The prenatal diagnostics and prenatal screening being routine procedures should be considered as advantage of modern medicine. It helps to reveal wide spectrum of fetus abnormal conditions, but not only congenital defects and malformations. Early detection of many of them could help to perform surgical correction and necessary management as soon as possible in order to save newborns’ lives. On the other hand, this method is widely discussed and it has many opponents, and in some countries prenatal diagnostic procedures is not considered now as a screening method. Main ethical issues are terminations of pregnancies in case of malformations, which may be supposed as eugenical abortion, inform consent and problem of decision-making process.
Medical genetics has come to be accepted as a boon to this phase of the Earth, but it has its disadvantages and controversies. Three cardinal principles are cited in the discussion of ethical issues, which are beneficence (doing good for the patient), respect for individual’s autonomy (safeguarding the individual’s rights to control his or her medical care and be free off coercion) and justice (ensuring that all individuals are treated equally). When these principles are in conflict with each other, complex ethical issues begin to arise. The ethical and policy issues usually faced by a genetic counsellor are: Genetic testing Prenatal diagnosis, especially for non-disease traits or sex. Testing for genes that lead to late - onset
4) Upon doing research for this case study on cystic fibrosis I found many informative websites with an abundance of information. The two sites I found with the most information about genetics, symptoms, diagnosis, treatment and prognosis were www.cff.org and https://cysticfibrosisnewstoday.com/. 5) Cystic Fibrosis (CF) is an inherited disease that affects the exocrine glands which are responsible for the production of sweat and mucus. a. The cystic fibrosis decision was based upon genetic testing of both parents revealing that they were both “carriers of CF”, and a recent positive sweat test done on the patient that confirmed the concentration of
Savulescu believes “the medical and scientific benefits of research into therapeutic cloning are so great that this research is morally required” (Savulescu) in order to avoid “genetic malformation, malignancy and reduced longevity” (Savulescu). From what is gathered in the article, there is an overwhelming argument against cloning in the present due to how risky it is due to “genetic malformation, malignancy and reduced longevity”
Genetics focuses on the mechanics of inheritance, the individual genes that are concerned with genetic traits and inherited traits. Meanwhile, genomics is concerned with the entirety of the human genome, how genes work together to make up a human being (Ignatavicius, 2014). There is a continual push towards genetic knowledge within nursing (Coleman, et. al., 2014). “Genetic and genomic literacy now distinguishes all nursing professionals as state-of-the-art academicians, researchers, and clinicians who will provide the best care possible.” (Coleman, et.
Majority of the factors affecting long-term compliance may be due to the number of the medications taken, number of daily doses, occurrence and well as severity of the side effects and compatibility with the daily activities of the patient (2). There are several reasons that act as barrier for medical non-adherence to occur among older patients. These include poor eyesight or vision, memory, hearing of the elderly, having difficulty to follow the instructions given, handling small tablets, opening drug containers, lacking of education about the medication, inability to define the adverse drug reactions, as well as competence of prescribed medicines
The certainty people get through genetic screening can also lead to discrimination in the society. When the privacy of the genetic information is not well preserved, the leak of information to people who have no rights to know may lead to the discrimination from the society to people with certain diseases. Discrimination can also occur when it comes to marriage; people who are certain to suffer from a disease, especially the hereditary ones, may have troubles in deciding whether or not to get married. This will also lead to the consideration of having offspring, as hereditary diseases are inherited from the parents to their offspring. Lastly, people who know the disease they have or will likely have may have anxiety, anger issue, as well as depression throughout their
So, there must be a high index of clinical suspicion of internal hernia to every patient, who presents to the emergency department with obstruction clinical features. Incarceration is less common. A detailed patient’s anamnesis is very important, because a previous surgery that could cause an acquired internal hernia like Roux-en-Y, can easily add internal hernia into the differential diagnoses. Furthermore, patients with congenital internal hernias often report a history of chronic, mild, digestive complains and chronic pain or a previous visit to the emergency department because of abdominal pain that was improved with spasmolytics
Examples of Medical Malpractice Cases of medical malpractices have raised their ugly head quite often in last few years. We are all aware of the common malpractice cases. Birth injuries, pregnancy issues, mental health, paralysis due to wrong medications are few cases that have occurred repeatedly over a long period of time. However, malpractice cases have broken these barriers and caused harm to patients suffering from other commonly unknown diseases or disorders. We thought of listing some lesser known examples of medical malpractices and hence have come up with some examples that will broaden your perspective about the gravity of the incident.
The authors emphasize that a diabetes patient must know how to recognize the complications that usually arise from the disease and how to respond to those problems adequately and efficiently. Accordingly, the discussion articulates a model of education, the therapeutic patient education (TPE) as an increasingly fundamental approach adopted not only in the management but also the prevention of diabetes. The researchers emphasize that various trials vindicate the suitability of the model by registering improvements in lifestyle, clinical, and psychosocial effects. Nonetheless, the authors highlight the lack of clarity in the ideal attributes of a comprehensive education program and insist on the need for further research to determine the perfect application of the education model. Hence, this article's relevance is providing context by explaining the place of education in the diabetes management spectrum and proposes a suitable model for the implementation of education programs.
As discussed earlier, Garrod focused on the importance of family history when he tracked the baby’s family and today family history or genetic medicine has become an essential part in patient diagnosis. Another major concept that was starting to make a push during this period was that in order to practice positive eugenics, negative eugenics also had to be practiced. Muller along with other eugenicists including: Frederick Osborn, William Allan and others believed that the prevention of defective conditions was essential and the base of the movement. They knew the benefits of negative eugenics, including its social acceptability and technological feasibility. Geneticists and scientists now understood the importance of genes and their different
In additional to the original threaded discussion, level one codes are based on the documentation used for CPT. The Healthcare portability and protection act (HIPPA) of 1996, mandated that all claims be reported using HCPCS. HIPAA made HCPCS codes mandatory for billing and coding. It is also very important that every claim and any medical information is done through and acted by HIPPA regulation to ensure the patients privacy. When a patient first visit a medical facility a copy of the notice of privacy must be provided to the patient, this will explain how to exercise his or her rights under HIPAA.
We can use them at any time, for legal advice or opinions, when a client may need it. We will provide technical or clinical consultation and/or training, and will schedule classes during regular business hours, and also in the evening to meet the needs of all of your personnel. Courses include HIPAA training, Medicare compliance, charting and documentation training, and training for clinical improvement. Our representatives are called upon to speak at industry conferences on similar topics. DM Medical Billings has extensive knowledge and expertise in various EPCR programs, and can review EPCR software, for documentation optimization, and to ensure that best practices are in place from legal, compliance, and reimbursement
According to Munson (2014), through genetic screening or testing, birth of infants with debilitating or crippling defects can be avoided. Also through testing, disease and illness could be eradicated because the gene that causes the disease or illness would not be passed on to the next generation. This is consider eugenics. Some in the medical field have a negative feeling towards this, as if to be playing God. There are others in the medical field on the extreme end feel that laws should be developed that couples with known genes that cause genetic disorders must not have children or if they do selection of embryos are done (Munson, 2014).
From the lessons learned from the patients-centered medical home (PCMH), the NCQA was motivated to develop an accreditation process for ACOs. The NCQA tried to accommodate the lessons that they learned from the PCMH programs so as to develop a very excellent program that recognizes that provisions of the high-quality primary care are the foundation of good health. NCQA also recognizes that although the evaluation of the result is very imperative, it is also critical to assess the ACOs using evidenced based criteria. Through these measures, the organizations can learn more about what is needed and what they need to do so that they can be compliant. They can also learn the key elements required for successful transformation of the ACO.