A doctor chose to tell her patient, Sarah who was suffering from multiple myeloma part of the information that he thought was welcoming to the patient. The doctor told the patient that 50% of the patients treated of this illness can survive while the other 50% die within 2 or 3years of ailment. However, he did not disclose to Sarah that 10% percent of the survivors are likely to be exposed to leukemia in the next 20 years, a condition that is resistant to treatment. The doctor has fears that he might alarm her chances for taking treatment and hence limit her chances for future survival. Even though the research is not conclusive on the possibilities of attracting leukemia after 20 years, he thinks it is not morally right to disclose the risks to the patients. Therefore, the doctor is faced with ethical issues of autonomy, honesty, disclosure, good virtue, integrity, moral responsibility and practical wisdom. This is the ethical case that I will discuss and analyze in this essay.
Introduction
The ethical issue presented here is a real case on ethical study that most of the medical professionals face during their work .It is an ideal case that characterizes the present day society given that the doctors have to make a decision regarding the available options. The fact that the patient, Sarah, has a deadly disease and any wrong decision will complicate her situation, the decision will be made based on the information that the doctor will provide her. Therefore, the doctor has
McCall Ethics Case Study Jerry is Dr. Williams’s office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium and that the provider, a friend, calls in the medication prior to any flights. This type of request happens often and in slightly different scenarios, but the outcome should remain the same to avoid ethical and legal issues. This paper will review the case study to help resolve the problem at hand, refilling a prescription without provider authorization. Qualified Medical Training Understanding the definitions of a licensed practical nurse, LPN, and a medical assistant, MA is the first step to making a factual conclusion for this case study. Support staff to the provider cannot make decisions about medication refills for patients without a direct order from the provider. This action is outside the scope of practice for an LPN or MA. Licensed Practical Nurse An LPN is a role in support of the nurse or RN, a registered Nurse usually in a skilled nursing setting such as a hospital or long-term care facility. As defined by the National Federation of Licensed Practical Nurses, NFLPN, an LPN “means the performance for compensation of authorized acts of nursing which utilize specialized knowledge and skills and which meet the health needs of people in a variety of settings under the direction
The research was conducted to explore the issue, and ethical principles presented. Personal ethical viewpoint was given along with professional examples. The work was actively discussed with classmates and received compliments. In the Case: Lack of Consent and Patient Death physician’s failed to obtain the consent from the patient. The failure resulted in inappropriate procedure, which led to the patient’s death (Pozgar, p. 1243, 2012). The work included my opinion regarding court’s decision, analysis of ethical and legal dilemmas, analysis of failed hospital’s ethical duty to the patient, and personal intake for “What would I do” situation. I chose to present this piece of work as my exemplar as this module incorporated all aspects of the course, and included ethical and legal concepts from contemporary issues in nursing we studied for the duration of the
"... Further to conclude you are now suspended until investigations are complete" Guy's face did not change from his usual blank, yet smug expression. Internally, he appeared to get a kick from this experience.
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
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
Informed Consent allows a doctor to render treatment to a patient. By signing the document states that the patient understands the circumstances and what is required. This paper is to analyze the consent and non-consent, and ethical issues that can become a problem.
This edition consists of nine chapters divided into three parts, as well as an appendix of ten biomedical ethics cases. In Part I, chapter 1, entitled "Moral Norms," introduces the decision-making framework with attention to specifying and balancing principles and rules for moral deliberation and decision-making. Chapter 2, entitled "Moral Character," elaborates on moral virtues and ideals as an often-neglected area in biomedical ethics. In Part II, chapters 3 through 6 present the four basic groups of principles, and chapter 7, "Professional-Patient Relationships," examines the moral rules of veracity,
(1.1) In the healthcare profession various dilemmas can be encountered, sometimes everyday that put a professional in a position where they must make certain choices that can be classified as difficult or complicated depending on the individual or the situation. In the nursing profession not only do they have to consider the welfare of the patients but they also have to regard their wishes, which may create a conflict of interests in regards to promotion of well-being which would lead to the importance of informed consent. Respect for a person 's autonomy as well as respect for the individual are essential requirements; however so is promoting public interest.
Michael H., a 68-year-old man, was admitted for exploratory surgery of his abdomen. He is frail, and his attending physician describes him as “emotionally labile.” Marcy R. is a social worker at BFL General Hospital, who is assigned to the unit that Michael H has been admitted. After Michael’s surgery, Marcy R. was approached by Michael H.’s daughter, Ellen B. in which Ellen has told Marcy that her father’s physician had just informed her that the lab report from the exploratory surgery shows that her father has terminal cancer. Ellen said that she and the family are in shock and they have decided that they not want the hospital staff to tell her father about the terminal nature of his cancer once he recovers from anesthesia. In this essay, I will discuss the ethical dilemma of “to tell Michael or not to tell him he has terminal cancer. He has the right to confidentiality by not withholding information from him when he has been diagnosed with terminal cancer, informed consent, and self-determination.
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
In the movie The Doctor they showed positive professional and negative behaviors. Some of the positive professional things are that Dr. Mackee told his interns to not call someone terminal if they aren’t dying or are already dead. Dr. Mackee talks differently to his patients now that he knows that he has cancer. Dr. Mackee became friends with another cancer patient named June Ellis. Dr. Mackee helps a patient that had a stroke and that has a lisp caused by having the secure and that patient is suing his practice because he blames them for him having the secure but Dr. Mackee sees that he needs help so he goes and tells him that he will have someone come and get Mr. Richards keys out of his car and that Dr. Mackee will have them left at the front desk. Nurse Nancy finally sang when Dr. Mackee went in for his surgery to remove his tumor. Dr. Mackee finally spoke after his surgery and told his wife that he loves her and then they were happy because they didn’t know if he would be able to speak again after having the surgery because the tumor was located in his voice box and they risked losing his vocal cords.
Musallam Almashali Dr. William L. Blizek Introduction to Ethics February 13, 2018 The Doctor Unfair The Doctor is one of the films that strongly depicts unfairness, particularly in regard to the initial relationship of Dr. Jack McKee with his patients. The protagonist in the film is depicted as an unfair individual in the initial part of the film wherein his patients do not understand and know what is happening with their treatments since the doctor does not treat them properly and avoid any attachment as much as possible. McKee only did what he thinks is right without giving considerations to the patients.
Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.
The case of ethical dilemma concerns a fifty-year old woman who was admitted in the hospital complaining of vomiting, indigestion and weight loss signs and symptoms. After conducting barium X-Ray and gastroscopy it was found out by doctors that the patient was suffering from malignant kind of gastric carcinoma and hence further diagnosis and treatment will have to be conducted in relation to the disease the patient was suffering from. Doctors suggested a palliative surgery for reducing stenosis but felt it before time to disclose this information to the patient which was cemented after proper consultation with the patient’s husband who said that her wife would overreact in a situation like this as she had a phobia regarding tumors and cancer diseases.
The essay will discuss the ETHICS IN MEDICINE : The Relationship Between Law and Medical Ethics: