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Ethical dilemmas that occur in healthcare setting
Health care ethics midterm
Ethical dilemmas in health care setting
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The Dalai Lama once wrote “Compassion is one of the principal things that makes our lives meaningful. It is the source of lasting happiness and joy and is the foundation of a good heart. Through acts of kindness, affection, honesty and justice we not only help others but ensure our own benefit as well. By contrast the more our hearts and minds are afflicted with ill-will, the more miserable we become. We cannot escape the need for love and compassion.” (Lama)
What does this mean when it comes to healthcare? A Physician may feel they are doing no harm by holding the amount of knowledge the patient could have and the timing of the patient knowing. Physicians withhold information from the dying so that the patient’s suffering would be minimal because a patient knowing that they were close to death would cause them greater harm than remaining blind about their condition (Morrison).
Physician’s worry that a diagnosis of a terminal disease may push a patient into depression or provoke suicide. This voluntary withholding is sometimes called the ‘therapeutic privilege.’ It may also happen that withholding information may work to disrupt the trust between patients and physicians. A physician that withholds information from a patient, even for humanitarian reasons, puts themselves at risk of malpractice suits, even if that information is necessary so that patients can make an informed decision about their medical treatment (Topic : Truth telling).
Some family members may even ask physicians to withhold vital information from their patients. Concealing a diagnosis from the patient may be very difficult in the long run, especially if tests and treatments are indicated. The course of medical care itself can reveal a diagnosis ...
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... to know about their diagnosis so that the patient can decide for themselves what the course of treatment could be. As far as Annie, she may have decided to fight the illness or allow nature to take its course but in Annie’s case since the physician withheld her true diagnosis, Annie had to suffer in her final days because by giving her medication to ease her pain could have caused Annie to catch on to her true diagnosis. As the Dalia Lama once said:
“May I become at all times, both now and forever, A protector for those without protection
A guide for those who have lost their way, A ship for those with oceans to cross
A bridge for those with rivers to cross, A sanctuary for those in danger, A lamp for those without light, A place of refuge for those who lack shelter, And a servant to all in need (Lama).”
A great moral code for all healthcare workers to live by.
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
In Dalai Lama’s piece, “The Ethic of Compassion”, he argues compassion is the key to life and happiness. Lama explains the meaning of compassion and ways to achieve it. Throughout his piece he rebuttals several different counter arguments. Lama is able to argue compassion is a responsibility to all, not just those we are close to and explains why it should be used in our professional and personal lives.
In a world of suffering and pain the Dalai Lama said, “Love and compassion are necessities, not luxuries. Without them humanity cannot survive”. The Dalai Lama has become a figurehead for Buddhism worldwide for his compassion and warm smiles. Buddhism has extended beyond meditation and even monks such as the Dalai Lama. The basic concepts of compassion and mindfulness in Buddhism are being applied in the daily lives of lay people who need it the most.
A basic definition of confidentiality is that information about a patient is not discussed openly (Edge and Groves, 2007). This ethical principle became an issue when the government gave medical facilities lists of people who were in the study. Again, the patients were not informed that they would not be able to
In our world, I see many people that lack the ability to show compassion. They can be so selfish when they should be more selfless. Even I admit it, I am selfish sometimes and don't help others when they may need it. For this reason, I believe that compassion should be a human right. Many people will see a person or an animal in distress and think, “I don't need to help them; some other generous person will.” But in most cases, nobody ends up helping the distressed person or animal because every person thinks “it’s not their job to help” or “somebody else will do it.” I believe a right of compassion will make it human nature to help others without second
However, it has been reported that telling a patient the truth may significantly improve their wellbeing as they approach the end of their life. One study revealed that truth telling may reduce terminal cancer patients’ uncertainty and anxiety, as indicated by lower scores on a Hospital Anxiety and Depression scale, and higher scores on a Spiritual Well-being scale (Kao et al. 2013). Furthermore, while there is no explicit principle regarding lying within the Hippocratic Oath, honesty is a virtue that is closely associated with physicians and health care providers. In fact, honesty can be closely related to respect for persons, which implies that it is necessary for the maintenance of the physician-patient relationship. Honesty about all relevant aspects of a patient’s diagnosis, prognosis and treatment are necessary to build trust, and to obtain informed consent.
Many of us have often wondered if we have a moral obligation to help others we don’t know. The term moral obligation has multiple meanings but it is often referred as a belief that an act is one prescribed by a person’s principle and set of values. In the reading “The Ethic of Compassion” by the Dalai Lama, the author’s argument is about the importance of cultivating not only love but, also compassion. It is said that in terms of empathy we are able to share others suffering. This is something that just occurs naturally from our own instincts. When we enhance our sensitivity towards others it is believed that we can extend our compassion to the point where an individual feels responsibility towards other people. This causes the person to help
When it comes to a bad diagnosis it is often difficult for doctors to tell their patients this devastating news. The doctor will likely hold back from telling the patient the whole truth about their health because they believe the patient will become depressed. However, Schwartz argues that telling the patient the whole truth about their illness will cause depression and anxiety, but rather telling the patient the whole truth will empower and motivate the patient to make the most of their days. Many doctors will often also prescribe or offer treatment that will likely not help their health, but the doctors do so to make patients feel as though their may be a solution to the problem as they are unaware to the limited number of days they may have left. In comparison, people who are aware there is no cure to their diagnosis and many choose to live their last days not in the hospital or pain free from medications without a treatment holding them back. They can choose to live their last days with their family and will have more time and awareness to handle a will. Schwartz argues the importance of telling patients the truth about their diagnosis and communicating the person’s likely amount of time left as it will affect how the patient chooses to live their limited
In “How Doctors Die,” Dr. Ken Murray explains some different real stories about people having terminal diseases, and how their doctors and physicians treat them. Moreover, the author mentions about difficult decisions that not only the doctors but patients and the patients’ family also have to choose. When the patients’ diseases become critical, the doctors have to do whatever they can to help the patients, such as surgical treatment, chemotherapy, or radiation, but they cannot help the patients in some cases. In additions, doctors still die by critical diseases, too. Although they are doctors, they are just normal people and cannot resist all of the diseases. Like other patients, the doctors having critical diseases want to live instead of
Without patient confidentiality, patients would not be willing to tell about themselves or their family member for fear of it getting out (tTelegraph). If they were asked
In Shapiro’s poem, the person expressed how his loved one’ suffering had turned to cause him pain as well. The persona was disturbed by the patients suffering and pain to a point of lacking sleep. In the piece, “The Care of the Patient,” by Pearbody (1927), he says that doctors should aim at developing an intimate relationship with their patients, including knowing the patients right from their home surroundings. This is the first step towards learning the conditions of the patients’ loved ones and understanding how best to help them in their suffering. However, minding the suffering of the patient’s loved ones does not mean that doctors owe anything to them. Doctors should only give their best, treating patients from their hearts. A doctor should, however, always tell the truth to both patients and their loved ones even when healing is not an option. If no cure is available, doctors should instead of giving false hopes to patients and their loved one, try to prepare them to accept death as an unavoidable eventuality. This according to me, can relieve some of the unnecessary fear and
To reach enlightenment in Buddhism, one must overcome attachment to the pleasure of peace. Gampopa defines the pleasure of peace as “the desire to achieve nirvana only for oneself without the altruistic mind for sentient beings, and because of it, one does not benefit others” which is also termed as the lesser vehicle (Gampopa, 126). The remedy for this is the practices of loving-kindness and compassion. When one develops this loving-kindness and compassion, then one will have a mind that wants all sentient beings to meet with happiness as well as be free from suffering and its cause. When one achieves this, then one is attached to all sentient beings and no longer wants to attain liberation only for oneself. Compassion is so heavily ingrained in Buddhist practices, that it has been noted that the Buddha had said “the cultivation of loving kindness and compassion is not just part of our practice, it is all of our practice” (Strain, “Compassion & Stoic Philosophy”). Compassion is not just a crucial aspect of the path to Enlightenment; practicing and training in compassion can function to improve the lives of those unconcerned with achieving Buddahood through means of improving health, well-being and increasing self-motivation. Considering the benefits that can come from compassion, everyone should take part in practicing and experiencing compassion as its benefits extend into other aspects of life.
His holiness The Dalai Lama sees compassion as a special joy. The first paragraph states that the great religions ask their followers to be compassionate. Different verses have been taken from authentic sources of different religions as the evidence that they all believe in compassion. The religions urge the practitioners to follow compassion to achieve spiritual feats such as happiness can be achieved. The previous statement holds true at my personal level, at least, because I feel being compassionate and helping others gives one a different kind of joy and internal peace that cannot be achieved from materialistic values.
Disclosure of pertinent medical facts and alternative course of treatment should not be overlooked by the physician in the decision making process. This is very important information impacting whether that patient will go along with the recommended treatment. The right to informed consent did not become a judicial issue ...
hidden or covered up for many of years by blanketing the symptoms with excuses, or by just