Ethical challenges in the medical field
Medicine is a profession that carries all the lofty human meanings, which makes it imperative for the doctor to act as much as the responsibility required to treat people and save their bodies from pain and illness, because they have a message not practicing craft , for doctor must adhere to the noble morality that preserves the dignity of the patient in a manner that ensures the best possible health care for him, and maintains the status of the doctor who is tired for the convenience of people. ' ' Dr/ Khalida Nasr : Medical Ethics, Action and practice ' '
Adopt the relationship between the doctor and patient as follows:
Honesty and integrity mutual respect confidence Affiliation
Mutual goals
Goals
…show more content…
Ethical issues have become complex and profound, requiring careful investigation to find the right answers. The time to present the content of the ethics curriculum has been the subject of discussion in many studies.
• Medical Ethical Dilemma :
Medical ethics are principles to which values and judgments apply during the practice of medicine .
The ethical dilemma:
The moral dilemma is a complex case that often involves a clear mental conflict between moral imperatives, which obey one that will lead to transgressing the other. Sometimes moral paradoxes are called moral philosophy, moral dilemmas are often called in an attempt to refute or improve an ethical system or moral law to solve the paradox (1)
• To deal with an ethical dilemma :
1. Recognition of the an ethical dilemma situation
• Identifying the problem is not as easy as it sounds
• Ethical problems arise where moral values, principles or imperatives clash
2. Break the dilemma in component parts.
Immediately when the problem is discovered, the next step is to collect and identify important information and ethical aspects of the
…show more content…
Identify any relevant professional law or guidelines
When there are ethical dilemmas can be resorted to:
The GMC , The BMA
5. The subject of the dilemma of critical analysis.
Some dilemmas need balance and are more cautious and listen to the opinions of patients and groups and if you are in doubt ask for help
It is very helpful when you get into trouble to refer to a medical ethics committee for consideration
6. Be able to explain the decision with sound arguments.
Do not expect to be non exhaustive but work reasonably and be able to justify and expect you to solve the moral dilemmas of one direction and yet work that coincides with those good positions to engage in those situations where moral dilemmas confront the recording of medical observations with illness or colleagues and also refer to any petition Professional and medical advice and legal bodies are recorded in the notes
In this way there is logic behind the decision (2)
To Teach Medical Ethical
• lectures
• Seminars
• Programmed, simulated patients
• Role playing
• Video interviews
• Case
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
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
Virtuous physicians always asses the decision making capacity and the competence of their patients to make sure they have adequate capacity to make their own decisions, especially for patients who refuse specific treatment, have mental illness, or have specific factors that impair their ability to make decision( _1). What make a patient competent to make a decision? , and do depressed people lose their competence and their decisional capacity? . Depression is a common side effect of cancer (2), and cancer treatment require a lot of important decisions that patients need to make which are very significant in determining their future, and respecting patient will is fundamental in term of autonomy, but what if the patient refuse the treatment, if the doctor consider him as non-autonomous he also will think about his duty in non-maleficence and about his responsibility in supporting and respecting patient wishes.
To recognize the ethical dimensions of priority setting, resource allocation, and access. To become familiar with the analytical skills that enhance ethical reasoning. Describe how informed consent is undertaken by members of your profession, and which ethical considerations are included in the process?
In order to properly address tough questions in medical ethics, we need to ensure that we have plausible and consistent reasons for the answers we give to those questions. To do this, we need to take a step back and ask the broader question, “What makes right actions right and wrong actions wrong?” In this class, we have considered a number of possible answers to this question. Since each of these theories is inconsistent with the others, only one of them (at most) can be correct. In what follows, I consider each of these theories and argue that _________ is the most plausible.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
When faced with an ethical problem or issue in any career affecting societal concerns, I would use moral reasoning and the knowledge about ethical principles I learned in my assignments and courses to make an informed and moral decision when presented with an issue. In my courses at Ashford, I learned a great deal about ethics in the SOC 120: Introduction to Ethics and Social Responsibility course. From the academic knowledge I’ve gained through this course, I am able to apply the four ethical principles, autonomy, beneficence, nonmaleficence, and justice, as guidelines when faced with clinical decisions working in the medical field. In SOC 120, I was able to learn and research how ethics applies to healthcare, health professionals, and hospitals, which is essential for my career in health informatics, and as a pharmacy
Atul Gawande in his article “Whose body is it, anyway?” introduced couple of cases, which discussed a controversial topic, doctors dealing with patients and making important medical decisions. These are difficult decisions in which people might have life or death choices. Who should make the important decisions, patients or doctors? Patients don’t usually know what is better for their health and while making their decisions, they might ignore or don’t know the possible side effects and consequences of these decisions.
Principles of biomedical ethics. New York, Oxford: Oxford University Press, 1994 Garrett, T. (2010). Health care ethics: Principles and problems (5th ed.). Upper Saddle River, NJ: Prentice Hall.
However, ethics advisors, healthcare instructors, and analysts are encouraged to give direction and pedagogical apparatuses that empower the experts to comprehend and execute morally courageous practices and exhibit excellent individual and expert models of ethical
In each country the public Health system is governor under the national laws, without the proper consent whether formal or informal consent, may result in issues with confidentiality. The absences professional code of ethics as it relates to disciplinary codes involving
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
This includes the Golden Rule Approach, The Self-Defeating Approach, and the Rights Approach. Both approach have their own pros and cons, and not each approach is suitable in solving ethical dilemma in a case. Thus, all available approach needs to be studied to
Ethical Issues in Healthcare 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. Neonatal Ethics Neonates are babies within their first twenty-eight days of life.
For example, abortion, for some, is ethically wrong as it means depriving an unborn of its life while some consider it socially correct, especially in cases where the embryo is either detected with an incurable illness or the parents are otherwise unable to provide or care for it. A workplace is considered a breeding ground for ethical dilemmas between individuals as they all come from different socio-economic backgrounds and beliefs. There are cases of ethical dilemmas between an employer and an employee. Let us consider an example.