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.
When taking an oath to be a pharmacist, an EMT, or a physician, one takes an oath to serve humanity. Although there is no common law, each individual profession’s code of ethics has a similar purpose, which is to act as a guideline on the professional relationships between colleagues, patients, and others served. The code of ethics is a standard for all individuals in the profession, however there are instances where a person’s individual beliefs may be of conflict, and prevent the adherence of such guidelines. Although the rights of these individuals may be protected under the Religious Freedom Restoration Act (RFRA), there is a responsibility as a medical professional to assist the patients, whether it be directly or indirectly.
If a person told someone that whatever they told them would not leave the room, would that person be able to keep that secret? What if they told them that an innocent person got put in jail for a crime they did not commit? Chuck Klosterman begins to explain that a patient had headaches and that an innocent person was convicted of a serious crime that the patient had committed. The headaches then resolved after getting the truth out to the doctor. The way the doctor responds to the situation is another way of determining what type of person they are, or what resolution of the situation will best respect the rights of both the doctor and the patient. These are examples of The Virtue Approach and The Rights Approach. In “Should I Protect a Patient
"The American Medical Association helps doctors help patients by uniting physicians nationwide to work on the most important professional and public health issues." (Project Vote Smart)
In the case of Donald (Dax) Cowart, one can determine that the conflict is between Beneficence and Autonomy. The doctors were morally right in choosing to treat Donald despite his autonomy by using the principle of beneficence.
The Joint Commission is an independent, not-for-profit group in the United States that administers voluntary accreditation programs for hospitals and other healthcare organizations (for example, long term care, mental health, and ambulatory care). The commission develops performance standards that address crucial elements of operation, such as patient care, medication safety, and infection control and consumer rights.
Life is never guaranteed and whether it is through an illness or an accident, we as humans are eventually going to die. Physicians Assisted suicide is one of the most controversial issues. The issue of doctor-assisted suicide has been the subject of the heated dispute in recent years. While some oppose the idea that a physician should aid in ending a life, others believe that physicians should be permitted in helping a patient to end his or her unbearable suffering when faced with a terminal illness. Furthermore, Physician-assisted suicide should be legal; it should be the patient’s right to decide when and how he or she should die.
There are many stakeholders involved with health care administrations. Those stakeholders can be patients, health care physician, insurance providers, pharmaceutical manufactures, hospital organizations, community clinics and government. Each different stakeholder has their own individual vision of health care administration. This causes conflict due to the nature and differences in vision. which then can cause conflicts among each stakeholder involved. A patient is going to have a different idea of how a health care should be managed. This in contrast to the way a physician may think the administration should be managed. Furthermore, each different stakeholder involved would have their own ideal reasons to why the health care administration
It is very clear to most that Grey’s Anatomy is an inaccurate depiction of medicine and the healthcare industry. Though heavily dramatized and ‘doctored’, there have been moments of learning, especially with this ethical issue. In episode 18 of season 6 (Suicide is Painless), Dr. Altman, a cardiothoracic surgeon, is faced with a situation where her patient, Kim Allen, wishes to end her life through physician-assisted suicide. Kim is a newly married patient with stage IV large cell lung cancer that has spread to her lymph nodes and liver. Her only option remaining is palliative care and she has been given 6 months to live and will soon have to be intubated due to breathing difficulties. Kim says it is time, has requested dying with dignity twice and has been viewed as mentally fit. The viewer walks through the plethora of struggles and emotions that Dr. Altman is faced with as she succumbs to a decision, her husband as he accepts his wife’s decision, and Kim as she elects physician-assisted suicide. In this case, and many others worldwide, physician assisted suicide is morally permissible at all ages for anyone with a terminal illness with a prognosis of 6 months. This is supported by act based utilitarianism and the idea of maximizing pleasure and reducing pain and suffering on an individual circumstance. By allowing a terminal patient to die a less painful death, in control of the situation, and with dignity, the patient will have amplified
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.
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.
Identify three out of five skills or competencies you have acquired through participation in general education courses that will help you strive to meet your academic and career goals.
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).
Ethics can be explained as principles a society develops to guide decisions about what is right and wrong. Ethical principles that society has are influenced by religion, history, and experience of the people in the group. Meaning that ethics is based on guidelines we have learned while growing up, that helps us differentiates what is right and what is wrong. For example, some people think health care should be a human right as others think it should only be available to those who can pay for it. Each group of people is guided by the principles they believe in. Ethics in health care play a vital role every day. The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to patient’s life. For the purpose of this paper, I want to explain the occurrence and some of the ethical concerns found in a case of an elderly patient, who believed in Curanderos and didn’t realize the harm she was doing in regards to her health by not taking her medications.
There are many ethical issues facing health care at any time and it is impossible to say definitively which is the most pressing or the most important. Health care professionals are expected to base their practice on a set of ethical principles, including truthfulness, beneficence, nonmaleficence, justice, and confidentiality. Ethical issues can arise, however, when a l professional is called upon to act in opposition to personal values or in cases where the values of patient, health care worker, and sponsoring institution conflict. The following issues are presented in no order.