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Unfortunately stories like Sam Levine happen everyday. Is it morally ethical for doctors to know Sam Levine’s quality of life before he was admitted? Should that effect the care he receives? The best way to try and get a moral decision is by using the four principles, but first let us look back at the situation. Days ago Sam Levine was coherent enough to understand what medical care was being offered to him, but he quickly made a turn for the worst. When Sam originally decided that the medical staff use any means necessary to save his life, did he really thin about every scenario. Was every scenario giving to him by the healthcare professionals.
If we were to follow the four principles we would first need to look at the principle of autonomy
and examine the situation of Sam. Autonomy states that a competent person has the right to make medical decisions. Sam is no longer competent. Who is better to make his decisions for him? A grieving wife, a daughter, or physician. The principle of justice states that all people should be treated justly, fairly and equally. Is the physician treating Sam fairly by not wanting to us alternative was to sustain his life? Is the wife treating him fairly by not looking at the big picture. What would be Sam’s quality of life if he was to recover? What was his condition before? The principle of beneficence is to do good for the patient. If we look back at the case of Sam Levine, what is actually good for Sam? The doctor stated that, “ his prognosis is dismal and his vital processes just seem to be shutting down.” Then his wife stated, “I was always taught that where there is life, there is hope.” Should the doctor have hope that Sam would get better or use his medical knowledge and statistics to decide what he should do. Lastly we have the principle of nonmaleficence , which simply states if the provider cannot benefit or do well for the patient, then they should not harm them. Would it necessarily be harming Sam if he used CPR and he did not recover? A person must look at, how many times would CPR before performed. At what point would the doctor say no. From my first paper to this one, I cannot answer the question objectively. Each principle could be in favor or against Sam, because we do not truly know the outcome.
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
Healthcare creates unique dilemmas that must consider the common good of every patient. Medical professionals, on a frequent basis, face situations that require complicated, and at times, difficult decision-making. The medical matters they decide on are often sensitive and critical in regards to patient needs and care. In the Case of Marguerite M and the Angiogram, the medical team in both cases were faced with the critical question of which patient gets the necessary medical care when resources are limited. In like manner, when one patient receives the appropriate care at the expense of another, medical professionals face the possibility of liability and litigation. These medical circumstances place a burden on the healthcare professionals to think and act in the best interest of the patient while still considering the ethical and legal issues they may confront as a result of their choices and actions. Medical ethics and law are always evolving as rapid advances in all areas of healthcare take place.
The nurse should not inform the patient of her leukemia. The nurse has not been observing the patient long enough to use her assumption that the patient is mentally sound as a means to justify telling the patient stressful information. The nurse ought to follow the physicians instruction to refrain from giving the patient news about their chronic lymphocytic leukemia. This resolution follows with my own moral intuitions. If someone is not in a healthy mental state, it would not be morally permissible to provide information to that person which could cause their mental state to worsen. Although in most cases it is obligatory for a moral agent to always tell the whole truth in accordance with the prima facie principle of honesty, the principle of beneficence in moral situations similar to this one overrides the principle of honesty. One’s own health and well-being is more important than answering their questions to the fullest knowledge
Dennis Kozlowski was living his dream as a multimillionaire and if anyone got in the way of his dream to create his empire then they would be stepped on like a bug. This is what happened to Jeanne Terrile at Merrill Lynch. Terrile smelled something funny coming from Tyco and when she acknowledged that something was wrong, she was shut down quickly. Nobody knows for sure if Kozlowski paid off the CEO of Merrill Lynch, David Komansky, or not and nobody knows what they talked about. The fact is that Jeanne Terrile was replaced and the stock recommendation for Tyco soon changed after their talk. Terrile decided to do what she thought was right and make sure to notify people of what she thought of the company. Because of Terrile’s ethical decision
Based on them, we can definitely eliminate options (c) and (d). Option (c) is against the principle of veracity and informed consent because the doctor was lying and hiding the information about the patient’s health that the patient was supposed to know. Option (d) is morally incorrect because the patient is lied to and the surgeon is not penalized. Option (b) does abide by the principle of veracity, but is against rationality because it sets negative example for the community that the doctors can be forgiven for their mistakes. Moreover, it does not abide by stewardship because the surgeon is taking advantage of being a doctor to conceal the truth. Consequently, the morally correct decision would be the option (a) because it abides by the principles of veracity and informed consent as the responsibility of disclosing the truth to the patient is fulfilled. Moreover, considering the rationality and stewardship, it will set an example for all the doctors that incomplete disclosure of information to the patient is unacceptable and the doctors should not take advantage of their importance in the
...iable above all the others. This principle is the framework of what the code of conduct is based on.
Sam Steinberg always followed ethical business approach and put emphasis on customer satisfaction. During Second World War, when all the business ventures increased the price of the goods produced using the opportunity of excess demand, Steinberg understood the situation of the buyers, their inability to purchase the goods at higher prices. In war times, there was lack of resources, jobs in the country. The economic situation was declining, which forced Steinberg to sell the products in low prices to all the customers. Hence, he easily gained the faith and dependency of the customers which made his company successful.
principle (being healthy, staying safe, enjoying and achieving, achieving economic well-being and making a positive a positive contribution.
The Ins and Outs of Ethics is a Business Week Online magazine article from May 13, 2001, it was written by Eric Wahlgren. In the article he interviews Michael Rion, the author of The Responsible Manager. Rion is also a leading business ethics advisor who consults many Standard and Poor’s 500 companies. In the article Wahlgren asks Rion why it is important for businesses to have a high ethical standard. In his responses, Rion explains that effective organizations utilize ethics programs to clearly define ethical expectations, resolve ethical issues quickly, and to remove moral constraints. Additionally, employees who understand how to deal with ethical dilemmas will also be more productive and have strong core values to guide them. According to scripture, Rions concepts are biblically sound, relevant, and desirable, proving that ethical organizational behavior is shaped and influenced by sound ethical principles.
The four principles refer to as; fairness, freedom, commitment and discretion indicate high standards of moral and ethical conduct. Individual associates taking initiatives and following through completion portrays values of commitment towards self as well as to the company. As a result the associate is acting as strong role model and leads by example as he grows in his role.
Patient confidentiality is one of the foundations of the medical practice. Patients arrive at hospitals seeking treatment believing that all personal information will remain between themselves and the medical staff. In order to assure patients privacy, confidentiality policies were established. However, a confidentiality policy may be broken only in the case the medical staff believes that the patient is a danger to themselves or to others in society. Thesis Statement: The ethics underlying patient confidentiality is periodically questioned in our society due to circumstances that abruptly occur, leaving health professionals to decide between right and wrong.
In the corporate world maintaining ethical integrity for a lifetime can be a challenge. Helane Morrison has consistently exceeded expectations. She is the benchmark for knowing what the right thing to do is, and then doing it.
Several ethical principles that are incorporated in the nursing care of patients on a daily basis are nonmalificence, autonomy, beneficence, justice, fidelity and paternalism. Nurses should strive to comply to as many of the principles as possible. In this case there are principles which support and conflict with the wishes of the patient. The first principle that supports the wish of the patient is autonomy. Autonomy means that competent patients have the right to make decisions for themselves and the delivery of the healthcare that they receive. Another factor that would support the patient’s wish to not be resuscitated is nonmalificence. Non maleficence means that nurses should not cause harm or injury to their patients. In this case the likelihood of injury after resuscitation was greater than if the patient were allowed to expire. A principle that could have negatively affected the outcome of the provision of ethical care was paternalism. Paternalism is when a healthcare provider feels that they know what is best for a patient, regardless of the patient’s desire for their own care. I demonstrated the principle of paternalism because I thought that I knew what was best for the patient without first consulting with the patient or family. This situation might have had some very negative consequences had the patient not have been competent. Practicing a paternalistic mindset might have caused a practitioner in the same instance to force their ideas about not resuscitating the loved one onto the family. This could have caused a sense of remorse and loss of control of care amongst the
...ns. Patients should not be so medically ill that they are unable to make this decision. Patients should be fully conscious and understand the implications of their decision. Everything should be documented possibly even videotaped that way the doctor doesn’t lose their job, receive a lawsuit or worst jail!
The American Medical Association (AMA) developed a Code of Medical Ethics which includes: the patient has a right to obtain and discuss health information related to benefits, risks, and costs of treatment alternatives; patient’s can make decisions pertaining to healthcare suggested by the physician; the patient has the right to courtesy, respect, dignity, and attention to healthcare needs in a timely manner; and the patient has a right to confidentially, continuity, and adequate health care. (emedicinehealth, 2011). Communicating openly and honestly between the patient and doctor will allow both parties to make decisions to properly take care of needs.