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Conclusion/reflection on gender bias
Moral ethical dilemmas in the medical field
Moral ethical dilemmas in the medical field
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In case 2, Mr. Walker, the husband, decided to take the gamble and take his wife home because his wife had not been treated kindly by the medical stuff of the hospital, and because they would have to face the high costs of the wife’s hospitalization for something that might not end up being so serious. However, in my opinion, the husband made the wrong decision in this case because the life of his wife should have been more important than either the costs or the way they were been treated by the medical stuff. Just because they were not treated politely once by the medical stuff, the couple should not expect to receive the same treatment that they had received before. They could have also moved to another hospital to receive this treatment. The physician should strongly emphasize to the couple that by letting the husband take his wife home, this could result in an even bigger consequence for them. At the end if the wife develops the bacterial meningitis they may actually end up paying more for more intensive treatment, and in the worst case scenario, he would have to live with the guilt of having his children without their mother. Mr. …show more content…
In a paternalistic stance the physician would need to use strong soft paternalism. Even though the physician would show a strong type of paternalism toward Mrs. Walker by opposing the husband's decision, at the end if the life of the wife is saved the couple would be grateful about this decision. The principle of Utility states the morally right action is the one that has the best outcome in the long run, the husband should have thought of the worst case scenario, what would happen if the wife does develop bacterial meningitis and she ends up dying? Thats is why I believe the husband should have allowed his wife to stay a couple more days to “play it safe” and have the best outcome at the
Paramedics deemed the patient competent and therefore Ms. Walker had the right to refuse treatment, which held paramedics legally and ethically bound to her decisions. Although negligent actions were identified which may have resulted in a substandard patient treatment, paramedics acted with intent to better the patient despite unforeseen future factors. There is no set structure paramedics can follow in an ethical and legal standpoint thus paramedics must tailor them to every given
The one example of this that I found most relevant in the book is the situation of Armando. Armando was shot and the bullet lodged in the spinal canal. It caused enough damage to make him a paraplegic, but not enough to kill him. The ethics committee had decided that it was best to encompass a DNR because he had no health insurance, and his quality of life was not what it was before. When the doctors went to approve this with Armando, he denied the DNR and said that he wanted what ever was necessary to be done to him to save his life (Belkin p. 58-59). This made Cindy worried for the cost of keeping him alive was substantial. All the doctors and caretakers believed that he should be placed under DNR, however that was not what Armando wanted. The doctors believed that was the wrong decision. This correlates to what the quote was from the book on page 70; doctors can tend to be narrow-minded when it comes to the care of a patient. They believe that their course of action is the best and do not agree if the patient wants something different. This I have found is also true in my own personal experience with doctors. For example, when I was about 17 my wisdom teeth were growing in. I was in terrible pan from two of my wisdom teeth being impacted. My
The main reason paternalism is even debated revolves around one primary question: Is it beneficial to the patient? This one question has, and will continue to evoke strong responses from those who hold viewpoints across the spectrum. The spectrum varies from those who are in favor of paternalism, to those who think it should only be allowed if certain criteria are met, to those who strongly oppose it in any form at any time, but may consent to a few, rare occasions when it would be deemed acceptable. One such person who strongly opposes paternalism is Alan Goldman, and he presents his argument in an article entitled, “The Refutation of Medical Paternalism.”
The ethical principle of nonmaleficence demands to first do no harm and in this case protect the patient from harm since she cannot protect. Nurses must be aware in situations such as this, that they are expected to advocate for patients in a right and reasonable way. The dilemma with nonmaleficence is that Mrs. Boswell has no chance of recovery because of her increasing debilitating mental incapability and the obvious harm that outweighs the intended benefits. If the decision were to continue treatment, suffering of the patient and family would be evident. Autonomy is the right to making own decisions and freedom to choose a plan of action. When making decisions regarding treatment of another person, it is important to respect the expressed wishes of the individual. John says that his mother would want to live as long as she could, but questions arise related to her quality of life and perception of prolonged suffering by prolonging the dying process. In BOOK states that quality of life changes throughout one’s life ...
As I read David Walker's Appeals, I notice this final edition was published by Black Classic Press. Webster's dictionary defines a classic as "having lasting significance or worth; enduring." Under these terms, I would have to disagree. Despite great efforts of both the North and South to stop its publication, David Walker's Appeal became one of the most widely read and circulated books ever written by a black person. Walker was considered a hero by most abolitionists, who considered his book the boldest attack ever written against slavery. It had significant effects on race relations in 1829 America.
In the 1820's, the abolitionist has not attracted many followers because there seemed to be no way to abandon slavery without another revolution. As the constitution stated that states can allow slavery, though the Northerners did not want slavery, they felt it was not their responsibility to fight against with it. State leaders such as John Adams who was against slavery, were scared to speak out against slavery as they fear to lose the support from the slave owners. During this critical period, people need a radical hero to facilitate the American Revolution.
...r away from the thread of paternalism because the doctor is not inclined or able to take advantage of the patient.
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
Charlotte’s parents thought otherwise, the Ethics Advisory Committee had to get involved. The debate surrounded if the doctors were in the right to control the life of someone who were incapable of deciding themselves, or is it the parents right. The Ethics Advisory Committee, stated that the parents were superior to those of the hospital and the hospital should conduct with less painful test. Charlotte’s parents wanted the doctors to continue testing until it was determined that her life diffidently had no chance of remaining. Because, of Charlotte’s parents’ desires unfortunately caused Charlotte to die a painful death without her parents. If the patient is unable to speak for their selves, the family should be able to have some say in the medical treatment, however; if the doctors have tried everything they could do, the hospital should have final decisions whether or not the patient dies or treatment
In critical and complicating medical cases, family members often find it tedious to decide as to what mode or procedure of treatment is idyllic for the recovery of their patient. In such cases, well-qualified and medically educated can play a pivotal role in deciding the kind of treatment that should be given to the patient to enhance its recovery. In a contrary situation a nurse may know that administering a particular drug may improve the patient’s condition, but may be refrained from conducting the required action due to doctor’s absence or non-permission. There are numerous cases through which ethical dilemmas in the profession of nursing can be discussed. Nurses in order to remain within the defined boundaries ...
But the mother being very concerned about the examination asked “ Do you think she can stand it, doctor!” (Williams 2). The father had already taken the examination into consideration that this is for the safety of his daughter so her said “ you get out, said the husband to his wife. Do you wants her to die of diphtheria?” (Williams 2). So in some cases the parents will allow the medical professional to use force on their child if it is the only option for the child and in this case the child 's life was in danger because she could possibly have a life threatening disease and the medical professional wanted to find out in order to save the small child 's
In his essay, “The Refutation of Medical Paternalism,” Alan Goldman discusses his argument against differentiation in the roles between physicians and patients. He says the physician may act against a patient’s will in order treat the patient in their best interest. Goldman makes his whole argument around the assumption that a person’s right to decide his or her future is the most important and fundamental right, saying, “the autonomous individual is the source of those other goods he enjoys, and so is not to be sacrificed for the sake of them.” His claim is that most people agree that they are the best judges of their own self-interest and there is an innate value in the freedom to determine their own future. On these principles, Goldman starts by discussing conditions under which paternalism may be justified.
In the scenario the decision made by the RN and the paramedics have breached the respect of autonomy of Elsie and failed to respect the decision made by Elsie. Megan-Janes 20.. implifies that people have the right and are to free to choose and act on their choices provided that their decision and act doesn’t impinge on moral interest of other people. Likewise Elsie’s choice to not to get advance treatment was of no harm to any other people rather than herself. In health settings Principle of Autonomy protests the patients right to be respected as dignified human being capable of making decision what is right for them even if everyone thinks that it is not right( ).In short health professionals must allow patient to participate in the decision making when it comes to their care and treatment. Furthermore (Harris 2011) have explained that it is very vital to respect patient’s autonomus decision to refuse intervention which is based on the principle of autonomy. Furthermore, in the scenario where the pressure of patient’s autonomy is in line, the argument depends on other moral principles( ).In this says Principle of non-maleficence gives justification. The Principle of non-maleficence says above all do no harm which means not to injure others or harm them ( ). Likewise , the RN and the Paramedics in the scenario had no intention of doing any harm to Elsie rather than saving her life. ( ) suggested that in nursing context the principle of non-maleficence would provide justification for performing any act which unfairly injures or makes a person to suffer which was avoidable. This will explain why the health professionals performed those acts despite the protest of Elsie which resulted in death of Elsie. Principle of Beneficence is another moral principle which defends against the principle of
I do not believe Vaughn overreacted to Walker’s admission that she had been untruthful regarding the CPA exam. I am a very honest person and I firmly believe that honesty is the best policy. In this situation, I’m sure Vaughn felt not only personally deceived, but also mislead on a business level. Seeing as how Vaughn would need to trust her as a business associate deciding to lie about her results was a horrible move. Not only did she lie about if she had taken the CPA, but she also added in details about planning to study hard and take the exam in a few months. Walker being embarrassed to discuss that she had taken it without knowing her results yet is understandable to me and I could have forgiven that. However, the fact that she went to extra mile to add more false details would have pushed me over the edge. I would have been unable to have a business relationship with Walker due to the fact that I couldn’t trust her. Robert had nothing to do with the situation between Vaughn and Walker but that doesn’t mean that he or the other partners could ignore that it
I think that both issues could have resulted in patient harm, even if that was not the intended action. The results in this case deals with beneficence and nonmaleficence. This is the basic duty of a health care professional: to do good and avoid harm. Both of which were violated in this case. I feel that Dr. Strunk realized that the hospital’s policy was violated his morals and code of ethics. I believe that the hospital’s administration only looked out for themselves. Although no visible harm was done to the patient, the best course of action was to inform the patient of the mistake. One could argue no harm, no foul, but I believe that the hospital should consider the patient’s overall well-being. If the patient found out about the error down the road, the hospital may be in even more trouble.