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More handpicked essays just for you.
Autonomy and its affects on the people
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What ethical decisions should the physician have at that point? Explain and justify your position. What theory and/ or principle did you use as a basis for your rationale?
-The ethical decision the physician have at this point was to grant this woman her wish of not wanting to be intubated for any reason. Due to her autonomy, she made it very clear from the beginning to her, and she felt like he/she didn’t honor her wishes.
2. How does autonomy play a role in this case?
- Autonomy played a role in this case she, as the patient at her appointment made it very clear to her physician that for any reason she does not want to be intubated or put on a ventilator because she due to the level of discomfort, loss of control, and loss of dignity.
Paramedics deemed the patient competent and therefore Ms. Walker had the right to refuse treatment, which held paramedics legally and ethically bound to her decisions. Although negligent actions were identified which may have resulted in a substandard patient treatment, paramedics acted with intent to better the patient despite unforeseen future factors. There is no set structure paramedics can follow in an ethical and legal standpoint thus paramedics must tailor them to every given
Healthcare creates unique dilemmas that must consider the common good of every patient. Medical professionals, on a frequent basis, face situations that require complicated, and at times, difficult decision-making. The medical matters they decide on are often sensitive and critical in regards to patient needs and care. In the Case of Marguerite M and the Angiogram, the medical team in both cases were faced with the critical question of which patient gets the necessary medical care when resources are limited. In like manner, when one patient receives the appropriate care at the expense of another, medical professionals face the possibility of liability and litigation. These medical circumstances place a burden on the healthcare professionals to think and act in the best interest of the patient while still considering the ethical and legal issues they may confront as a result of their choices and actions. Medical ethics and law are always evolving as rapid advances in all areas of healthcare take place.
The ethical principle of non-maleficence demands to first do no harm and in this case protect the patient from harm since she cannot protect. Nurses must be aware in situations such as this, that they are expected to advocate for patients in a right and reasonable way. The dilemma with non-maleficence is that Mrs. Boswell has no chance of recovery because of her increasing debilitating mental incapability and the obvious harm that outweighs the intended benefits. If the decision were to continue treatment, the suffering of the patient and family would be evident. Autonomy is the right to make your own decisions and freedom to choose a plan of action.
This can be seen in the case study as ethical and legal arise in resuscitation settings, as every situation will have its differences it is essential that the paramedic has knowledge in the areas of health ethics and laws relating to providing health care. The laws can be interpreted differently and direction by state guidelines may be required. Paramedics face ethical decisions that they will be required to interpret themselves and act in a way that they believe is right. Obstacles arise such as families’ wishes for the patients’ outcome, communicating with the key stakeholders is imperative in making informed and good health practice decision. It could be argued that the paramedics in the case study acted in the best interest of the patient as there was no formal directive and they did not have enough information regarding the patients’ wishes in relation to the current situation. More consultation with the key stakeholders may have provided a better approach in reducing the stress and understanding of why the resuscitation was happening. Overall, ethically it could be argued that commencing resuscitation and terminating once appropriate information was available is the right thing to do for the
human dignity" to apply pills and tubes to an old woman who is brain-damaged and unconscious? Why should "conscious" or "unconsciousness" even be an issue of concern in this argument? Are doctors not allowed to perform emergency surgery on people who are unconscious, and therefore unable to approve the doctor 's decision. Harpur never proves this view, but only invokes emotionally-charged language to justify it.
his own life how he wishes, even if it will damage health or lead to
...d how these determinations effect a physician’s approach to various types of critically ill patients? These types of questions come in to play when one attempts to critically analyze the differences between the types of terminally ill patients and the subtle ethical/legal nuances between withholding and withdrawing treatment. According to a review by Larry Gostin and Robert Weir about Nancy Cruzan, “…courts examine the physician’s respect for the desires of the patient and the level of care administered. A rule forbidding physicians from discontinuing a treatment that could have been withheld initially will discourage doctors from attempting certain types of care and force them prematurely to allow a patient to die. Physicians must be free to exercise their best professional judgment, especially when facing the sensitive question of whether to administer treatment.”
Charlotte’s parents thought otherwise, the Ethics Advisory Committee had to get involved. The debate surrounded if the doctors were in the right to control the life of someone who were incapable of deciding themselves, or is it the parents right. The Ethics Advisory Committee, stated that the parents were superior to those of the hospital and the hospital should conduct with less painful test. Charlotte’s parents wanted the doctors to continue testing until it was determined that her life diffidently had no chance of remaining. Because, of Charlotte’s parents’ desires unfortunately caused Charlotte to die a painful death without her parents. If the patient is unable to speak for their selves, the family should be able to have some say in the medical treatment, however; if the doctors have tried everything they could do, the hospital should have final decisions whether or not the patient dies or treatment
Autonomy is defined as “the right to make independent decisions concerning one’s own life and well being” which encompasses four main meanings describing autonomy as: “free action, effective deliberation, authenticity and moral reflection” (Yeo & Moorhouse, 1996, p.91-93). In the case of 59 year old Ms. R, who has stage IV metastatic lung cancer (Kirk, 2014), respecting her autonomy can be honored using three of the four autonomy principles; free action, effective deliberation and authenticity. Using autonomy as free action, defined as “being able to do what one wishes
Will, J. F. (2011). A brief historical and theoretical perspective on patient autonomy and medical decision making: Part ii: The autonomy model. American College of Chest Physicians 139(6), 1491-1497.
Question 3 The main ethical principle that plays a role in the patient’s suffering and staff’s moral distress is autonomy. By putting Linda on the gastric feeding tube, her mother went against Linda’s right to self-determine (Quill & Miller, 2014). So it is the infringement on Linda’s sovereignty that causes distress to the nurses.
My acronym is KT and if I would choose what it would stand for then I would think it should be Knowing Tiger. The reason that I think that my acronym would stand for "Knowing Tiger" is because of how it describes me. I may not be the smartest student or the most acute but I like to think that I at the least have an admirable understanding of the subjects that are taught to me. I am a stubborn person and I try to understand the subjects that are taught to me to the best of my abilities, lest I give up. This admirable understanding would explain the "Knowing" part of my acronym.
Achieving personal autonomy to me means to have an interest for own personal achievements in life. It is the freedom to live your own life as you please. As young children we learn to follow people who we trust make decisions for us, but as we become adolescence we start wanting to make decisions for ourselves. That is where personal autonomy comes into play, as we mature taking control of our own life in a way that we want to live can create an inner happiness; no one wants anyone to control their life. We may have people who love and care for us that may give advice about what choices we should make in life simply because they want the best for us, but at the end of the day we make our own decisions which reflect the way we live (Koestner, R. 2008).
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
This current policy should be kept in place ultimately to prevent patient anguish when recovery is not likely. In this case, patient suffering trumps the right to autonomy due to the fact that the patient on life support cannot express their level of comfort; therefore, it is safer to prevent potential suffering when recovery is not