Ethical principles DB

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Jan 9, 2024

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DB Ethical Principles Week 2 Jillian Meggett-Nagy 1) What are some ethical principles that should be considered? The four basic ethical principles are respect for beneficence, autonomy, non-maleficence, and justice (harm, proportionality, reciprocity, and transparency). However, the ones that I think should be considered are Autonomy- the right to make their own decisions and maintain privacy and Beneficence or to do no harm and what is best for the individual. These Principles because they deal directly with “self” and how people may feel or react to being in Quarantine can determine how successful the event will be. 2) Of the ones that you have researched, select one and explain why are that principle is important to medical and public health officials? “Beneficence is balancing the benefits and harms that could result from certain actions. This is a natural consequence of a positive duty to act in the patient’s best interests.”(Ethics in health services management, pg. 28). I think out of all the principles that Beneficence is the most important. The agents or agencies who are supervising and assessing the risk must consider how their actions will affect the infected people involved. There can be potential problems ethically during a catastrophic event and sometimes the persistence to control the situation can outweigh the importance of the emotional stability of a person who is being required to be quarantined especially if the person in charge is not able to make an impartial ethical decision if the risks outweigh the benefits. 3) What are some issues that may arise if these principles are not applied when implementing quarantine? If these principles are not applied the greater good is affected. Everyone involved agency to victim will eventually suffer the consequences of poor judgment and misguided decisions. An example of this was the Katrina disaster…because certain officials made poor decisions and left some of these principles to the wayside, not only were the victims re-victimized by the agency who was supposed to assist them, but FEMA an organization who has done good in many other situations was also victimized by poor leadership and was vilified in the media and lost the trust and respect of all involved.

Reply: Hello Margaret, I agree with your statement that “the American public prides itself on individual liberty.” Americans do not like to be told what to do at the same time want to be safe. It would be very difficult to get “everyone” to cooperate with being quarantined. I do believe that generally people try to obey the laws, but it only takes a few people who cannot control themselves and will fight authority; causing panic and making everyone else fight as well. I think one of the biggest challenges would be to keep people calm and informed. Panic I think is more contagious than the disease itself. Refences Darr, Kurt. Ethics in health services management/by Kurt Darr.-4th ed. Gillon R. (1994.) Medical ethics: four principles plus attention to scope. BMJ, 309:184. Retrieved September 17, 2006 http://www.bmj.com/cgi/content/extract/309/6948/184 Ehtics and Quarantine. http://webcast.idready.org/materials/fall07/ethicsandpublichealth/2007-11- 01/Quarantine_and_Ethics_UC-Berkeley-CIDER-CDC_San_Francisco_Quarantine_Station- AndreBerro_11-1-07_cleared_w-notes.pdf Kass, N. E. & Gielen, A. C. (1998.) The ethics of contact tracing programs and their implications for women. Duke Journal of Gender Law and Policy, 5, 89-102. Retrieved September 17, 2006 http://www.law.duke.edu/shell/cite.pl?5+Duke+J.+Gender+L.+&+Pol'y+89

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