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Essays on ethics in healthcare
Essays on ethics in healthcare
Essays on ethics in healthcare
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Every patient has the right to refuse treatment if they are competent. In the case study the 35-year old woman’s religion and chronic disease was the determining factor of her not wanting to receive a blood transfusion. If the treating physician would try to influence her decision away from her family and offer a secret transfusion that would be unethical. According to the textbook ethical decision making was derived from natural law. It is thought that healthcare ethics interprets God’s will to determine how we can make for fellow human beings. All clinical scenarios are based on ethical principles which travel back to Ancient Greece writings by Aristotle’s for the foundation of ethics. Each profession has a code of ethics for standards for …show more content…
All of these principles are in the American College of Healthcare Administrators. A competent patient has autonomy and it is exercising the right to make their own healthcare decisions. An incompetent patients and children must have all healthcare decisions made by a legal guardian or the courts. The next ethical principle is beneficence personal taking care of a patient must do right by them and not harm the patient. This is where cultural values play a factor on how the patient is treated. This ethical principle ties in with Fidelity which is to faithful discharge of one’s duty toward the patient’s care. Lastly there is the ethical issue of Justice which is the legal and ethical responsibility to care for all people without discrimination on various basis of race, creed, and other …show more content…
The patients’ religious preference places expectations on the healthcare system for receiving extraordinary care for terminally ill patients. The Jewish religion view on death is that defined by the rabbis as “one who is within three days of death”. The patient cannot do anything to shorter their life nor do anything to relieve their suffering. The Jewish reglion has a term called terminal dehydration which is the withholding of food and fluids to allow the patient to die. There is a dilemma in this concept because it has a limited time frame of three days. As well the Jewish law gives the commandment to live everyday to the fullest by eating and drinking fluids naturally or
Today, there are so many legal dilemmas dominating trial for the courts to make a sound legal decision on whose right in a complicated situation. Despite the outcome of the case, the disagreement usually has a profound effect on the healthcare organization, and the industry as a whole. Many cases are arguments centered around if the issue is a legal or moral principle. Regardless what the situation maybe, the final decision is left to the courts to differentiate between the legality issues at hand opposed to justifying a case based on moral rules. According to Pozgar (2012), an ethical dilemma arises in situations where a choice must be made between unpleasant alternative. It can occur whenever a choice involves giving up something good and suffering something bad, no matter what course of action is taken (p. 367). In this paper, I will discuss cases that arose in the healthcare industry that have been tried and brought to justice by the United States court system.
Why is it so important that healthcare executives adhere to a professional code of ethics?
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
A law is a rule of conduct or action, required (governments endorse laws) to maintain order and public safety in case of a breakdown of law. The criminal & civil law is applied to health-care practitioners or providers, if criminal wrongdoing or negligence occurred in patient’s care. Ethics or moral values serve as the basis for ethical conduct. Our societal values, Family, and cultural values help form an individual’s moral value (Pozgar, 2014, p. 217). The Pozgar further suggests that the healthcare executives needs to understanding the development of law, sources of law, the meaning of different terms to effectively handle change in environment due to frequent policy implementations.
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.
When dealing with an ethical dilemma, social workers usually reference back to Reamers 7-step process to help with ethical decision-making. In the given case study, we meet Lori a bright fourteen-year-old who is smart, involved in school activities, and sports. She has had a non-normative impacted life since she was young, such as her mother dying of breast cancer and father dying as well. She has no immediate family and was lucky enough to be placed in a foster home with a family who loves her and wants the best for her.
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).
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
In conclusion, healthcare administrators must provide high quality care through ethically sound policy. Processes must be clear and fair and ongoing ethics training must be provided for all levels of staff responsible for patient care. They must follow their code of ethics and be self-regulating. In doing so, actions and decisions made will be reflective of a good steward of
The major categories of ethical concerns in the public health field and provision of the necessary healthcare practices include paternalism, responsibilities, utilitarianism, liberalization, rights, and freedom of the patients in as much as the disease prevention and treatment is concerned. It is important that all thes...
..., beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and adequate. These principles are used to protect the rights of a patient and the physician from being dishonored. The principle autonomy allow an individual to act freely in accordance to their self-chosen plan. This means that healthcare providers must always get the patients consent before making any decision about patient’s life. The of non-maleficence states one must cause no harm to an individual. This means that we must always restrain from harming others. The principle of beneficences say that one must always promote good. This means that healthcare providers must always do what is good for the patient. Lastly the principle of justice promote fairness and equally. This mean that healthcare providers cannot act in a prejudice manner toward patients.
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.
In the code of ethics, the very first ethical principles that nurses are expected to uphold in order to exemplify that they are competent professionals are autonomy, beneficence, and nonmaleficence. That is, nurses as professionals are expected to advocate for their patients while preserving their respect and dignity and
Taylor & Pinczuk (2015) notes the following as ethical issues: problems with human relations, failure to speak up when unethical issues and practices occur, potential injustice to minorities, unjust practices in resource management, and supporting regulations as opposed to doing what is the honest, moral and appropriate for the patients and clients. In this respect, the ethical issues faced by nursing leaders in a health care rationing environment revolve around the fact that nursing care costs must be managed at acceptable levels without compromising medical care.
During my Bachelor’s degree, I had to do a final year project. It was a group project. The 4 of us had decided on a topic and then allocated specific topic to each one of us. Three of us did what we were assigned. But the fourth girl always had an excuse for not completing her work. The first few weeks her excuses seemed genuine and as she was our friend, we completed all of her work too. Our ethical dilemma was whether to report it to our project mentor or not. Finally, a few months into the project, we decided that to discuss the situation with our mentor. But, as the fourth person in our group has ‘A’ grade throughout the Bachelor’s program, our mentor found it difficult to believe that the person was not working. After that, our mentor made sure the fourth girl in the group did the work assigned to her, but the mentor also scolded the three of us