2 There are numerous principles of medical ethics that are important to consider in ethical arguments and situations. In the theory of principilism, health care professionals base their ethical practice on four principles: autonomy, beneficence, nonmaleficence, and justice. These are all thought to be important principles that should be considered when examining a case involving medical ethics. While it is of the greatest benefit for components of each of these principles to play a part in deciding what is ethically appropriate, I believe that autonomy is the principle that holds the utmost importance. The purpose of this paper is to develop an argument in favour of the statement that autonomy is the most important point to consider when …show more content…
A common denominator in these discussions was the principle of autonomy. Most people agreed that the issue with female genital mutilation is that it is often performed on nonconsenting minors, meaning that if people had been making the choice to have this done to themselves, it would be acceptable as it is only themselves being affected. In the discussion regarding whether a physician should tell a terminal patient their diagnosis if they are thought to be emotionally unstable, the widely accepted answer was still yes, as he should have autonomy over the rest of his medical decisions. In talking about Oregan’s Death with Dignity Act, a lot of people agreed with physician assisted suicide for terminally ill patients meeting certain requirements; these patients make the autonomous decision to end their own lives, rather than endure the agony that living out their disease would likely cause them. While it can be argued that the “premature” death could cause emotional harm to the family members and therefore does not comply with the principle of autonomy. This is irrelevant, as it is not changing the result of the illness but only speeding up the process. Through the multiple articles and discussions
Although autonomy is very important, it is significant that the family fully understand all BOOK> To avoid violating autonomy, health care workers must fully understand the involved disease processes, the options available for treatment, and possible outcomes.
* Justice - concerns the distribution of scarce health resources, and the decision of who gets what treatment (fairness and equality).
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
Moreover, an emphasis is imposed on the rights of a single patient to commit an act or decision even though it is in contrast with the views of the others. In regards to the ethical dilemma, a nurse could not justify the morality of the two possible choices based on their results and consequences. The Deontological approach would encourage the health care staff as well as the patient to ask themselves the most righteous choice for their situation. With this in mind, a combination of ethical theories can also be employed to give light to the dilemma. In view of this, another ethical approach could be applied to solve the issue, and this is the Right-based approach. This theory also aim to promote the rights of every person, and that, they are indispensable just to make ends meet. However, not all ethical theories can be incorporated in every dilemma in a health care setting because their foundations would contradict one another. In order to provide an effective and efficient solution, nurses should be knowledgeable of the principles enveloping each of the ethical theories and should be wise to apply them in appropriate issues and
There are four principles of ethics: Respect for autonomy, Beneficence, Non maleficence and Justice. This four principles offers comprehensive thought of the ethical issues in clinical settings (Beauchamp and Childress 2001 cited in UK Clinical ethics Network 2011).
Sule stated that, “The Patient Bill of Right adopted by American Hospitals Association states that ‘a patient possesses the right to be informed of the medical consequences of his or her actions and decisions and refuse treatment to the extent permitted by the law’. However, this is true only if the patient is in position to understand the consequences of his treatment. Incompetent, senile patients neither have the correct judgment regarding which treatment is appropriate for them, nor are they in a state of understanding the implications of their treatment. In such case, their willingness to grant or deny consent cannot dictate the course of treatment.” Problem with the Act is being able to find that the patient component enough to make such a call. Another issue that Sule stated was on confidentiality and autonomy. According to Sule, “This is another ethical issue erupting from the conflict of patient's rights and professional ethics in nursing job and profession. The Patient Bill of Right makes it mandatory for the medical practitioners to reveal the form and extent of the ailment along with the course of treatment to be undertaken by the practitioners. However, this law of autonomy clashes with the nursing ethic that the professional should maintain high degree of confidentiality regarding the patient's health and treatment.” This can cause conflicting issues in the NP’s
Autonomy includes three primary conditions: (1) liberty (independence from controlling influences), (2) agency (capacity for intentional action), and (3) understanding (through informed consent) (Beauchamp & Childress, 2009, p. 100). According to Beauchamp & Childress (2009) to respect autonomous agents, one must acknowledge their right to hold views, to make choices, and to take actions based on their personal values and beliefs (p. 103). Respect for autonomy implies thaturges caregivers to respect theassist a patient in achieving? Heed? the autonomous choices of their patients. From there, patients can act intentionally and with full understanding when evaluating medical treatment modalities. Autonomy also includes a set of rules, one of which requires that providers honor patient decision-making rights by providing the truth, also known as veracity (Beauchamp & Childress, 2009, p. 103). In this case, several facets of the principle of respecting autonomy, specifically veracity, informed
Principlism is a common practical approach to any bioethical dilemmas in medicine. According to Lewis Vaughn, there are five principles in Principlism that can provide a framework for reasoning through moral medical issues, which include autonomy, nonmaleficence, beneficence, utility, and justice. Autonomy refers to the capacity of a person for making decisions for his/her own life. Nonmaleficence refers to doing absolutely no harm to others in any cases. Beneficence defines the right action to do is to bring good to others. Utility refers to always balancing out the harm by the good of an action. Justice refers to everyone should get an equal and fair treatment. The aforementioned five principles are supposed to provide some general guidelines for anyone who is
This paper will breakdown the difference between clinical and institutional ethics. How this can cause conflict between healthcare and society. Thus, providing an example of how healthcare professionals can be conflicted when trying to provide the best quality care or a compassionate treatment outcome.
Over the last several decades there have been dramatic developments in Western medical ethics. The form of bioethics now widely adhered to in the United States is 'principlism', an approach originally advocated by the American philosophers Beauchamp and Childress. Principlism argues that in medico-ethical dilemmas, including end of life healthcare situations, ethical principles must be applied (Kessel & Meran, 1998). The following ethical principles are related to advance directives: respect for autonomy (self-determination), non-maleficence (not inflicting harm), beneficence (doing good), and justice (some concept of fairness) (Kessel & Meran, 1998). The leading principle, Autonomy, is the fundamental standard that safeguards a patient the liberty to choose and to govern what happens to their person, in so far as those choices do not harm others. “Autonomy implies that people have an inherent right to make treatment decisions and should be active participants in their own care.” (Kessel
Autonomy stresses that everyone has the right to decide what happens to his or her own body. This legal right requires that doctors must receive consent prior to treating a patient. Doctors must
Medical ethics and legal issues have been a key topic in medical field for many years now. It is important for medical professionals to understand the importance of the way we care for patients, it is therefore important to be knowledgeable and aware of the medical ethics and legal issues that govern good patient care. Health care professionals must make decisions based on ethical and legal issues to performance their regular duties. However, Medical ethics is not only about avoiding harm to patients. It is rather a norms, values and principles (Ethical theories 2015). Therefore norms, values and principles are intended to govern medical ethical conduct. Ethics is defined as “a standard of behaviour and a concept of right and wrong beyond what the legal consideration is in any given situation”. In another words medical ethics is a discipline that used to handle moral problems coming out the care of patients. Law is another important discipline that often comes together with medical ethics. Law defined as a “rule of conduct or action prescribed or formally recognized as binding or enforced by a controlling authority”. Government imply law to keep the society running smoothly and to control behaviour that could threaten public safety. Medical professionals have to often prioritise these terms before making any clinical decision. The following findings will constructively emphasise on medical ethics, its
The four principles of medical ethics include nonmaleficence, beneficence, autonomy, and justice. These principles were created by Beauchamp and James Childress because they felt these four were the building blocks of people’s morality. Nonmaleficence is to do no harm to others. Beneficence is to care or help others. Autonomy is to respect another’s wishes. These four principles relate to issues surrounding physician-assisted death in many ways. To begin, there are seven individual forms of PAD. They are the following; voluntary passive euthanasia, nonvoluntary passive euthanasia, involuntary passive euthanasia, voluntary active euthanasia, nonvoluntary active euthanasia, involuntary active euthanasia, and physician-assisted suicide. Passive euthanasia is an act in which the health care physician withholds treatment or surgery and the result is the patient’s death. An example of passive euthanasia is a cancer patient refusing treatment and the physician agrees with their decision, therefore the patient dies from the lack of intervention to treat their illness. Active euthanasia is an act in which the health care physician has a direct contact with the patient’s death due to the physician’s act of doing something to the patient in order for them to die. An example of active euthanasia is an injection of potassium chloride. Voluntary is when the patient is requesting assistance to die. Nonvoluntary is when the patient is not requesting assistance and their wishes are unknown
Within healthcare, practitioners often have to make difficult decisions regarding the care of their patients. This could be to do with giving or withdrawing treatment, or as simple as sharing risk information (Glover, 1997). Ultimately, the practitioner must be able to rationalise any decision they have made (Morrison, 2009). With this in mind, the following assignment will draw upon an ethical dilemma and explore how theoretical perspectives can be utilised within the decision making process. Therefore it will also be pertinent to draw upon the law, and how this influences actions within health care. To facilitate this discussion, I will identify a scenario from practice that
There are four basic ethical and bioethical principles that have a strong influence in the practice of medicine, predominantly medicine that deals with those who are dying. The first is beneficence, which directs the physician and health care worker to take positive actions, specifically by restoring health and relieving suffering (Bongard et al., 2008). Then there is nonmaleficence. Goldman and Schafer (2012) add that nonmaleficence is the idea that people should not be harmed or injured knowingly. The third ethical principle is autonomy,