Healthcare professionals should have a clear understanding from the beginning of their jobs to provide care that is catered to their patient’s needs and does no harm to their patient, yet some caretakers tend to walk the fine line between what is ethical and what is convenient. In Carolyn Buppert’s article, “Can I Prescribe for My Elderly Father?” , Buppert describes a situation involving nurse practitioners prescribing medications to family members for different reasons; nevertheless, this is a violation of the principle of justice because it is against the law to provide medications to family members without proper medical documentation (citation).
Discuss the ethical implications of “medical necessity” in patient care. Ethical Implications of Medical Necessity 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. Networked doctors may face ethical dilemmas when recommending treatment or specialist referrals. When it comes to medical necessities it can be controversial, it can be the use of marijuana when there can be others that are more a moral ethical in which it can be in manage care and network providers.
The nurse has an ethical obligation to advocate that the doctor completes this duty linking moral obligations with the patients need and reflecting utility and absolving vicarious liability. This demonstrates the Aristotelian principle of justice, where the idea of fairness is a virtue (Robichaux, 2017). This is not a new situation as ED's balance moral equality with patient deterioration and escalation daily, as part of their service (Atkins, De Lacey, & Britton, 2014, p.40). Deontological theory supports this concept in healthcare ethics, wherefore each human being is worthy of respect and dignity (Robichaux, 2017). Jeremy Bentham, the moral philosopher credited with the theory of Traditional utilitarianism, said "truth is that it is the greatest happiness of the greatest number that is the measure of right and wrong", based not on an individual but as on society as a whole (Crimmins, 2017).
Ethical Complexity of Distribute Justice and Rationing 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). The historic Hippocratic Oath described the four main principles of medical practice and established a moral conduct for clinicians. Beneficence demands that health care providers develop and maintain skills and knowledge, consider individual circumstances of all patients, and strive for the patient’s benefit.
Subsequently looking at the overall arch of such principles is the justice which should support fair, equitable and appropriate treatment and or intervention for the individual. A highly stressful time for family regarding decisions that need to be made, while others define the decision as a clinical one, where the doctor will
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
An ethical issue related to medical care is pain management and the inappropriate judgment of patients being labeled as “Drug Seeking”. There are statistics that prove there is a rise in abuse in opiates within communities. However, at what point does the nurse or provider get to decide what is an adequate pain threshold and how much they should endure? When does the ethical duty to relieve pain and suffering subside to personal biases?
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.
Ethics of healthcare depends on 4 moral standards and how they are utilised; autonomy, non-maleficence, beneficence, and justice. Autonomy, which means self-governance, is the rule for regarding the privileges of a person to settle on a choice for them self, and respecting that decision. In healthcare this implies regarding a patient's choice on treatments, regardless of the possibility that it could bring about damage or demise to themselves. Autonomy is about self-rule, control free, without impact or influence from any other person, and is tied in with making an educated and un-forced choice about their care and medicines, based from their qualities and inclinations. Alongside autonomy is the principle of justice, which incorporates reasonableness
Provision one, a provision in the American Nurses Association Code of Ethics for Nurses, entails that nurses should pursue their nursing career with empathy and respect towards all patients. In other words, patients should be viewed as separate individuals with separate values and beliefs. Nurses and other healthcare professionals should respect their individual decisions, whether they agree with them or not. This code of ethics provision relates to the ethical dilemma of a patient refusing medical treatment. Although nurses are trained to do all that they are capable of doing to save patients’ lives, sometimes nurses reach a dilemma that puts a strain on their practice.
Daniel Callahan’s position on age-based rationing is more sound in comparison to James Childress’s position. Within the article Ensuring Care, Respect, and Fairness for the Elderly by James Childress, he stresses the importance of reverence and equality to the elderly when it comes down to dealing with healthcare. This led to the illustrated conclusion that allocating healthcare in relation to age is unjust and not respectful (Childress, p.27-28). Childress gave the example of using a study about how twenty-five physicians were given details about forty patients and had to select thirty of them to treat.
When contemplating the difficult relationship between physicians and their patients, Emanuel introduces four different models. These four different models consist of different understandings of the goals of the physician-patient interactions, a physician’s obligation, the role of the patient’s values, along with patient’s autonomy. The paternalistic model is understood to be that the physician can decide what is in the patient’s best interest, thus not including the patient in an extensive rapport. The informative model can also be known as the scientific or consumer model. This model focuses on the physician providing their patient with all the relevant information necessary in order for the patient to make an informed decision based on their values.
In most, if not all, countries, all adult and mentally-competent patients have the right to make autonomous decisions concerning their medical and health conditions. This right is reserved so long as the patient has the ability or capacity to voluntarily make and comprehend the decision in the presence of full disclosure with regards to the therapy in question. Failure of a healthcare
The ethical issues involved the need for both parties to be treated, separation from spouse, lack of health insurance and lack of space in home. The patient had several different complex issues that need to be addressed. Another example consisted of the mother who wanted to place her daughter on birth control. This situation can create a complex ethical issue. It provided an opportunity to use critical thinking pertaining to an obligation to the patient or fulfilling the desires of the