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Patient rights and responsibilities thesis
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1. What are the major ethical issues in this case? One of the major ethical issues in this case is the fact that there is a lack of informed consent. Doctors are not talking clearly with their patients they are not giving the right to patients to know about the potential risks and alternative procedures they could make. Instead, doctors are practicing defensive medicine and ordering extra tests and individuals they know have no hope. Another major issue is the fact that individuals are not given the right to self-determination. Every human being of adult with a sound mind has the right to determine what shall be done with his or her own body, and unfortunately, are not respecting people’s rights. 2. Using the textbook (pg27-29) identify some major ethical violations presented in this case Some of the ethical violations presented in this video is in violation of providing patient care and appropriate use of resources. As highlighted in the text providing excellent care with compassion, competence, and trust depends on …show more content…
As illustrated with what happen to Meredith Snedeker with her mother given $40,000 worth of care in her last two months of life and not one of her 25 doctors sat down with her mom and her family and discussed how she wanted to die. One of the possible solutions is having a POLST form set in place with the provider already so that when day comes there is no such miss communication and so on going on. Other things can include having a durable power of attorney and living will set in place. We are not immortals, our lives are not guaranteed and even thought we do not like thinking of the idea that one day we not here, we need to have things like this implemented so that there is no so much burden and suffering at the
The Texas Medical Institute of Technology, through programs such as Chasing Zero, is bringing a public voice to the issue of healthcare harm. The documentary is a stirring example of the quality issues facing the healthcare system. In 2003, the NQF first introduced the 30 Safe Practices for Better Healthcare, which it hoped all hospitals would adopt (National Quality Forum, 2010). Today the list has grown to 34, yet the number of preventable healthcare harm events continues to rise. The lack of standardization and mandates which require the reporting of events contributes to the absence of meaningful improvement. Perhaps through initiatives such as those developed by TMIT and the vivid and arresting patient stories such as Chasing Zero, change will soon be at hand.
For anyone who has ever worked in healthcare, or simply for someone who has watched a popular hit television show such as Grey’s Anatomy, General Hospital, House or ER know that there can be times when a doctor or health care provider is placed in extremely difficult situations. Often times, those situations are something that we watch from the sidelines and hope for the best in the patient’s interest. However, what happens when you place yourself inside the doctors, nurses, or any other of the medical provider’s shoes? What if you were placed in charge of a patient who had an ethically challenging situation? What you would you do then? That is precisely what Lisa Belkin accomplishes in her book “First Do No Harm”. Belkin takes the reader on
Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...
As we get older and delve into the real world, it is important to start thinking about end-of-life care and advance directives. Although it is something no one wants to imagine, there is an absolute necessity for living wills and a power of attorney. Learning about the Patient Self-Determination Act and the different legal basis in where you live is important because it will help people understand why advance care directives are so important. Although there are several barriers in implementing advance care directives, there are also several actions that healthcare professionals can take to overcome these obstacles. These are also important to know about, especially for someone going into the medical field.
In looking at these instances, the doctors seemed to have thought their actions normal. They thought that since they were treating the patient they automatically had access to their cells, tissues, DNA, that they could take without permission and use to develop science or to even become rich and famous like Dr. Golde tried to do. One might say that no matter how useful a person's biological property can be to western medicine and science, it does not excuse the violation of privacy of a patient. Ostensibly, there is no need to worry about a patient saying no if the doctor has moral and beneficial intentions for the use of a patient's private, biological
Patients are ultimately responsible for their own health and wellbeing and should be held responsible for the consequences of their decisions and actions. All people have the right to refuse treatment even where refusal may result in harm to themselves or in their own death and providers are legally bound to respect their decision. If patients cannot decide for themselves, but have previously decided to refuse treatment while still competent, their decision is legally binding. Where a patient's views are not known, the doctor has a responsibility to make a decision, but should consult other healthcare professionals and people close to the patient.
When the practices in the healthcare delivery system or organization threaten the welfare of the patient, nurses should express their concern to the responsible manager or administrator, or if indicated, to an appropriate higher authority within the institution or agency or to an appropriate external authority” (3.5 protection of patient health and safety by acting on questionable practice, ANA, 2015). The example of the practice is a patient discharge from the rehab facility to the Personal care unit with pending PT/INR results, which turned out to be critical. The admitting nurse demonstrated moral courage by questioning physician who wrote discharge orders and the nurse who completed discharge. Rehab physician refused to address lab results and referred the patient to the PCP. Admitting nurse raised a concern to administration to review discharge protocol and deviation from safe practice. Nurse acted on behalf of the patient and requested readmission to rehab based on patient’s unstable medical
Providing the steps to ethically sound excellent care, healthcare providers must acknowledge first the legal and ethical matters involved with proper investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at a constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice. Codes of nursing ethics and legal legislation have addressed almost all the necessary actions in making decisions in consideration to the best interest of the patient. Nurses must make sure that they are all guided by the set standard to lead their action and produce desirable and ethically sound outcomes.
Attention getter- There are numerous ethical issues within this movie including but not limited to Beneficence, Nonmaleficence, Justice, Veracity, Fidelity, Communitarian, Egalitarian, and Utilitarianism. The violation of all these principles, as well as ethical codes and conduct that should take place within the medical profession. Expanding to the Doctors, Medical Scientist, and foundation leaders ascending to the needs of these Experts.
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
It is important for all the medical practitioners to consider these issues whenever they face a sensitive issue. After all, the decisions medical practitioners make could be beneficial or detrimental to the client. Although the legal and ethical considerations can put the practitioners at a dilemma, doing what is right (to the benefit of the patient) is the most important; it is usually the correct thing to do. As in the case above, the practitioners faced a dilemma and solved it according to the ethical and legal considerations. Although it was challenging to make that decision, its results were positive to the
As seen in many cases, often times there are conflicts between ethical principles in the field of biomedical ethics. Case #2 is a perfect example of a case that causes one to question which ethic...
Death is a personal experience and to ensure loved one’s wishes, there has to be the ‘what if’ conversation. It is natural to talk about the possible end with loved ones after marriage and having children. Living wills are obtained and do not resuscitate orders, thoughts of a possible guardian for the children, life insurance, appointing a health care agent, and any other loose ends that will ensure the well being of the family. A health care agent is someone who the patient designates to make medical decisions, if decisions cannot be made generally. The chosen agent should be a person who knows the wishes on the extent of medical care treatment wanted. The appointed health care agent should be someone who is not afraid to ask questions of the healthcare professionals to get information needed to make decisions and be assertive to ensure that wishes are respected. (Healthcare Agents, n.d.).
Healthcare providers must make decisions that would result in the best results for their patients given a particular situation. Currently, there are four ethical principles that rule over the healthcare realm. These four principles are respect for autonomy, nonmaleficence, beneficence and justice. These four ethical principles “tell us what action to take do not take into account the nature of the moral agent” (Gardiner, 297). These four principles disregard emotional responses from its solutions. However, a human being’s nature is closely tied to his/her emotions. Disregarding emotions while making important healthcare decisions may not always bring about the best solution to healthcare problems. Since the healthcare providers are trying to
...letting go and to fight back. Whether against aging or illness, the idea of fighting disease at all costs literally costs the United States billions of dollars along with stressors to family members. Witnessing it first hand through Pappap, our family changed as a whole and we just finished paying the hospital bills – two years later. Although the idea may scare some people, the push or obligation of living wills has the opportunity to significantly affect the paradigm of our death denial culture. With this document established, each person in society for at least several minutes will acknowledge the fact that one day they will die. The timing will never be guaranteed, but death will. Advanced directives can possibly save financial burden and family stress in today’s culture of life. It will eliminate anxiety from proxies and prepare each person for their own death.