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Contributions and significance of virtue ethics
Virtue ethics in healthcare
Contributions and significance of virtue ethics
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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. Morrison & Furlong (2014) discusses that caregivers with practical wisdom, which by necessity includes being of good character or virtuous, will be able to make appropriate decisions about the means to ends. This has significant implications for healthcare ethics. When faced with ethical challenges in medical care, such caregivers will have the practical wisdom to know how to weigh the various issues and concerns and form a conclusion. (p.13) Although healthcare providers are able to have some input in the decision making process in healthcare, they truly are not always aware of what their patients want. Only a patient has the responsibility to decide what direction according to their health that they want to go. It is a matter of choosing someone or something to lay out directives in case such a circumstance is to take place. Mo... ... middle of paper ... ...itten documents to be developed as an advanced directive. It primarily deals with deciding on when treatments and procedures that prolong life in circumstances where the patient is either terminally ill or in a persistent vegetative state should be started or discontinued (Types of Advanced Directives, 2011). The efforts of both state and federal influenced the development of advanced directives in the aspects of making end of life decisions. However, state made the first initiative (HHS, 2013). California began the first law that moved towards living wills. HHS (2013) says that beginning the first wave of state legislation was the 1976 passage of the Natural Death Act in California, the first law to give legal force to living wills; soon thereafter, a number of states passed legislation authorizing instructional health care directives or “living wills. (para.5)
Prior to discussing why Advanced Directives are so essential the definition of Advanced Directives is crucial. An Advanced Directive is made up of several legal components which ultimately online the patient’s wishes if one was to be incapacitated or unable to verbally make wishes know regarding healthcare. The understanding of what a living will and a durable power of attorney both need to be discussed before one is able to compare and contrast. A living will ensures that anyone reading this paper will understand how the patient wanted to continue their form of treatment. With a living will anyone ranging from patients to healthcare professions should be able to determine the specific actions the patients would want taken if they are unable to make said wishes known. A
In the increasingly complex world of health care, health care professionals make life-changing decisions for their patients and clients. The decisions can range from life to death and long care term for patients with mental disabilities. Not only do the decisions impact the patients or clients life but it also affects the patient’s family, caregivers and even the person making the decisions. Hence, healthcare professionals are advised to develop a moral reasoning and ethical decision-making process. The model used by most healthcare professionals is the six-step process developed by Purtilo and Doherty.
An advanced practice nurse (APN), will be faced with different types of ethical-legal dilemmas that in most cases will require the APN to make urgent decisions that will include both moral and ethical attention. Ethical dilemmas are conditions that have to scenarios course of actions to take that will contradict each other (Westrick, 2014, pp 258-265). The APN will have to choose between the two urgent decisions because each of these choices is deemed to be equally right and urgent. This is the reason that makes dealing with ethical-dilemmas very stressful for the APN and other experienced caregivers involved. It is very noteworthy that an APN has many medical responsibilities to provide care, and are also in the position to make urgent medical decisions that is independent because of being the person in authority at that time. Many of the existing ethical dilemmas will fall in with a variety of treatment withdrawal vs maintenance, the quality of life vs the quantity of life, euthanasia vs non-euthanasia, and pro-choice vs pro-life (Westrick, 2014b, pp.77-83).
There are many legal and ethical concerns surrounding issues of the end of life. Healthcare providers and patient’s family members all must encounter with different point of views of these matters. Prepare a healthcare Advances Directive is a way a patient can ease many of the issues related with the decision to die with dignity. The two primary legal documents of Advance Directives include Living Wills and Durable Powers of Attorney. By implementing these document, patients can make their wishes about health care decisions to both healthcare providers and family members in the event they become incompetent or incapable of making health care decisions.
Powell and Lowenstein address many key issues about the refusal of life-saving treatments. They go into depth about what falls into this category of “life-saving treatments,” such as people refusing nutrition and hydration while they have a long life ahead of them with full cognitive ability. They aim to answer questions about whether doctors should allow patients to autonomously make these decisions as well as if the doctors have a duty to follow the patient's wishes. They also discuss the differences in cases with disabilities, chronic diseases, and other health problems along with where to draw the line about patient decisions. Not all of these decisions are the same and deeper understanding of the reasons behind the refusal need to be
To save or not to save? That is the question. In the hospital setting, many problems arise and it is the duty of the healthcare workers to ensure, aide, and facilitate the patient’s well being to the best of their ability. Though all problems cannot simply be solved with medicine and therapy, it takes a considerate amount of critical thinking as well. What should happen when a problem like making sure a patient stays alive, backfires and the patient actually wants to die? Also, for a person desiring death, it is not considered righteous and we, as humans will deem them as mentally ill. This is where the ethical and moral issues of promoting health and respecting the patient’s right to autonomy are conflicted.
This past Tuesday, I attended Dr. Eric Vogelstein’s philosophical seminar and forum titled “Advance Directives: Problems and Prospects.” This talk focused upon the use of advance directives, which can be described as written legal documents that detail a patient’s wishes regarding their medical treatments in the case that he or she unable to verbalize them due being in an unforeseen medical state or circumstance, as well as the implications of their use in the medical field. Advance directives themselves usually consist of living wills medical powers of attorney (i.e. proxy designation). The use of advance directives is often ethically justified based on the belief that it allows patients to exercise their autonomy through self-determination.
In health care, ethical decisions are made on a daily basis. An ethical dilemma can arise at any moment, and it is “imperative that health care professionals learn the ethical principles, the professional code of ethics, and the legal components, in order to be knowledgeable on ethical decision making when dilemmas does arise” (Schaar, 2005). Currently, there are many ethical issues that occur in health care. For example, noncompliance with treatment is just one of the many ethical issues that health care professionals face currently. Patients that is noncompliant with treatment causes challenges for physicians that treat its patients. Within this paper, there will be information discussing noncompliance with treatment.
Brodtkorb, K., Skisland, A. V., Slettebø, Å., & Skaar, R. (2015). Ethical challenges in care for older patients who resist help. Nursing Ethics, 22(6), 631-641. doi:10.1177/0969733014542672
Effective communication is essential in making a correct diagnosis, developing rapport and trust and determining proper treatment and achieving best clinical outcomes for the patient.31 Good communication skills also can avoid any misunderstanding between medical staff, patients and family members. The medical staff in the case study should discuss about the patient’s condition and treatment plan with the patient’s family. It is important for health professional to share decision making with the patient and their family members so that they will feel more appreciated, and ensure their satisfaction towards health care facilities. In making clinical decision, it is fundamental to take consideration of different factors such as patient’s culture and backgrounds. Each decision-making should be based on ethical consideration and taking into account the four principles of medical ethics, which are autonomy, beneficence, non-maleficence, and justice. Yet, to integrate these 4 pillars in a decision-making is a complex proses that requires consideration of various aspects and
Travelbee (as cited in Berg and Sarvimaki, 2003) states that man is also accountable for their “choices, decisions and actions” (pg. 386). Man can decide and think on their own while possibly making a logical or illogical decision. This applies to a patient is in the hospital, who must decide on the course of treatment after multiple choices are presented by the interdisciplinary team. No matter what option the patient pick, we, the nursing team will abide by it because we know that in general, patients can think on their own and these thoughts are being influence by either their culture or
For any health services manager, a personal code of ethics creates the moral framework for the relationships built with patients, staff members, organizations, and the surrounding community. These relationships are extremely important to the health care facility, and a manager’s morals can be affected by, and can affect what is and isn’t done. While rules and regulations have been put in place to prevent certain situations from occurring as well as to create answers to certain problems, many ethical issues are faced in the practice of medicine. Some of these obstacles are very specific to the situation, as there are certain ethical conflicts that are very common, and developing a personal knowledge of ethics, assists in developing a methodology
For example, if someone is in a serious car accident and cannot make medical decisions about their lives, the decision is now for a family member or power of attorney to make. However, it may be hard for someone to make a life ending decision for a family member as emotions are involved. A living will give the terminally ill patient peace of mind and takes the burden off the family. Living wills can be written at any time and are considered a legal document if it is signed, witnessed and notarized. This document will have wishes listed, such as, if the patient wants a breathing machine or artificial nourishment at the point where it may be needed. Living wills have been used since 1967 when Luis Kurtner wanted dying patients to still make decisions about their medical care. Living wills do not expire but revoked or changed in written form at time. In a study of six thousand people in 2010, approximately 72% of these people had a legal living will. Living wills are becoming more popular because they give people the idea of more control at the end of their lived. Palliative care is very common, but a living will may give people peace of mind if PAS is not an option for
The ethical framework that I struggle with the most is balancing autonomy and beneficence. Ethical issues may arise when a patient’s decision that is autonomous conflicts with the health professional duty of beneficence to act in the patient’s best interest. For example, a patient with a respiratory infection might refuse