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Healthcare ethics case study chapter 2
Healthcare ethics case study chapter 2
Healthcare ethics case study chapter 2
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Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also …show more content…
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
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 cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Mohr, M., & Kettler, D. (1997). Ethical aspects of resuscitation. British Journal of Anaesthesia, 253.
This paper explores the legal, ethical and moral issues of three healthcare colleagues by applying the D-E-C-I-D-E model as a foundation of decision making as found in Thompson, Melia, and Boyd (2006). Issues explored will be those of the actions of registered nurse (RN) John, his fiancé and also registered nurse (RN) Jane and the Director of Nursing (DON) Ms Day. Specific areas for discussion include the five moral frameworks, autonomy, beneficence, Non – maleficence, justice and veracity in relation with each person involved as supported by Arnold and Boggs (2013) and McPherson (2011). An identification and review of the breached code of ethics and the breached code of conduct in reference with the Nursing, Council, and Federation (2008) will be addressed. Lastly a brief discussion on how the three schools of thought deontology, teleology and virtue had effects on each colleague (McPherson, 2011) .
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
The nursing code of ethics highlights the need for nurses to ensure that they consider all appropriate options that would help to save the lives of their patients as well as ensure positive health outcomes. However, these nurses cannot ignore such cultural and religious beliefs thereby causing an ethical dilemma on the most favorable steps that the nurse may take in saving the life of the patient. The main question arising from this situation is whether the nurse has the mandate of supporting the patient’s right to the decision not to embark on blood transfusion or take all the necessary actions towards preventing death for the patient
Ethics and moral judgment will always continue to be a controversial topic due to the different beliefs of those living around the world. One’s surrounding and upbringing is different from almost every human being; making no two people alike. As a health specialist it is our job to uphold the standards of professional conduct and ethical codes. We must respect decisions of others and be held accountable for our own personal mistakes. In the case of The Overcrowded Lifeboat making a vital decision with the lives of the people involved can be a major controversy. The question of whether a situation can be considered moral may never be answered and is left to the interpretation of the own solitary individual.
1. What is the Centers for Medicare and Medicaid Services (CMS)? What is their function? Discuss this in detail.
Many advances in medicine have resulted in an increase in recoverability from previously believed unrescuable conditions, most notably cardiopulmonary resuscitation (CPR). This particular advance in death mitigation has evolved over time and resulted in previously unforeseen conversations with patients and their families regarding specifying level of resuscitative efforts in the face of death. Do not resuscitate (DNR) orders, one of the outcomes of successful and ubiquitously implemented CPR, can be found throughout healthcare agencies in several countries. Laws regarding its implementation vary by country, state and setting. Despite its long history of use in healthcare, confusion regarding the topic remains among both clinicians and patients and their families. Part of the misinterpretation can be attributed to the enormous ethical implications regarding ability to rescue versus appropriateness of rescue in individual patients. To alleviate this ethical concern, CPR as rescue has been established as the standard of care throughout healthcare agencies and in the community at large with the advent of prehospital care in the form of emergency medical technicians (EMT) as well as community level basic life support (BLS) training.
Professionals must never discriminate or judge anyone’s values and beliefs, making sure you respect patient’s choices. Health care professionals are faced with ethical dilemmas which is when a patient and care provider understandings differ from one another. For example, if a patient refused to be cleaned, a nurse is then not abiding by principles of autonomy and beneficence but you must respect the patient’s self-rule above all. It is always good for health care professionals to keep updated in current discussions to allow them to understand various ethical issues. However, when in a care setting you must always have a professional relationship wither it could be with patients, family members or staff.
The first step in solving any problem is to defining what you plan to achieve and how to get there. (Plan you work, work your plan - Les Brown) Several ideas on the way to reform health care in the past have been mired with potholes even before the plan was enacted. Sometime the administration knew about these potholes and attempted to cover them up, in order "just to look good", while their opponent (in an effort to do the right thing) pointed out these potential potholes ahead of time, but were put down as being "hateful opponents". It turns out, the opponents were RIGHT!
Another huge ethical topic is the patient’s right to choose autonomy in the refusal of life-saving medicine or treatment. This issue affects a nurse’s standards of care and code of ethics. “The nurse owes the patient a duty of care and must act in accordance with this duty at all times, by respecting and supporting the patient’s right to accept or decline treatment” (Volinsky). In order for a patient to be able make these types of decisions they must first be deemed competent. While the choice of patient’s to refuse life-saving treatment may go against nursing ethical codes and beliefs to attempt and coerce them to get treatment is trespass and would conclude in legal action. “….then refusal of these interventions may be regarded as inappropriate, but in the case of a patient with capacity, the patient must have the ultimate authority to decide” (Volinsky). While my values of the worth of life and importance of action may be different than others, as a nurse I have to learn to set that aside and follow all codes of ethics whether I have a dilemma with them or not. Sometimes with ethics there is no right or wrong, but as a nurse we have to figure out where to draw the line in some cases.
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.
The aim of this essay is to explore the role of the health professional. This essay will look into the different team members that would be dispatched to the scene of the major incident. It will look into different concepts, such as ethical and moral dilemmas the professional may have to deal with. It will also look in to the professional qualities and values needed to practise in a specific field and explain how and why a professional body regulates practise and conduct for specific professions.