Ambulatory Care IPPE: A Case Study

It’s agreed that Shivonne was a key player in the transitioning of Infusion Clinic to Outpatient hospital. The transition was not an easy task – but Shivonne managed through professionally. Shivonne was once described as an “overachiever” during the transition. Shivonne received an email asking her to check on auth status for one of the patient listed in email.

The committees involve individuals from diverse backgrounds who support health care institutions with three major functions: providing clinical ethics consultation, developing and/or revising policies pertaining to clinical ethics and hospital policy and facilitating education about topical issues in clinical ethics. The goals of ethics committees are: to promote the rights of patients; to promote shared decision making between patients and their clinicians; to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and to enhance the ethical environment for health care professionals in health care

Respecting your patient’s autonomy while acting in their best interest may contradict each other. While PAs are not expected to ignore their own values and scientific or ethical standards, or the law, they should not let these personal beliefs interfere with their patient’s access to proper care. It is their ethical obligation to see that each of their patients are given appropriate care. The third principle, nonmaleficence, goes hand in hand with beneficence.

Ethical Complexity of Distribute Justice and Rationing Medicine is a practice based on moral standards applied to clinical values and judgments, also known as medical ethics. Ethical values consists of beneficence, nonmaleficence, autonomy and justice. However, these ethical principles are affected when distributive justice and rationing of health care resources are implemented “…in a world in which need is boundless but resources are not…” (Scheunemann & White, 2011, p. 1630). The historic Hippocratic Oath described the four main principles of medical practice and established a moral conduct for clinicians. Beneficence demands that health care providers develop and maintain skills and knowledge, consider individual circumstances of all patients, and strive for the patient’s benefit.

The documentary, A Death of One’s Own, explores the end of life complexities that many terminal disease patients have to undergo in deciding on dying and dignity. It features three patients, their families, and caregivers debating the issue of physician-assisted suicide or pain relief than may speed up death. One character, Jim Witcher has ALS and knows the kind of death he is facing and wants to control its timing. Kitty Rayl is suffering from terminal cancer and wants to take advantage of her state’s Death with Dignity Act and take medication to terminate her life. Ricky Tackett, on the other hand, has liver failure and together with his family and caregiver agrees on terminal sedation to relieve his delirium and pain.

Medicine has changed in ways over the years that one might have never thought twice about having anything like that happen to them. People today have increased their knowledge overall about their health situations and how to treat themselves. Patients are stepping up and making decisions about their healthcare choices each day with physicians. And in this process it has turned out to be so important for people to understand what is truly being done before medical treatment is given. We have talked this semester about informed consent and how important it is that our patients understand the meaning of what they are having done.

The physician is rendering the aid the patient requests and respecting the patient’s autonomous decision to exercise their right to

Given that this is not a trauma center, I’ve also been able to have considerable interaction with what I regard as an “average patient”. Rather than someone being rushed in with a gunshot wound, I’ve seen the devastating effects of poor primary care and chronic illness

The primary motivation that has led me to pursue an advanced degree in bioethics at Columbia University is the direct applicability the field has to my interests in medicine. Today, the physician needs to contend with an increasingly pluralistic and multicultural society that can create pressure to compel him or her to accommodate patients ' diverse values. Each person and each physician who come together in the medical relationship have expectations, hopes, and needs. Only after these are understood and respected can appropriate technical measures be applied. My decision to apply to Columbia University is based on the belief that this program provides the optimal environment for me to investigate ethics as it pertains to medicine to prepare myself for the ethical requirements of a physician.

To create an environment where these errors are a rare occurrence, all healthcare professionals must dedicate themselves to implementing QSEN's six core competencies each and every day. These professionals must also speak up when they see room for improvement in their workplace. Regardless of the healthcare setting or demographic of patients, safe outcomes are the purpose of providing patient-centered care. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015).

Military Nurse’s Dilemma Chi Tiet University of Michigan - Flint Nurses are a group of professionals who faces a variety of ethical dilemmas while working. Therefore, these dilemmas cannot only impact on their personalities but also affect their patients. However, ethical dilemmas are argumentative and difficult to deal with, so there is no “right” or “wrong” answer for them. In a military nurse’s dilemma, a military RN is ordered to force feeding a terrorist prisoner while he is undergoing interrogation, and the prisoner is on a hunger strike protesting. The nurse is torn, but fearing of reprisal if orders are disobeyed, so the nurse is appalled at the over-riding a patient’s wish by force feeding him agains his wish.

Perfusionists employ artificial blood pumps to propel open-heart surgery patients' blood through their body tissue, replacing the function of the heart while the cardiac surgeon operates. When a patient's blood is continuously removed and returned through plastic tubing to allow

The practice of medicine connects the space between health sciences and society. However, a physician’s worth cannot be reduced to licenses, certificates, and stethoscope around their necks. A doctor is more than that. The weight of improving or maintaining the safety of patients rests upon their shoulders. Traditionally, there are a multitude of benefits of being a doctor but it calls for certain ethical demands as well.

While managing the outpatient clinic, admissions and wards, I matured as a physician and learned to apply my theoretical knowledge in a clinical

The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to