of individuals and their families. Ira Byock, director of palliative medicine at Dartmouth-Hitchcock Medical Center, believes too many Americans are “dying badly.” In discussing this issue, he stated, “Families cannot imagine there could be anything worse than their loved one dying, but in fact, there are things worse.” “It’s having someone you love…suffering, dying connected to machines” (CBS News, 2014). In the not distant past, the knowledge, skills, and technology were simply not available to cure, much less prolong the deaths of gravely ill people. In addition to the ethical and moral dilemmas this presents, the costs of intensive treatment often do not realize appreciable benefits. However, cost alone should not determine when care becomes “futile” as this veers medicine into an even more dangerous ethical quagmire. While preserving life with the best possible care is always good medicine, the suffering and protracted deaths caused from the continued use of futile measures benefits no one. For this reason, the determination of futility should be a joint decision between the physician, the patient, and his or her surrogate.
When patients suffering from serious health conditions are towards the end of their lives, they are given an option that can change their lives and the lives of those around them. This option is praised as an act of preserving dignity, but also condemned as an act of weakness. The terminally ill, as well as the disabled and the elderly, are given the choice to end their lives by the method of suicide involving the assistance of a physician. For several years, this method has been under debate on whether this option is ethical or unethical. Not only is this defective option unethical, but it puts ill and elderly patients under pressures that can lead to them choosing this alternative rather than the fighting for their lives.
Substance abuse during pregnancy can have a negative force on the health and wellness of not only the fetus, but that of the mother. The harmful effects of medications, alcohol and illegal drugs on an unborn child can be devastating and can have significant consequences to its use. Sometimes the effects can be faced and treated, and other times the outcome is a lifelong challenge. During the prenatal period, it is important that new mothers are informed of the different types of abuse, how they may affect the fetus, and the adverse conditions their child may be faced with before and after birth.
There are many ethical dilemmas in the medical field, especially when it is related to patient’s autonomy; an example to this is euthanasia. Many patients prefer to go over this procedure before continuing suffering from a terminal illness. However, many people to this day believe that this is an unethical practice to perform.
Deontology is an ethical theory concerned with duties and rights. The founder of deontological ethics was a German philosopher named Immanuel Kant. Kant’s deontological perspective implies people are sensitive to moral duties that require or prohibit certain behaviors, irrespective of the consequences (Tanner, Medin, & Iliev, 2008). The main focus of deontology is duty: deontology is derived from the Greek word deon, meaning duty. A duty is morally mandated action, for instance, the duty never to lie and always to keep your word. Based on Kant, even when individuals do not want to act on duty they are ethically obligated to do so (Rich, 2008).
Physicians have a lot of power over their patients, many physicians advocate for the legalization of euthanasia (Shai 79). The physician’s duty is to ease the pain of the patient and, since many of the terminally ill patients experience unbearable pain, they do what they can and opt for euthanasia (Shai 79). Doctors are by law require to meet the needs of the patients and many times patients request for the doctors to alleviate the pain, although this could mean the termination the patients life. Physicians see the pain that their patients suffer and know what methods can ease the pain, not every patients suffering from chronic diseases will be given the same treatment, however if the patient is given the treatment of euthanasia, there is a reason behind that action. Pain is a contributing factor to the patients request to be euthanatized furthermore research has shown that the amount of pain they experiences rises to forty percent in last couple days of their lives.(Ho and Chantagul 254). Not only do patients with cancer experience untorable pain, but other terminal ill patients suffer as well. None of the patients who live through the pain what to be destroyed by i(Ho and Chantagul 254). It is difficult to imagine that someone has to carryout the rest of there days in pain and with not a single option but to wait it out. This makes patients
Every day, millions of people are being diagnose with terminal illnesses or being seriously injured in accidents. Sometimes, those illnesses and accidents become long and agonizingly painful deaths. Although medication could briefly ease the pain, the long-term agony that the patient has to deal with is ceaseless. Undoubtedly, the human life has an enormous value and is for that reason that it should be preserved in all the possible ways. Nevertheless, when the terminal illness comes to its last stage, or the damage caused for an accident is too much to handle and the only option left is death, shouldn’t it be the patient’s decision to end its suffering and pain in a dignified way? Or in cases where the patient has an impediment to decide, shouldn’t the family have the option to give their loved one an end to its suffer? As part of a free society, euthanasia should be considered as a legal and humane option for patients suffering from terminal diseases and victims of accidents, mainly because is every human right to die in a decent way.
All drugs, legal or illegal, are considered to be harmful to the fetus and should be taken with caution and under the doctor’s direct orders only. Drugs can be anything as simple as a cigarette to a major substance like heroin and cocaine. Most mothers who do drugs during their pregnancy don’t think about the detrimental effects they could be causing to their baby. Any amount of these forbidden substances can leave an everlasting effect on the precious defenseless baby. Most women know that when you are pregnant your hormones vary greatly, but when a woman is pregnant it also ...
Ethics asses the values, morals, and principles of nurses. Legal codes or laws are rules established by our government. It’s important that nurses have a clear and comprehensive understanding of ethical and legal codes within their career. The understanding of these codes is essential for nurses to safely practice and to protect their patients. Nurses must abide by these principles or face the consequences of legal action. These principles include autonomy, utilitarianism, confidentiality, and many others. Autonomy is the agreement to respect ones right to determine a course of action, while utilitarianism is what is best for most people as defined in American Nurses Association. In order to give you a
The delivery of healthcare mandates a lot of difficult decision making for healthcare providers as well as patients. For patients, much of the responsibility is left to them especially when serious health problems occur. This responsibility deals with what treatments could be accepted, what treatments could be continued, and what treatments could be stopped. Overall, it considers what route should be taken in regards to the health interests of the patient. However, there are circumstances in which patients cannot decide for themselves or communicate what they want in terms of their healthcare. This is where the ethical issue concerning who should be responsible for making these important healthcare decisions occur if a patient was to be in this sort of situation. Healthcare providers can play a role in the healthcare decision making as their duty is to act in the best interest of the patient.