A doctor may have to operate even in the absence of consent, to save the life of the patient. It is possible that even with such an intervention, the patient may not survive. Assuming that the doctor is competent and has exercised due care and diligence, the doctor cannot be held responsible for a patient's death, as the doctor has acted in good faith and in the best interest of the patient. Maintaining a good Doctor patient relationship often works better than the best informed consent! The informed consent issue as discussed is very much driven not by the medical procedure or research being done or what could arise from it.
Physicians are to respect the patient’s desires and respect their decisions (MissingLink, n.d.). Beneficence is action to benefit others. Meaning, physicians must act in the best interest of their patients and put the patient’s needs above their own. If patients lack the ability to make informed decisions, the physician must act to keep patients from making decisions that are not in their best interests (MissingLink,
However, the responsible and trusted caregiver team must take an action through multiple processes in order to favor the patient. Although the physicians have known earlier when the terminally ill patient near to die, they are not comfortable with withdrawing of life-sustaining treatments. The intention is not to kill the patient, but using the available technology and creating a moral obligation to use what ethical principle prescribes. Underlining the disease process cannot be reversed, life-sustaining treatment can be withdrawn acknowledging that the treatment limitation (Reynolds, Coper, & McKneally, 2005). Ethics committee is a helpful source of advice that can provide consultation about ethical issues in treatment limitation.
The operation was not not preformed in the patients best interest. It is very important that the doctors want to do what is best for the patient, but that is not that case in this situation. The doctors were supposed to tell Charlie what the side affects were of the operation. Charlie didn’t know the side affects of the
Ideally, services, reimbursement and ethics are conjoined. In consideration of reimbursements, and more is expected from providers, delivery of care transcended from doing a good job to ‘how can I benefit from the system’ and this approach creates conflict of interest at the patient’s expense. Such as, unnecessary tests, overutilization arising from extra costs, services, and procedures. Furthermore, availability of technology does not promote young providers to use good clinical judgement (Gawande, 2009). Systems changes to re-focusing on sole health care philosophy and patient as a priority would need to take place.
The four core ethical principles that are called into question in the movie “Miss Evers’ Boys” are autonomy, beneficence, nonmaleficence, and justice. Autonomy refers to the right of the patient to function independently and the ability to self-direct. This means that patients are entitled to decide what will happen to them, and if deemed competent, they have the right to either consent to or refuse treatment. All nurses and healthcare personal would be required to respect the patient’s wishes, even if they do not agree with them. Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient.
If you look out for the wellbeing of you patient and express what is best for your patient then you are actively practicing the value of altruism in the field of nursing. Next, the professional value of autonomy. Autonomy is the personal value of one over themselves, free form control of others (96). An autonomous person is one who acts intentionally, with understanding and without the influences of others opinions on them. As a nurse it is important to know when to give your input and when to hold off.
Throughout history, we have seen many unethical forms of human research done, which have ultimately led to dire consequences (Brandt, Lecture 7, Slide 6). Today, ethical research tools have been put forward to determine when experimentation for human research should be allowed. Equipoise is the balance between two conflicting demands, where one demand will promote the welfare of the patient while the other demand will promote the advancement of medical knowledge (Freedman, 1987, 95). There are two types of equipoise: clinical equipoise and therapeutic equipoise. Clinical equipoise looks at the balance through the scientific community, whereas therapeutic equipoise looks at the balance through the judgment of a single physician (Weiger et al., 2013, 93).
When following the legal requirements, as it is the individual's right to refuse e.g. any support or treatment and ensuring the individual are aware and obey with legal requirements. 3.3: Describe how to establish consent for an activity or action. In a health and social care setting it’s important to start the consent of the individual when providing them with any kind of care or support. It’s essential to include the individual with any decision-making, it is your job to make sure that the individual does not feel left out or ignored.
Hence lacking structure and clarity. • A caring relationship relates the 13 sub-concepts together. o The patient is willing to have good health, and so the nurse and the patient will cooperate towards a common goal of restoration of the patient’s health. o The nurse’s role is to prevent any interruptions that may occur during the patient’s restoration process. In addition, to provide positive and optimistic conditions to the patient
To begin with the ethical considerations include confidentiality, non-maleficence as well as consent. According to Brahams (1995), ethical issues that arise from the use of Telehealth involve the responsibility of healthcare professionals; patients confidentiality of their medical information; as well as issues of cross-border consultations (Brahams, 1995). Patient ethical
When a patient enters a hospital, he/she usually places a high level of trust within that nurse/doctor. Trust, is very essential in all forms of health care. Business wise, it becomes influential and encourages the use of the health care facility and services which is very beneficial and effective to the health system. When that trust is violated, patients tend to find alternative methods of care or professionals. Ultimately, violations of the HIPAA law should not be made.
However, it is better to address this problem from a different standpoint. Patients should not be viewed as the problem. Rather, they should be part of the solution. It should be a joint responsibility of healthcare practitioner and patients to ensure that medicine is taken as prescribed to avoid the deaths that are associated with its overdose (Volkow et al. 2065).