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Cultural diversity in healthcare
Introduction to ethics and healthcare
Cultural diversity in healthcare
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Ethical issues arises when not all values can be respected. Our care for patients should be based on sound judgement or evidence based practice. In health care there is not only one discipline that deals with the issues, there is the law, technology, policy makers, society and the system that prescribe or create certain behaviors.
Ethics is relevant to all aspects of health care delivery However, there are numerous social policy issues related to ethical challenges that can impact patients, families as well as health care providers and health care institutes. Since Canada is a multicultural country and facing increased corporatization of health care and health care research there are significant challenges associated to health care delivery. Patient, families, and health care professionals sometimes face difficult decisions about medical treatments that involve moral principles, religious beliefs or professional guidelines. For instance, human reproduction, genetic and genetic testing, organ donation and organ translation, end of life care issues, public and global health ethics, and health research are emerging and sensational ethical issues which are influenced by the structure and function of health care delivery system. These are common and everyday ethical issues in health
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care system that affect all individuals involved in health care. Although these challenges have been discussed widely in the literature as isolated ethical issues in health care, no or minimal attempt has ever been made to collate and prioritize them. My thoughts about the social political issues and ethical challenges are consistent with the chapter because ethical challenges are prevalent in health care services and is a growing.
Canadian health care system is also is affected by these issues and challenges. For example, maternal and fetal health along with reproductive rights and fetal rights present tremendous ethical difficulties in health care. Moreover, new technology and knowledge and research are changing the ways of people’s thinking about health and illness and contributes to make situation more complex. Similarly, Organ translation and organ donation along with end of life issues are more challenging the health care
system. When I read this chapter, I am morally distressed and would like to strongly advocate for my patient’s autonomy and patient choice. Patient should be fully informed about the benefit and risk of any procedures and they should allow to make a decision about their life without any interferences. Most of the time our health care structure and social political issues are barrier to provide appropriate care to the patient. For example, if an individual with terminal ill wants to die rather suffer with pain, then how could a health professional help him/her? Although, “Physician Assisted Suicide” has been legalize in Canada there is no proper guideline or indication to perform the procedure. In this situation, are we protecting the right of the patient? Are we as a health professional providing him/her quality care and life? How can our system and we as a health professionals help patient to die with dignity? Is our system and policy equally addressing the need of every individual? These questions are unanswered because of the structure of our health care that needs urgent attention to protect the right and responsibility of individual, families and communities as well as health care professionals. In my opinion, the policy makers and government should be more conscious about the health and illness and every individual and treat them accordingly. Cultural beliefs and values of and individual should be considered when implementing medical intervention. In addition, ethics education should be provided to health care provider, institute should implement consistent policy and procedure through the public consultation. Having stakeholders with divers value systems come together to discuss the challenges may be more effective approach to plan or restructured health care policy and system. Patient’s need and choices should be respected appropriately. To sum up, efforts should be equally given to address every ethical challenges arise in health care system to resolve and relieve ethical dilemmas and moral distress. It would be possible through active participation of health professionals, patients, families, communities, government and policy maker in a collaborative way.
The four ethical virtues of health care must be shown, compassion, discernment, integrity and trustworthiness. Respecting a person’s autonomy understanding and acting on the belief the people have the right decision to make decisions and take action based on their beliefs and value systems. The ethical issues that would be encountered will be to treat each person with passion and respect regardless of sex, race, and religious preference. The environment has no human rights violations, sustains nursing ethical
Slosar, J. P. (2004). Ethical decisions in health care. Health Progress. pp. 38-43. Retrieved from http://www.chausa.org/publications/health-progress/article/january-february-2004/ethical-decisions-in-health-care
“Kindness is the language which the deaf can hear and the blind can see”—Mark Twain. Health care is a profession that should epitomize kindness. Cultural competence, being open-minded to other cultures, is essential for effective and kind healthcare in our current multicultural population. This case analysis will examine the ethical dilemmas, moral theories, principles, alternative actions, and give a recommendation about the morally best action for the case “Confronting a fetal abnormality” by Karen Peterson-Iyer.
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.
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).
While the moral backing for public health in its current state may be sound, what many researchers fail to understand is that the many moral failings of its predecessors that color the legacy of public health internationally and at home. As discussed in the chapter “Colonial Medicine and its Legacies” within the textbook Reimagining Global Health arranged by Paul Farmer, before the conception of global health there was international health which sought to distribute health as a good horizontally across international, political lines. Under the framework of international health, public health workers became agents of a cold war enmeshed in the fiscal, geopolitical, and territorial struggles between two hegemons rather than the holistic value of community health. While international health as a framework has largely been abandoned, much of its rhetoric can be found within our current framework of public health such as the enumeration of certain parts of the world as "1st world", "2nd world",
At times, ethical questions do arise when the correct path is not present or when there is a disagreement between the medical professional and the patient. Common ethical questions could arise which include
Medical ethics could be so many different thing mostly bad.There's so many stories about medical ethics this this story about this girl. At the age of 13 she was diagnosed with a rare and fated type of cancer.The survived and was cleaned that didn't have cancer. Then 10 years later she fought for her life again, she had sergey. After the Surgery there was no where no sign of the cancer. There years later she married and she became pregnant because of her health history she went to a clinic so they could watch her pregnancy.She had to go back to the clinic for having a lung tumor. She want to be in the best health, surgery was not an option. Her baby was too small to be born yet ,” meaning too premature.” (Thornton )She wanted to keep treating her cancer but, the doctors said that should wait until 28 weeks.She waited and the doctors she it was too dangerous and they wouldn’t help.So they want to cort.The court made it distion and at time is was very ill. The court order a surguy but the doctor said that if she goes into surgery she might not make it. She refused, but the doctors could not refused the courts orders. She was rolled into the surgery room. she made it into through the surgery, but two days later she died. She ...
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
Ethics refers to the values and customs of a community at a particular point in time. At present, the term ethics is guided by the moral principles that guide our everyday actions. These moral principles guide the researcher into deciding what is ‘right’ or ‘wrong’. The foundation of medical ethics is governed by two philosophical frameworks: deontology, and utilitarianism. However, ultimately, the ethics committees need to balance the risks, and benefits for the participants and the community associated with the particular research proposal.
Tarzian, A. J., & Force, A. C. C. U. T. (2013). Health care ethics consultation: An update on core competencies and emerging standards from the American Society for Bioethics and Humanities’ Core Competencies Update Task Force. The American Journal of Bioethics, 13(2),
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
Garrett, T. M., Baillie, H. W., & Garrett, R. M. (2010). Health care ethics: Principles and problems (5thed.). Upper Saddle River, NJ: Prentice Hall.
...ue to numerous medical errors. With the amount of medical errors that currently do occur which is a current health care issue it cost the health care billions of dollar each year to fix the mistakes that were made.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.