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Medical Ethics Quiz
Contribution of Hippocrates
Medical Ethics Quiz
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As a physician, it is your sworn duty to protect those that are being treated under the Hippocratic oath. Although there are different dictations of the original oath, they all have the same context. When the law comes into play, physicians should remain true to the oath. When physicians take this oath, they have an obligation to keep their patients from harm and injustice. As a Hippocratic oath pledgee, one is also vowing to neither give a deadly drug to anybody who asked for it, nor make a suggestion to this effect. In modern times, society’s pressure can cause physicians to conform, but as a future physician, forcibly medicating a patient for a progression to death will never be a portion of my practice.
Physicians are given their surname,
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M.D., D.O., etc., under the assumption that they are helping to advance the overall health of the population through treating various diseases and illnesses. The American Medical Association defining that the direct participation in an execution is unethical is support for a physicians’ decision to not participate in forcibly administering medications to aid states in executions. A “direct” participation may be interpreted differently by psychiatrists. Some psychiatrists may believe that a direct participation is administering the lethal dose; other psychiatrists may believe that a direct participation is providing any form of treatment that allows the state to progress with the execution. The AMA’s code of ethics states: “as a member of a profession dedicated to preserving life when there is hope of doing so, should not be a participant in a legally authorized execution”. In other words, a practitioner may have his/her personal beliefs, but as a member of the profession using medical knowledge or treatments, ethical standards should apply (Boehnlein). Participating in this process in any treating fashion is against the Hippocratic oath. The psychiatrist may intend to only treat the patient for psychosis, but the ultimate result of this treatment is death of the patient. Forcing a treatment to aid the state’s execution can be compared to assisting a murderer in killing someone. We can’t expect physicians to perform tasks for the state that is considered accessory to murder in other instances. If the inmate poses a threat to his/her life or others’, physicians are practicing within the scope of the Hippocratic Oath; it is an effort to preserve life. Ford v.
Wainwright held that executing the insane was a violation of the Eighth Amendment. When a practitioner provides antipsychotic drugs to help the inmate regain competency, they are exercising their medical knowledge and skill to preserve the inmate’s well-being. When the inmate regains competency, the proceedings for their execution continue because it is no longer considered a cruel or unusual punishment. Although our court systems allow this forceful treatment, it violates the inmate’s right to refuse a treatment. The practitioner’s role is within the scope of the Hippocratic oath because he/she is preserving life and is not prescribing/suggesting any lethal dose. Physicians monitor the health of the patient and procedures followed during an execution to ensure that the patient does not suffer during the punishment. Dr. Gawande researched capital punishments and found that lethal injection is the most accepted punishment, but has a history of being mismanaged and feels that they can be performed reliably with the presence of a medical professional (Cochrane). While practitioners play a conservational role in the proceedings of executions, they are ultimately assisting in executing the patient. In other words, the medical professional is implicitly suggesting that a lethal dose be prescribed. Participation by a practitioner in the execution proceeding, in any treatment capacity, is a violation of the Hippocratic oath and although it is not directly causing the death,
the physician knows that his/her treatment is a factor that leads to the death of the inmate. The issue does not lie in the direct impact that the treatment has on the instead, it lies in the implications for treatment, which violates the code of ethics by the AMA as well as the Hippocratic Oath. For this reason, it is not the best position to take as a medical professional.
...92‘s Riggins v. Nevada, and 1990‘s Washington v. Harper. In Harper, the court determined that prison inmates could be forcibly medicated if they were a danger to themselves or others, and if the medication was medically appropriate. Riggins, in turn, decided that a defendant already on trial could be forcibly medicated to ensure his competency and allow for the proceedings to continue smoothly, in essence bulldozing one’s 14th amendment rights to “accomplish essential state policy” (Riggins, 1992, as cited in Breneman, 2004, p. 971). Riggins also proclaimed that forcible medication must be the least invasive means of treatment, and provide minimal side effects. Sell was clearly the child of these two rulings, fusing the competing interests of governmental prosecution with the liberty and safety of the defendant.
Once physician- assisted suicide (PAS) is legalized, the Oath doctors take would be infringed upon. Allen states “Physician-assisted suicide is viewed as the most controversial types of euthanasia because it violates the Hippocratic Oath” (15). The oath consists of the doctors promising to keep the patients’ health and well-being first and try their best to keep their patients’ lives long and healthy until it is naturally their time to leave the world. (Allen 15). It is obviously a violation of the oath when doctors aid in the death of their patients. They do not help the patients pr...
Intro: The Hippocratic Oath clearly states, “I will not give a drug that is deadly to anyone if asked [for it], nor will I suggest the way to such counsel.”Steven Miles, a professor at the University of Minnesota Medical School published an article, “The Hippocratic Oath,” expressing that doctors must uphold the standards of the Hippocratic Oath to modern relevance. Euthanasia continues as a controversial policy issue. Providing resourceful information allows us to recognize what is in the best interest for patients and doctors alike. Today, I will convince you that physician-assisted suicide should be illegal. The United States must implement a policy stopping the usage of euthanasia for the terminally ill. I will provide knowledge of
Even since ancient times, it was recognized that doctors had power over their patients, and that there must be ethical implications coming with this responsibility. This was first represented in the Hippocratic Oath, which was created by an Ancient Gree...
The idea of Physician-Assisted suicide is one that carries many misconceptions and comes with much opposition. Of these opponents, many are doctors and nurses. This opposition is deeply rooted in the belief that the practice of medicine is one that has the sole purpose to increase the quality of life for people and to prolong life. These beliefs are rooted in the Hippocratic Oath, an Oath that all doctors promise to uphold. The Hippocratic Oath proclaims that “I will give no deadly medicine to anyone if asked, nor suggest any such counsel” ("The End of Life: Ethical Considerations"). This Oath is a major reason for many nurses and doctors opposing the practice; however, it is not the only source for opposition. In addition to the Hippocratic...
“Do Euthanasia and Physician-Assisted Suicide Violate the Hippocratic Oath?” ProCon.org. Lutheran Church Missouri Synod, 2001. Web. 21 March 2014.
The advancement of technology in the medical field has prolonged the lives of individuals, but certain terminal illnesses lead to inevitable death. Health care team members working in end-of-life care are being faced with the ethical dilemmas introduced by the physician-assisted suicide legalization, also known as the Death with Dignity Act, in the United States (Lachman, 2010). Physician-assisted suicide, or euthanasia in some texts, allows mentally competent, terminally ill individuals, with less than 6 months to live, a choice to self-administer physician prescribed medication, which assists in death (Friend, 2011; Harris, 2014; Lachman, 2010). Although the patient administers the fatal dose to his or her self, the ethical dilemma arises of whether physician-assisted suicide is the individual’s right, or a violation of human life (Harris, 2014). Terminally ill individuals should have the option to end their suffering during end-of-life care through physician-assisted suicide.
Euthanasia is one of the most complicated issues in the medical field due to the debate of whether or not it is morally right. Today, the lives of many patients can be saved with the latest discoveries in medicine and technology. But we are still unable to find cures to all illnesses, and patients have to go through extremely painful treatments only to live a little bit longer. These patients struggle with physical and psychological pain. Dr. Martin Luther King Jr. discusses the topic of just and unjust laws in his “Letter from Birmingham Jail” which brings into question whether it is just to kill a patient who is suffering or unjust to take that person’s life even if that person is suffering. In my opinion people should have the right, with certain restrictions, to end their lives in the way they see fit if they are suffering from endless pain.
Critics to the idea of providing dying patients with lethal doses, fear that people will use this type those and kill others, “lack of supervision over the use of lethal drugs…risk that the drugs might be used for some other purpose”(Young 45). Young explains that another debate that has been going on within this issue is the distinction between killings patients and allowing them die. What people don’t understand is that it is not considered killing a patient if it’s the option they wished for. “If a dying patient requests help with dying because… he is … in intolerable burden, he should be benefited by a physician assisting him to die”(Young 119). Patients who are suffering from diseases that have no cure should be given the option to decide the timing and manner of their own death. Young explains that patients who are unlikely to benefit from the discovery of a cure, or with incurable medical conditions are individuals who should have access to either euthanasia or assisted suicide. Advocates agreeing to this method do understand that choosing death is a very serious matter, which is why it should not be settled in a moment. Therefore, if a patient and physician agree that a life must end and it has been discussed, and agreed, young concludes, “ if a patient asks his physician to end his life, that constitutes a request for
Over the span of half a century, the medical profession has witnessed a catastrophic shift in the patient-physician relationship. As the manufacturing of new pharmaceuticals and the number of patients under a physician’s care continue to rise, doctor’s are finding it difficult to employ the time-honored principles listed within the Hippocratic Oath. This oath, written in 430 BC by the Greek Physician, Hippocrates, was the first document to state the responsibilities of a physician to his patient (vadscorner, pg 2). Hippocrates believed that it was the physician’s duty, as a healer, to treat the patient infected with the disease to the best of his ability, and not to treat the disease (Hippocrates, pg 1 ). He believed that the patient was, above all, the most important aspect involved in the healing process. With the rise in the number of patients under a physician’s care and the stringent rules by which each doctor must abide, many doctor’s are finding that they are unable to devote ample time to become acquainted with their patients (spiralnotebook, pg 1). Furthermore, as newly acquired information regarding illnesses becomes available on the internet, patients are seeking the advice of multiple physicians (Changing, pg 3). These differences between patients and their physicians, as well as numerous others, have caused rifts in the patient-doctor relationship.
As one can see, physician-assisted suicide has a long and complicated history. Recent developments in the United States have brought the issues associated with end-of-life decisions under the microscope. The morality and ethics associated with voluntarily assisting someone while committing suicide have struck a chord with individuals, organizations, and in the political and medicinal sectors. The Hippocratic Oath and Pharmaceutical Oath have become subject to scrutiny with the gaining popularity and legalization of terminally ill patients seeking dignity in death. Increasingly, people are supporting the tough decisions made by patients.
Every culture has a taboo against murder, including our own. The practice of physician assisted suicide is wrong across all religious and cultural groups. According to Leon R. Kass, M.D., the taboo against doctors killing patients, even on request, "is the very embodiment of reason and wisdom. Without it, medicine will have lost its claim to be an ethical and trustworthy profession." Before a physician is allowed to practice medicine, he/she takes the Hippocratic Oath, which is described by Encyclopedia Britannica as " a pledge to prescribe only beneficial treatments, according to his abilities and judgment; to refrain from causing harm or hurt". This oath has been practiced for more than 2000 years. If a doctor breaks that promise and helps a patient to purposely die, then the oath has meant nothing.
Informed consent is a very serious decision a patient has to make when it comes to their health and consenting to procedures that are believed to cure or treat their current health status. It is important to address the effectiveness of the role a physician play in the informed consent process assuring that the patient has given truly informed consent and what safeguards can be put in place to assure the patient is exercising informed consent. Informed consent is based on the fact that the person consenting is a rational individual that is aware of the action to which he/she is consenting. Allen and McNamara (2011) notes that "On the standard understanding, the important elements of informed consent are the provision of information, the voluntariness of the choice and the competence of the chooser to make the choice— so the potential research participant should be provided with information relevant to the decision to participate, they should be able to choose freely about their participation and they should be competent to decide.
The American Medical Association (AMA) states that physicians should not participate in lethal injections because they are dedicated to preserving life. The AMA defines participation if the actions is able to be categorized in an action that directly, assists another, or automatically causes the death of a condemned prisoner (www.ama-assn.org). Dworkin would agree with the AMA’s guidelines to a physician's participation, however, even though Dworkin provides a somewhat compelling argument, it is our groups consensus that physicians need to take part in capital punishment procedures such as lethal injections.
Did you know, about 57% of physicians today have received some sort of request for physician-assisted suicide from a suffering terminally ill patient? These requests have been occurring since medicine has been around. This act is called Euthanasia, which is the painless killing of a patient suffering from an incurable and painful disease or in an irreversible coma. Furthermore, there are two key principles that all organized medicine agrees upon. The first one being that physicians have a responsibility to relieve pain and suffering of dying patients in their care. The second being physicians must respect patients ' competent decisions to decline life-sustaining treatment. In other words, these principles state that the patients over the age