The case I will be concentrating on is Tomcik vs. Ohio Dep’t of Rehabilitation and Correction in which Tomcik was imprisoned under the custody of Department of Rehabilitation and correction, based on the Legal and Ethical Issues for Health Professionals book. The problem stimulated from continuous negligence from nurses and doctors at the department, which initially was when Tomcik received a physical evaluation, included the breast examination by Dr. Evans who stated that the examination was cursory and lasted only a few seconds, which means that not much attention was presented regarding the patient and his job. The next day Tomcik noticed a lump as being about the size of a pea in her right breast, however it was not reported by Dr. Evans.
A prescription antibiotic was given. He was told to come back in a couple of days if he was not feeling better. The next morning friends found the 23 year old patient dead. Medical examiners identified that the young man died of myocarditis. Weeks later, the nurse practitioner found out about her patient when the urgent cared was being sued for negligent treatment.
According to the article “Letting Doctors Make the Tough Decisions” by Pauline W. Chen, this story talk about how difficult to make a medical decision between doctor and their patients. Back to 50 years ago, doctors are receive a duty to make a decisions for their patient. When it move to 1960s to 1970s, everything is change, a family and patients have more opportunity to make a decision relate on growing up of medical ethicists care of patients. First thing that shows the difference is doctor respect for their patients lead to patient-centered care. Besides, doctors also respect for a person’s autonomy by letting the patient make their own decisions.
The case in question the Occupational Therapy staff is confronted with a patient refusing to take therapy, every patient/client has the right under the autonomy code of ethics to decide if they want to participate in their treatment plan that the doctor has set
All nurses and healthcare professionals are obligated to help patients and to follow through on the desire to good and not harm them. The doctors and nurses in the study did not hold up their obligation to give the participants in the study the best treatment for their disease. Since penicillin was being used for the treatment of penicillin in the 1940s, the doctors and nurses should have given the participants of the study the penicillin according to the ethical principle of beneficence. Instead of giving the participants the penicillin, the doctors and nurses continued with the original ‘treatment’ even though they knew it would not cure the participants’
During the early to mid 1900s there was a lot of racism, especially in the southern United States. This is expressed more inside the court cases of the time. While lots of these ended poorly for defendant, it was often because of the color of their skin, not because they were guilty. In fact many times the defendant was actually innocent.
She is also unsure whether the patient wishes to report this issue. The social worker was presented with the ethical dilemma of choosing between respecting the patient’s confidentiality or intervening to disclose and report the issue to the hospital
According to the oncologist, Nurse L. was acting immorally and unprofessional when informing her patient Michael Q. of all his treatment options including chemotherapy, and alternative treatments such as natural therapies. I strongly disagree that the nurse was acting immoral because it was the patient’s medical and legal right to know all of his options, not just the ones that may be most successful, or ones that medical professional determines as the best options. That being said, I do not believe the patient’s physician should have the final decision about their treatment, unless the patient is unable to make a final decision for himself and has no family to assist him. Because the oncologist did not tell his patient about all the treatment options, Michael Q. was not was not fully informed and therefore his agreement to receive the chemotherapy treatment was not informed consent.
Medicine has changed in ways over the years that one might have never thought twice about having anything like that happen to them. People today have increased their knowledge overall about their health situations and how to treat themselves. Patients are stepping up and making decisions about their healthcare choices each day with physicians. And in this process it has turned out to be so important for people to understand what is truly being done before medical treatment is given. We have talked this semester about informed consent and how important it is that our patients understand the meaning of what they are having done.
The codes and principles that have been put in place such as The Nursing Code of Ethics, are there to ensure that patients are subject to and receive the best possible care that Health Professionals can give them. If a health professional is to disregard or ignore the codes and principals, then the wellbeing of the patient is being jeopardized and the health professional has fulfilled their duty of care, as shown in ‘Assignment 3 Scenario 3’ when Sally administers the incorrect medication to Mrs Thompson after Mrs Thompson tried to tell Sally the medication was incorrect yet Sally ignored her, not showing good Patient-Centred Care. All though there were no significant negative effects with the mistake, the scenario demonstrates the incorrect procedures and low level of competency demonstrated by the nurse as she chose the “‘least said soonest mended’” and did not fill out an incident report
Giarmo to Randolph Hospital. Dr. Giarmo was called and asked what information she could share with TACT about patient. Dr. Giarmo reports that she had completed an assessment earlier during the day and left nursing staff her contacted information for for hospital staff to ask questions. Dr. Giarmo expressed Dr. Giarmo reports that the patient has experience the loss of her mother a year ago, the patient sister is name Donna and brother is David. After this information was given, Dr. Giarmo ask for my credentials, which were given, then reports that she did not agree with TACT assessing patient at this time, she refuses to share anymore information due to the fact she sign a release to Randolph Hospital and not TACT, and that TACT should not assess the patient because her condition is due to a medical problems.
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
Patients have a right to complain about the doctor's refusal to the Management. Provision of Treatment requires patient’s choice and informed consent. Even if a patient has signed a general consent clause, the patient can still refuse medical treatment or procedures. However, in exceptional or emergency situations a doctor may be legally justified in performing surgery or providing treatment without the patient's consent. The patient should be competent and capable of making such a decision to give a consent.