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What are medical ethics
Cultural considerations in healthcare
Ethics in the medical field
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As human beings, we are inundated throughout our lives with ethical dilemmas. While these difficult choices are challenging, those dilemmas associated with medical choices can be extremely problematic. Families and medical professionals must decide the fates of people every day. A medical scenario involving an elderly woman named Jamilah Shah will be referenced throughout the work. This essay will dissect the ethical principles of autonomy, beneficence, and justice, and how they help or complicate medical decision making.
Advanced directives allow family and medical staff legal guidance in health decisions. These legally binding instructions are the direct, documented wishes of a competent individual making clear their healthcare wishes. In
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Bashir is exhibiting paternalism in making decisions based on what he believes to be best for his mother. Jamilah is highly educated, yet her son trusts he knows what is best for her. As this family is actively participating in Turkish culture, and because Bashir is a man, he is responsible for making choices for his mother, a woman. Turkish culture is one of patriarchy, and Jamilah’s son, Bashir, may be steadfast in these beliefs. He is using his mother’s age and in some ways, her gender against her. Beneficence instructs good to be done, and his decision does not support this. Jamilah’s outcome will be better with treatment. With treatment, his mother may have a chance for a few more years. If no treatment is afforded to her, she will most certainly die. He is only allowing for palliative measures, even when she may have a fighting chance. But as it may be possible to help Jamilah, will the cost of treatment and the trauma of the procedures really produce a beneficial outcome? The hospital staff may surmise that any further pursuit of costly treatments may not alter her prognosis. Would she survive these life saving measures? Perhaps she will not, but Bashir should conduct more investigation into the matter to make an informed choice. Medical staff have an obligation to help and heal, but where is the proverbial line? Would this possibly be viewed as negligence? The hospital staff have a standard of care expected of
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
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 ...
The case study addresses the rights of the parents to decline further medical treatment for their son and his rights as the patient to refuse further treatment. The authority to...
The concept of autonomy in the medical practice brings many different views. Autonomy is the ability individuals have to be self-governing. In these different views there exist two schools of thought, one is the belief that people are born with the ability to do what they want their body and no organization can tell them what to do with their body, like the government. On the other hand, some people believe that it is more complicated and conditional on mental competency so that person can make rational decisions. However, the majority of people seem to advocate for autonomy. A particular largely uncontroversial discussion arises with the case of Dax Cowart, who had his right to autonomy taken from him in a tragic accident and is therefore, an advocate for autonomy. As an ethics committee, we were to discuss this case in accord with four questions: can Dax Cowart refuse treatment, is no, why. If yes, then when could he be released, and if yes to the first question what would your decision be if Cowart asked for physician assisted suicide. I will be discussing the major points, consensus, and the reasons for the consensus from the committee. In addition, I will summarize the case and state my own opinion.
Prior to discussing why Advanced Directives are so essential the definition of Advanced Directives is crucial. An Advanced Directive is made up of several legal components which ultimately online the patient’s wishes if one was to be incapacitated or unable to verbally make wishes know regarding healthcare. The understanding of what a living will and a durable power of attorney both need to be discussed before one is able to compare and contrast. A living will ensures that anyone reading this paper will understand how the patient wanted to continue their form of treatment. With a living will anyone ranging from patients to healthcare professions should be able to determine the specific actions the patients would want taken if they are unable to make said wishes known. A
Autonomy is an important ethical principal that should be considered with great attention, especially with the limitation of personal autonomy one finds in hospitals. Burkhardt (2008) and Nathaniel define autonomy as self-governing and describe it as including four elements, the ability to determine personal goals, decide on a plan of action, to be respected, and to have freedom to act on choices. In John’s situation, his vulnerability in contrast to the power that the health care professionals hold over him put all four of these elements into jeopardy. Since his advance directive and his current choices differ, the matter of respec...
Not all cases is patient autonomy the most important thing to respect and honor. There will always be situations where Medical paternalism is justified. Justifiable paternalism in a medical perspective is prolonging patients’ lives allowing them to exercise their autonomy. Failing to respect a patient’s treatment requests or denials is a violation of the autonomy at that point in time during their illness. While the previous statement is true, the medical professional is violating a patient’s future autonomy. For this reason, medical professionals have the right to act paternalistically, therefore medical paternalism is justified by means of future autonomy and obligations to promote patient
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
The doctors in Haiti thought Charlotte should not be resuscitated, undergo anymore horrible treatments and die peacefully. Charlotte’s parents were not happy with the doctor’s guidelines and thought the United States medical care would have better technology and could save their daughter. Charlotte’s parents bought her a doll which 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.
An advance health care directive or advance directive is a legal document that tells the doctor the wishes of a patient concerning health care. It provides a better chance of receiving the kinds of treatment a patient may or may not have when they are unable to voice those wishes to a doctor or family members. A patient may choose a living will, a medical directive, or a health care power of attorney or health care proxy, or a combination of the three.
An eight-year old boy walked in to his grandmother’s room to find her not breathing. He instinctively called 911, not knowing what his grandmother’s or mother’s wishes were. That should have been the end to his grandmother’s suffering, but it was not. In this instance, doctors insisted on keeping his grandmother on life support, despite his mother’s request and his grandmother was incapable of articulating her wishes. She didn’t want her mother on life support. Today in modern “democratic” medicine, physicians are suppose to serve and advise, and only in extreme situations of incapacities, emergencies, lack of available health care proxies, or patient’s waivers of decision making should they decide for a patient. Euthanasia should be the decision of the individual, not family, not government, and not the medical community.
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
There are currently 40 emerging infectious diseases, that are at risk of spreading from country to country, due to the increase of people traveling. Diseases like Ebola and the Zika virus pose a global threat due to the possible rapid rate of transmission from human-to-human, that occurs with exposure to someone who is symptomatic and seropositive (World Health Organization, 2016-a). When there is an infectious disease breakout, public health practitioners and physicians, must make quick decisions regarding isolation of a patient exhibiting symptoms and using quarantine for those who have been exposed to someone symptomatic or seropositive. Although, a public health framework is followed to make the decisions for isolation and
Although healthcare providers are able to have some input in the decision making process in healthcare, they truly are not always aware of what their patients want. Only a patient has the responsibility to decide what direction according to their health that they want to go. It is a matter of choosing someone or something to lay out directives in case such a circumstance is to take place. Mo...
Introduction Generally, ethics is defined as standards of performance that explain how human beings should opt to react during many circumstances in which they meet with friends, citizens, parents, teachers, children, professionals, and businesspeople, among others. However, ethics is different from feelings, as feelings make significant information’s available for our ethical preferences. Although some people possess highly mature behaviors that cause them to feel awful when they get involved in the wrongdoings, most of the people normally enjoy doing bad things. Ethical decision-making And frequently people will feel uncomfortable when they are mandated to make difficult decisions.