In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her. This is reserved for the doctor alone. However, as a nurse that has developed a relationship with her patient it would be very difficult to not answer her question honestly. In addition, the patient might feel more comforted hearing the diagnosis from her nurse rather than the doctor as the nurse has been caring for her and they have developed a therapeutic relationship.
Physician-assisted suicide is a large moral controversy in the medical field. Jukka Varelius explains the key points about the dilemma on whether medical patients should have the right to ask doctors to terminate their lives, in order to end their suffering. In “Voluntary Euthanasia, Physician-Assisted Suicide, and the Right to do Wrong”, the author addresses how assisting suicide is morally wrong in our society, but yet patients insist that they have the moral right to end their lives if they are in agony and facing significant torment due to their ill status. Jukka, in his point of view, outlines the multiple problems that go along with the main conflict, such as should a doctor be forced to end a suffering patient’s life even if the physician does not wish to do so and should the patient have the ability to ask for euthanasia even if there is still a possibility that the patient’s status can improve. Mr. Varelius does a successful job portraying the key points in this conflict, but does not strongly support any side in the
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. Doctors and physicians have more and better knowledge than normal people about human body and they are able to assist their patients while making tough decisions. However, they can not always make the right decision. Doctors can not predict the result of a surgery or a treatment and they do not have enough confidence of the result because sometimes the surgery could go in a way they didn’t expect. Although patients have the right to decide their treatments, doctors and patients should share
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 ethical principle of autonomy provides for respect for the patient’s autonomy to make decisions and choices concerning their life and death. Respecting the patient’s autonomy goes against the principles of beneficence and non-maleficence. There also exists the issue of religious beliefs the patient, family, or the caretaker holds, with which the caretaker has to grapple. The caretaker thus faces issues of fidelity to patient welfare by not abandoning the patient or their family, compassionate provision of pain relief methods, and the moral precept to neither hasten death nor prolong life.
Focusing on the ethical theory of Beauchamp and Childress, it is considered one of the most fundamental elements for beginning a discussion in the Not for resuscitation (NFR) debate. (Fornari, 2015). The four main ethical principles, autonomy, non-maleficence, beneficence and justice hold the grounding block for issues of this nature. End of life care is an imperative characteristic of acute stroke nursing, as stroke mortality rates remain high, regardless of enhancements in the health care industry. (Cowey, 2012). By focussing on the four main principles, I will discuss autonomy, the right for the individual to make their own decisions regarding their health care treatment, which in this case will also involve a close connection with immediate family
Health and social care workers as well as care takers can fall into different dilemma related to health and social care decision. One of the dilemmas is ethical dilemma. In this context dilemma must be encountered by health and social care providers and takers.
Your discussion presents an interesting perspective on business principles. Managing financial needs of a hospital and patient’s satisfaction goes hand and hand in the hospital field. This also can create a negative impact when it comes to prescribing pain medication. An ethical dilemma arises for emergency room providers who in relation to new reimbursement tactics centered upon patient satisfaction scores (Kelly, Johnson, & Harbison, 2016) I feel that these doctors are feeling pressure to prescribe pain medications in order to increase patients scores and in return improve reimbursement for their units. This is contributing to the increase of opioid abuse that is already prevalent in this nation. This needs to be taken into consideration
When it comes to medical necessity can often refers to the determination that is made for the insurance purposes. For example, If the patient has a condition that is chronic or terminal, the treatment could be considered medically necessary whether then the patient can afford the treatment or not.
while taking into consideration a patient's beliefs and wishes regarding all aspects of their health. The
Today's health care system is difficult to understand. It has undergone dramatic changes over the years. There are many changes that shift the movement from "an indemnity plan to a managed care system." Not only has the U.S. health care system undergone dramatic changes, but as well continues to evolve to a rapid pace (Conklin, 2002).
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.
This process is called informed consent and includes the nature of the decision, reasonable alternatives, risks, benefits, and uncertainty to alternatives, assessment of patient understanding, and the acceptance of intervention. When the patient is able to provide informed consent, the treatment options should be followed because of the legal standards and ethical principle of respecting the patient’s autonomy. In other ways, if the patient unable to provide informed consent due to unconsciousness, the legally authorized surrogate may be able to provide informed consent (Koppel & Sullivan, 2011). Therefore, the patient’s autonomy is the first step in determining the withdrawal of life-sustaining treatments. As the informed consent law indicated, an adult with thorough mind patient is the sole intermediary what should be done on his/ her own body either to accept life-sustaining treatment or to refuse at all as long as he/ she understand the consequences. The decision making about the medical treatment shall serve as the fundamental legal and ethical basis for withdrawal of life-sustaining treatment option. Hence, legal authority to withdrawal life-sustaining treatment is the basis of the patient’s autonomy. The underlying principle of legal and ethical consensus in decision-making capacity of the patient may withdraw the
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
Active euthanasia is killing a patient who requests to die. For example, a patient with a terminal illness may wish to end their battle. To fulfill these wishes the physician may administer a lethal injection. Except in special circumstances, it is illegal to deliberately cause the death of another person. I contend that life is a gift from God and he has the ultimate power to decide when to take this privilege away. Patient autonomy argues that a person’s life is their own, allowing a patient to make decisions on whether to live or die. This is seen most strongly in cases where people are suffering severe pain or disability. However, to what extend is individual autonomy to be undermined? In our current model, the guidelines for determining the competency of a patient present too many holes. Therefore, allowing life and death decisions to rest on individual autonomy rejects our society’s basic attitude or respect for