An Appropriate Plan Of Care For A Patient

On November 23, 1993, Doe was seen by an obstetrician, Dr. James Meserow, at the St. Joseph’s Hospital in Chicago. This was the first time Doe was seen by Dr. Meserow, but she had been receiving regular prenatal care throughout her pregnancy. Upon giving Doe the usual check-up, he determined from a series of tests that the baby was under duress due to an issue with the placenta. At this point, it is important to recognize that Doe is a mentally competent woman carrying her first child, and the fetus is currently around 35 weeks. It also important to recognize that Dr. Meserow is a board-certified obstetrician/gynecologist. Dr. Meserow informs both Doe and her husband of the diagnosis and highly recommends either an immediate cesarean section or to induce labor in order to prevent any further potential damage to the fetus due to the lack of oxygen from the compromised placenta. Doe refuses both of the recommendations based on her religious convictions that God will heal her child and keep it safe from any harm, and will, therefore, wait to have a natural childbirth.

The frameworks of the Belmont report have several contrasts with the Anti-paternalism frameworks. Paternalism can be defined as behavior of a person, group of individuals or state that deny or limit

Paternalism is in place to look out for and enforce what is in our best interest, whether they are choices we would or would not make. If decisions we make now are likely to be regretted in the future and are more likely to be irreversible, paternalistic intervention is there to step in and aid the decision. For example, someone chooses to drop out of school at a young age. That person will eventually regret this decision because they will find it hard to get a job with limited education, and also find it virtually impossible to put themselves back through school with limited funds to do so. This situation is a justified situation for paternalism to step in. Paternalism is mainly used in large decisions in people’s lives, decisions that involve high stakes. The advantages of having paternalism in place is that in the long run, with paternalistic intervention, our decisions will be better made. Paternalism is used by officials when make public policy. They look at your surface preferences and judge them on a standard of deeper preferences when configuring limitations and freedoms. There are, however, four types of preferences that prevent paternalistic intervention. They are relevant, settled, preferred, and your own preferences. As

To respond appropriately to the most ethically relevant factors we will discuss the justifiable possible actions to consider. There were many different things we recommend in responding to this case in an ethical fashion. The first recommendation is to see the case out to the supreme court in support of Peggy. Referring to the Davis v. Davis Case () in 2004, we use the structure used for determining the fate of the embryos in that case and apply it to our case. The court created a hierarchical structure for disposition of the embryos. It follows three steps: first, the preferences of the genetic parents are considered; second, a prior agreement; and third, weighing the interests of the parties. Since the preference of the genetic parents

Paternalism greatly focuses on the restriction of liberty. If liberty is restricted then you are restricting someone from being autonomous. The moral issue is that it conflicts with some a lot of moral theories including Kantianism, Autonomy and Utility. Mill makes a rebuttal by stating that paternalism greatly takes away the individual rights of making a rational decision, not “non-age”, but mature individuals. That means that those who rational enough to make a decision. Even though the decision may be deplorable such as not wearing a seat belt while driving, but a mature individual should be able to make their own decision. Overall, Mill states that it is a privilege to be an autonomous individual; that is why paternalism goes against the

Ascension Hospice medical director has overall medical responsibility for your care, working with your physician and other medical professionals to develop a care plan that meets your specific needs, providing personalized care focused on a higher level of comfort and quality of care. The Medical Director oversees the entire team, as well as the protocol for pain and symptom management.

Theresa Pearson, more commonly known as, “Baby Theresa,” suffered from an extremely debilitating genetic disorder called anencephaly. Infants who are born with this disease are lacking crucial components to their brain, the cerebrum and cerebellum. As a result, Baby Theresa was limited to only the ability of her body’s autonomic functioning processes, which include the beating of her heart and the ability to breathe. As studied from past cases of anencephaly, the predicted lifespan is only a mere few days. This specific case stands out, however, because of the request from the parents of baby Theresa. Having known that the baby would not survive long and would never be capable of living a full life because of the lack of higher brain functioning, the parents offered to donate Theresa’s organs, as they are still viable for use to save the lives of others. The desired actions of the parents were halted by the state of Florida, as it is illegal to remove organs from an individual while they are still alive. Baby Theresa lived only nine days, consistent with the lifespan prediction, and her organs then became of no use to other children because of the severe

For my final paper, the case that I will be analyzing is entitled “Quality of Life and Prenatal Decisions.” The source of my case is AMA Journal of Ethics: Illuminating the art of medicine, and according to the article, there about four people involved in the situation. There are Sue, Marie, Tom, and the unborn child. Sue is the mother of Marie, who is 17 and pregnant. Tom is the father of Marie’s child. Dr. Berkman is a genetics counselor, and happen to be who the family have called on to seek help about their situation. Marie has come to Dr. Berkman today because of her desire to know the fate of her child being that her family has a history of Huntington’s disease. After a review of the family history, Dr. Berkman knows that Marie, Sue, and Tom that Huntington 's is present on the paternal side Marie’s family; Marie 's father and his sister have both been diagnosed with the disease. Marie 's father is in the end stage of the disease with Sue as his primary caregiver. Marie 's aunt even committed suicide 15 years ago after receiving her diagnosis.

Below the line is where I would consider either termination of the infant or if the child were born I wouldn’t continue life support. While the one’s above I wouldn’t terminate and would continue life support for the child. These reasons are due to that they are given the chance to survive and they may need support for the rest of their life but they could still live a full life with the love of their parents. I wouldn’t want to terminate a child if there is a good chance for a good outcome. I believe it wasn’t the child’s fault that they had the defect and as a mother or father I would dedicate my life to my child because at the end of the day they are still human beings and we are here to continue the life of the human race. I wouldn’t be the person my

In June 1992, a mother found out that she was pregnant with a child that suffered from anencephaly. This is a condition that is a congenital malformation, in which major portions of the brain and skull are absent. Most infants with this condition receive comfort measures and no attempt is made to sustain their failing organs and expire within a few days. (Capron, 1994) . The mother was informed of this while she was six months pregnant. Once the diagnosis was given, doctors highly recommended the mother to receive an abortion, which she rejected. (Greenhouse, 1993) Typically in this situation, 95% of women who find out they will have an anencephalic baby will choose to have an abortion. While the out of the other 5%, 55% of those

Paternalistic Interference interferes with the an individuals choice or conduct that is justified or defended on the grounds that it is for the individual's own good. However, it could be that the interference is limited to the majority disagreeing with the law. If the individuals, as a collective sees a certain conduct as harmless, when indeed it is, the chances are that the said conduct won't be interfered. This leads to the topic of Majoritarian Interference, where certian conduct can be justified on the grounds that they are contrary to preferences of the majority. In a democractic nation where almost everything is influenced by the majority, a majoritarian interference would be the least likely. Well, the nation is infulenced by either

According to Fleming (2005), the term paternalism originates from the word patriarchy, which denotes fatherly protection in exchange for loyalty and compliance. Aycan (2006) stated that the superior is responsible for providing care, protection, and guidance to the subordinates in issues related to work and their private lives, while the subordinates, in return, are expected to be devoted and submissive to the superior.

Introduction: Incompetency should be considered in all factors of life. More so when it comes to pregnancy and children. Tina, a 19 year old with self-destructive history has found herself pregnant and incapable of supporting herself or anyone else. Due to living conditions, mental stability, and financial status bringing a child into the world would be morally wrong. The right course of action would be to abort the pregnancy, preventing any damage to the child in the future.

A patient’s Care Recommendations should provide information that is relevant to a patient’s treatment in an ED setting, including care considerations, care coordination details, pain management information, suggested ED-based interventions, and any other information that is appropriate and applicable to the setting.

Paternalism is dictatorial and autocratic in some way where all the subordinates will adhere to stipulated rules and communication from ‘founding father’. The leader is not questionable and will not keep in touch with followers. Managers and leaders who are paternal are usually disadvantaged in that they think they have sole information in certain areas which they may be very wrong due to refusal to take any advice from subordinates. Paternalism is exhibited in china extensively where hierarchical