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An essay on doctor patient relationship
Reflection on medical ethics
Ethics and the doctor-patient relationship
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The Use of Force Do doctors have power over their patients? Doctors are generally well trusted because they studied hard for the position they are in, they have more knowledge about illness than ordinary people and doctors are protected by law in case things go wrong. However this raises the question; are doctors susceptible to using force on their patients to get what they want? Doctors, like every other person, are human beings and thus they can make mistakes just like everyone else. However, when a doctor makes a mistake, it is much more serious than a fast food employee messing up your order. Doctors must follow a set of ethical guidelines in order to minimise the amount of mistakes they make. In a perfect world everyone follows the …show more content…
Doctors have to go through many years of studying and many more hours of practicing on people. These qualities make any doctor seem god-like to the eyes of everyday people. Doctors are trusted blindly and people are led to believe that doctors are always honest. In the story, The Use of Force by William Carlos Williams, the parents of Matilda question the tactics the doctor is using to properly diagnose the girl but trust that the doctor knows what he is doing and lets him use force anyway. These cases are seen all over the world as well. There have been many reported cases of doctors using force to allow patients to get treated. Some patients however, do not wish to be treated because of things like religion or preference or other reasons but doctors still treat them in order to save them from themselves. The power struggle creates anger and resentment from both parties and blurs the line between personal rights and saving lives. In an article written by Jessica Grose, doctors force a woman to have a C-Section because they believe it was in the baby’s best interest. However, the woman did not want to have the surgery performed. This led to the doctors threatening to sue the woman for possible child endangerment. The woman, in fear of possibly killing her child, sided with the health care providers even though personally she did not want to have the surgery performed. This …show more content…
Patients are forced to do what the doctor says because they are in fear of their illness and the help of someone specialized in the field will soothe them. The doctor in the story knows that there is an increasing number of cases of diphtheria, a fatal disease affecting young children and he also knows that if he does not get a diagnosis now then the girl will die in a, “bed of neglect”. It is because of this fear that the parents cooperate with the doctor and allow him to use brutal force to open the girl’s mouth. The doctor possess power over the patient already has. While the doctor is in a calm state the patient is usually gripped with fear. This fear puts the patient in a bad position because the doctor doesn’t need to worry since he doesn’t have the illness. If the doctor is ignored then the patient runs the risk of dying from a disease they could have prevented and that in itself is very powerful. The patient will blindly trust the doctor because of the slur of emotions and panic. However what will happen if all the power of the doctor was removed? Will the world be a better place? Personally I believe that there needs to be some form of authority that a doctor must possess in order for
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
People trust doctors to save lives. Everyday millions of Americans swallow pills prescribed by doctors to alleviate painful symptoms of conditions they may have. Others entrust their lives to doctors, with full trust that the doctors have the patient’s best interests in mind. In cases such as the Tuskegee Syphilis Experiment, the Crownsville Hospital of the Negro Insane, and Joseph Mengele’s Research, doctors did not take care of the patients but instead focused on their self-interest. Rebecca Skloot, in her contemporary nonfiction novel The Immortal Life of Henrietta Lacks, uses logos to reveal corruption in the medical field in order to protect individuals in the future.
Sarah Cullen and Margaret Klein, “Respect for Patients, Physicians, and the Truth,” in L. Vaughn, Bioethics: 148-55
Not only do health care providers have an ethical implication to care for patients, they also have a legal obligation and responsibility to care for the patient. According to the Collins English dictionary, a duty of care is ‘the legal obligation to safeguard others from harm while they are in your care, using your services or exposed to your activities’. The legal definition takes it further by making it a requirement that a person act towards others and the public with watchfulness, attention, caution and prudence which a reasonable person in the circumstances would use. If a person’s actions fail to meet the required standard, then the acts are considered negligent (Hill and Hill, 2002). If a professional fails to abide to the standard of practice for their practice in regards to their peers, they leave themselves open to criticisms or claims of breach of duty of care, and possibly negligence. Negligence is comprised of five elements: (1) duty, (2) breach, (3) cause in fact, (4) proximate cause, and (5) harm. Duty is defined as the implied duty to care/provide service, breach is the lack thereof, cause in fact must be proven by plaintiff, proximate cause means that only the harm caused directly causative to the breach itself and not additional causation, and harm is the specific injury resultant from the breach.
In Carlos Williams’s short story, “The Use of Force,” the doctor’s use of force is portrayed in a way that is controversial. Controversial in that it could easily be argued either that the doctor has complete reason to use force upon the girl, or that the doctor has no right to use any amount of force upon the girl without her consent. It could also be argued either that the results of the doctor’s use of force is a success or a failure. I feel that the doctor has reason to use force upon the girl in order to check her tonsils for a number of reasons. I believe this because the doctor has reason to use force because he believes that the girl has diphtheria based on his knowledge of numbers of other children at her school suffering from cases of diphtheria. I believ...
Even since ancient times, it was recognized that doctors had power over their patients, and that there must be ethical implications coming with this responsibility. This was first represented in the Hippocratic Oath, which was created by an Ancient Gree...
Within public health, the issue of paternalism has become a controversial topic. Questions about the ethics of public health are being asked. The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re-examined in their applied context (Med J Aust. 1994). Clinically, patients are treated on a one on one basis, but public health’s obligation is toward the protection and promotion of an entire population’s health. So, based on this difference, the gaping questions targeting public health now becomes, under what conditions is it right to intervene and override an individuals’ autonomy? And if so, is the paternalistic intervention justified? Part of the concern
Doctors are well respected within the realm of American society and are perceived with the highest regard as a profession. According to Gallup’s Honesty and Ethics in Profession polls, 67% of respondents believe that “the honesty and ethical standards” of medical doctors were “very high.” Furthermore, 88% of respondents polled by Harris Polls considered doctors to either “hold some” or a “great deal of prestige”. Consequently, these overwhelmingly positive views of the medical profession insinuate a myth of infallibility that envelops the physicians and the science they practice. Atul Gawande, in Complications: A Surgeon’s Notes on an Imperfect Science, provides an extensive view of the medical profession from both sides of the operating table
"The Use of Force" by William Carlos Williams is a window into one doctor's guilt over the negligent loss of a child patient. This story focuses on the disillusionment caused by his self-pity and guilt. The doctor's guilt triggers a fanciful illusion of "The Use of Force" that gives him giddy delight in his envisioned torture of the young, beautiful girl. His disgust for her uneducated, immigrant parents and their poor, humble surroundings only heighten this image. But his justification of these imagined actions empowers him all the more. He perceives himself above these less than human creatures, as a master lords over his good for nothing dog. In his self-empowered greatness he comes face to face with the greatest flaw any doctor can have, lack of humanity and compassion for those lesser then himself.
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
...y are uncomfortable with. They should be able to make decisions based upon their moral groundings and training not just a response to life limb or eyesight. Doctors should never be forced into a “God Complex”, a feeling of superiority and self-indulgence based on the assumption that they control life and death, and is experienced by a multitude of doctors struggling with ethics and moral fiber along with the rules and regulations aforementioned therein.
Medical ethics could be so many different thing mostly bad.There's so many stories about medical ethics this this story about this girl. At the age of 13 she was diagnosed with a rare and fated type of cancer.The survived and was cleaned that didn't have cancer. Then 10 years later she fought for her life again, she had sergey. After the Surgery there was no where no sign of the cancer. There years later she married and she became pregnant because of her health history she went to a clinic so they could watch her pregnancy.She had to go back to the clinic for having a lung tumor. She want to be in the best health, surgery was not an option. Her baby was too small to be born yet ,” meaning too premature.” (Thornton )She wanted to keep treating her cancer but, the doctors said that should wait until 28 weeks.She waited and the doctors she it was too dangerous and they wouldn’t help.So they want to cort.The court made it distion and at time is was very ill. The court order a surguy but the doctor said that if she goes into surgery she might not make it. She refused, but the doctors could not refused the courts orders. She was rolled into the surgery room. she made it into through the surgery, but two days later she died. She ...
The Use of Force, written by William Carlos Williams is a story about a conflicted unnamed doctor using physical force to determine a diagnosis. The question that is brought up is whether or not the doctor’s use of force was one of ethical duty or infuriating violence. The doctor makes it his duty to save the patient, Mathilda as she does not cooperate he makes a choice to go on and use force to open her mouth to determine her diagnosis. The choice of using force isn’t necessarily the questionable part, the motive on using physical force is debatable. The ultimate question that the short story, the Use of Force asks is whether or not the doctor’s motives become one of dutiful compassion or desirable violence.
• The doctor’s dilemma is that if he leaves the girl alone he will not be able to check if she has Diphtheria and may possibly die. If he continues on the road he’s going he will have to resort to measures that are socially unacceptable and even cruel.
During the year of 1938, there was a serious epidemic of diphtheria. A number of cases of diphtheria had happened in the school and most of the patients who had diphtheria were facing death. Therefore, doctors were in demand and they had to cure their patients in an efficient time in order to help more patients. However, in order to finish the examination quickly, the doctors sometimes would ignore their patients’ emotions easily. Therefore, it would create the conflict between the doctors and the patients. William Carlos Williams focused this problem in his story “the Use of Force”. Although the doctor in the story meant to help the sick girl Mathilda who had diphtheria, he is not justified