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Moral ethical dilemmas in the medical field
Moral ethical dilemmas in the medical field
Strategies for effective conflict management in healthcare facilities
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Most healthcare providers will tell you that they feel that they are called to their profession, and most would tell you that they love practicing in their field of study. Healthcare providers are placed in situations frequently that can lead to cognitive dissonance. In healthcare there is a pressure to perform tasks frequently, timely, perfectly, and in a cost effective manner. This can lead to situations that are in conflict with training as well as with personal ethics.
Each day we are faced with making decisions regarding the plan of care and discharge of a patient based on the number of days an insurance company allows to treat the patient. Most times the days allowed are less than what is required to assist the patient back to their prior level of function and ability to safely return home. This causes an internal struggle for the provider and can lead to easily accepting what the insurance company allows even though it is not always best for the patient. Typically, we follow the rule of always doing what is right, which could mean that we keep the patient on the unit longer than the insurance will provide payment.
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It also means at times we conform to insurance demands. The constant variations between each patient causes the discomfort of cognitive dissonance (Stanchi, 2013). Due to the frequent internal struggle healthcare workers face in decision making they are at risk for a “deep personal dissatisfaction, distress, and a state of permanent tension which can result in a range of personal health effects as well as chronic impairments to the individual work performance (Prvulovic, 2015 ).” If you know any providers you will find most are weary due to the challenges they face to care for others as they would their own families, and the conflict to meet the demands placed on them by insurance carriers and rules and regulations from the government.
People in these situations typically rationalize their decisions, rather than change their beliefs (Stanchi, 2013). This could be why so many healthcare providers feel the stress, dissatisfaction, and burnout from taking care of patients amidst these changing
times.
At first, I believed that a patient should have the say so and get what they demand. I didn’t feel sympathetic for the health care provider one bit. I was able to look through the eyes of a physician and see the trials that they have to go through. It is not easy making the decisions that they have to make. There job is based on decisions, and most of it is the patient’s. “There will certainly be times when I will be faced with a request from a patient or patient’s representative that I will personally find morally difficult, but one that is still legally and ethically acceptable. must be very difficult to work in an area with little control over what you want to do.” (Bradley 1). Even though I do not fully understand a health care providers everyday role, I do know that they are faced with painful options. I personally feel that I can not work in this field for that exact reason. Health care providers play an extremely important role in our society, and others need to look upon
D1: I have decided to look at a 6 year old going through bereavement. Bereavement means to lose an individual very close to you. When children go through bereavement they are most likely to feel sad and upset about the person’s death. Children at a young age may not understand when a family member dies. Children may not understand bereavement. For example a 6 year old’s father been in a car crash and has died from that incident. Death is unpredictable and children can’t be prepared for a death of a family member as no one knows when someone is going to die or not. Unfortunately every child can experience bereavement even when a pet dies. It is important that we are aware that effects on the child so we can support them in the aftermath.
What does ‘care’ mean? Care is the provision of what is necessary for your health, welfare and protection of someone or something. However when you talk about ‘care’ in a care practice the term changes and becomes more about enabling people to meet all their needs which would refer to their social, physical, emotional, cognitive and cultural needs. The individual is central to the meaning of care in this context.
Individuality. It implies in regarding them as individual, concentrating on their needs, capacities and accomplishments. It implies esteeming who they are, what they are occupied with and what they can in any case do, not on the way that they have dementia hence needn't bother to have the same attention as normal individual. It is also treating them with respect and dignity.
The setting up of hospital and emergency service was born because of the war. The emergency hospitals and services were designed to treat wounded and sick soldiers, bombing casualties, and evacuees. This singular action proved that the state can establish and run a health service. Beveridge’s report of 1942 served as a last signal which confirmed that a national health service would be established.
When one initially chooses a career path, one rarely looks at all the negatives that may be associated with that choice. Most career paths have some negatives associated with the field, but few face the moral dilemmas associated with modern healthcare. Those who choose to be in the healthcare profession today are faced with moral and ethical dilemmas that would make King Solomon tear his hair out. In many cases, doctors, and sometimes nurses, are faced with life and death decisions without the benefit of knowing the patient’s, or the patient’s family’s, wishes. However, aside from those tragic times when a patient’s wishes are unknown, healthcare professionals must always put their own morals aside, and act
Doctors should possess the skills necessary to assess what the patient actually needs contrary to what he/she believes they require. An illness obviously impacts one’s life regardless of how minuscule. A doctor plays a vital role in both the physical condition and the, often over-looked, emotional well-being of his/her patients. I firmly believe that through my experiences in two separate, but fairly similar branches of medicine I have developed the ability to care for those in a compassionate yet professional manner along with the ability comprehend the information necessary that being a health care provider
Quality patient care is an ongoing endeavor that involves many different areas of healthcare. One area of healthcare that is often employed is Utilization Management. We read in John’s that UM “is composed of a set of processes used to determine the appropriateness of medical services provided during specific episodes of care” (John,2011). Things that are used to determine the appropriateness of care include the patient’s diagnosis, site of care, length of stay, and other clinical factors. This system consists of three main functions aimed at improving patient care and controlling healthcare costs. These functions include utilization review, case management, and discharge planning. One source states that it also includes the claim denials and appeals process (Interviewee C. Jarvis, e-mail communication, May 3, 2014). When used correctly, these UM processes can expedite the patient’s care and reimbursement. It also demonstrates to third party payers that the organization is taking measures to help control costs. This monitoring and management of patient healthcare needs ensur...
Healthcare is a complicated and often controversial aspect of policymaking. Healthcare systems can range from national healthcare that is government provided to private, market based insurance systems. Access, quality, and cost are some of the most important factors to consider in creating healthcare policy. When it comes to deciding what policies are funded and provided by the government, many people agree that public libraries, parks, and public education are all responsibilities of the government to provide. However, healthcare is one of the most widely debated aspects of public policy, especially in the United States. Healthcare is often debated to be either a right or privilege. The healthcare systems in the United Kingdom and the United States are examples of how healthcare has been viewed as both a right and a privilege through the policies and systems that govern each.
As I near the end of this paper, the image of the truly ethical health care professional becomes more lucid. The truly ethical health care professional is the virtuoso; well-versed in the various legal and ethical aspects of the profession. This individual possesses a remarkable sense of self-awareness and is able to respond to each ethical dilemma with aplomb. This model is a difficult standard to achieve and involves a lifetime’s worth of observation, professional training, re-training, and personal introspection. In essence, the paradigm of the truly ethical health care professional returns me to where I first began: with the recognition that the health care profession is as ethically-nuanced as it is rewarding.
In our society racial or ethnic superiority exist. The United States healthcare is one that deals with, the conflict perspective. The conflict perspective is why social stratification occurs, it is the racism idea that one racial or ethnic group is superior to another, offers with a justification for racial inequality. The nature of wellbeing and medicinal services varies incredibly around the globe and inside the United States. Society's imbalances along social class, race and ethnicity, and sex lines are replicated in our wellbeing and human services. The whites are superior, and are more privileged than other race and
It takes one person to change the trajectory of another person’s life. During my work experience I dealt with instances where my ethics, empathy, and professionalism guided me when handling patient’s problems. For example, a patient’s, (I will call Tom) MRI results showed a congenital anomaly in his brain. As a result, Tom required a consult with a brain specialist. Unfortunately, Tom recently aged out of the foster care system; and was lacking insurance coverage; the financial means; and supports for medical treatment. To clarify, my task of notifying the patient was completed, but I felt compelled to further aid Tom by securing a brain consult for him. After days of phone calls, I learned Tampa General Hospital provides medical services to the indigent and they agreed to see Tom. For this purpose, I advised Tom to go to Tampa General, nonetheless he was resistant. Next, I persisted by calling Tom every day until he relented by admitting himself to the hospital. A few days later,
Honesty and integrity are very important in the medical field. We as healthcare workers are given such trust and responsibility. We should always strive to do our best and when faced with tough situations. When we don't always know what to do or the proper way to react we should always be honest. Let our superiors know what is going on and ask for advice when we need to. This would show that we are honest. When we come into contact with patients they rely on us to do the right thing and always perform our job with integrity. Often people’s lives are in our hands. We have to care about the patient and care about our job in order to continue to provide quality care. If someone hates their job they are not going to give their best in every way they can. The medical field is not a place for that person.
...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.