Case Study: Medical Ethics

Euthanasia is the practice of ending the life of an individual for the purposes of relieving pain and suffering. Over the years, there has been a big debate about its merits and demerits, and the debate is not about to end anytime soon. However, no matter what side of the debate one supports, it is important to consider a few facts. One, the prolonged stay in hospital is bound to raise medical costs. Two, some medical complications bring suffering and pain to the patient without any possibility of getting back to one 's normal activities of daily living. However, ending the life of a person intentionally may be treated as a serious crime in some jurisdictions. Given these facts, it is evident that making a decision about euthanasia is bound to be a challenging task. Although not everyone might agree, euthanasia is a necessary procedure that relieves the pain and suffering of the patient and rids the family and the government of expensive medical costs that would not necessary improve the life of the patient.

One of the main ethical issues that faces health care is the security of patient information. This information is protected by laws and regulations such as HIPPA, but there are still concerns Scott, et al, 2005). Among those concerns is the new concept of electronic patient records and information. These records are designed to help hospitals and doctors get patient information more quickly, so that patients can receive treatment as soon as possible. Unfortunately, anything kept and transmitted on a computer has the potential to be hacked, so that is a serious concern for patients. Not all patients want their medical records to be available electronically, but they may not have too many options (Romano & Stafford, 2010). Opting out may not be an option for them, and if they do have that option it could reduce the speed and quality of treatment that these patients would receive. Do they want to risk that, just so they can feel as though their medical information is better protected?

(Thesis, Description of the topic and related ethical implications, Obligations to your profession and work as a nurse) Debra Burden

Ethics are a set of moral principles that serve as a guiding philosophy for behavior. Consequently it is not a surprise that ethical dilemmas occur daily in the health care setting. Any nurse who refuses to provide care for a patient faces an ethical dilemma (Kuhn, 2012, pp. 412-418). The reasons given for refusal range anywhere from a conflict of personal values to fear of personal risk of injury. Nurses do have the right, at times, to refuse patient care assignments. The decision to accept or reject an assignment must be based upon a judgment by the nurse of the nurse 's ability to provide competent patient care. This paper aims to show both sides of the argument when it comes to nurses refusing a patient assignment. One side believes that nurses has the right to refuse patient assignment, as they must be true to themselves if they want to perform their best on the job. On the other hand, the other side believes that it is the nurse’s responsibility to care for all patients and, therefore nurses cannot simply refuse a patient.

In today’s health care industry, mechanical restraints are often used to maintain patients’ behavior and ensure their safety when treating the elderly and the severely ill (Gatsmans & Milisen, 2006). There are many variations of mechanical restraints, but all are defined as “any device, material or equipment attached to or near a person 's body and which cannot be controlled or easily removed by the person and which deliberately prevents or is deliberately intended to prevent a person 's free body movement to a position of choice and/or a person 's normal access to their body” (Gatsmans & Milisen, 2006, p.

Identify and explain two ethical issues/dilemmas in healthcare as identified and discussed in the scholarly literature (ProQuest, EBSCO,

The community clinic has been a great experience to test our abilities and skills for the future as doctors of physical therapy. This opportunity helps students to get to know the strengths and weaknesses in real situations with patients. The community clinic is truly helpful and gives us, students, the chance of experiencing what our future jobs as physical therapy doctors will be like. The combination of practice, observation and feedback from classmates, professors and third year mentors gives a considerable amount of useful knowledge.

The parents of Nancy then sought the removal of life sustaining treatment as Nancy showed no potential to regain cognitive functions (Menikoff, 2001). It was decided by the Supreme Court of Missouri that this request to remove treatment did not meet the standard of “clear and convincing evidence”, thus their request was denied (Menikoff, 2001, p. 304). The case was then sent to the SCOTUS, which reaffirmed that the state of Missouri was constitutional in their assessment of denying the request of Nancy’s parents, and therefore keeping Nancy on life sustaining treatment (Menikoff, 2001). Missouri constitutionally held a policy that required surrogate decision makers, in PVS and life sustaining treatment situations, according to the SCOTUS (Menikoff, 2001). Furthermore, the standard that the state of Missouri required for evidence was not determined nor defined. Therefore, this policy is in error as unique medical situations, such as PVS, requires the respect of surrogates to be upheld, which was not the case for

Medical ethics and legal issues have been a key topic in medical field for many years now. It is important for medical professionals to understand the importance of the way we care for patients, it is therefore important to be knowledgeable and aware of the medical ethics and legal issues that govern good patient care. Health care professionals must make decisions based on ethical and legal issues to performance their regular duties. However, Medical ethics is not only about avoiding harm to patients. It is rather a norms, values and principles (Ethical theories 2015). Therefore norms, values and principles are intended to govern medical ethical conduct. Ethics is defined as “a standard of behaviour and a concept of right and wrong beyond what the legal consideration is in any given situation”. In another words medical ethics is a discipline that used to handle moral problems coming out the care of patients. Law is another important discipline that often comes together with medical ethics. Law defined as a “rule of conduct or action prescribed or formally recognized as binding or enforced by a controlling authority”. Government imply law to keep the society running smoothly and to control behaviour that could threaten public safety. Medical professionals have to often prioritise these terms before making any clinical decision. The following findings will constructively emphasise on medical ethics, its

The ethical dilemma I encountered at my placement involves a male in his late-sixties, who has recently suffered a stroke. Mr. A’s situation is unique as he has been unable to speak and his cognitive abilities have declined since. The Fraser Health agency protocol is to contact the patient’s family to determine who would be the temporary substitute decision makers (“Information for temporary substitute,” 2015). The health care consent and care facility admission act describes how decisions are to be made if a patient is determined incapable (Nidus Personal Planning Resource Centre, 2012). The next steps required liaising with the home health team in the community to determine if Mr. A had ever listed any family members as his emergency contacts.

Given that there are five professionals, eight paraprofessionals, and a host of patients that utilize the health care services, it is necessary to address this ethical problem with the utmost care. Austin, Schirick, and Jones (2013) cautions that using assistive staff in the health care setting is an area that warrants ongoing monitoring. This manner must be addressed reasons. Firstly, the other professionals in the office could be victims of this type of behavior in the future. For this reason, it is necessary to address this concern immediately. Secondly, there is the possibility that this has happened before this particular incidence. It was by chance that this incident was recognized by the nurse practitioner (ANP) as the patient brought the bottle into the office. Thirdly, Stephanie could give the other paraprofessionals the idea that this is acceptable behavior.

According to Benatar, the ordinary "standard of care" against which new intercessions are tried in restorative research has not been formally characterized and is typically interpreted as meaning the "best demonstrated treatment" for any condition under scrutiny in a trial (Benatar, 2000).

Everyday, healthcare professionals are faced with ethical dilemmas in their workplace. These ethical dilemmas need to be addressed in order to provide the best care for the patient. Healthcare professionals have to weigh their own personal beliefs, professional beliefs, ethical understandings, and several other factors to decide what the best care for their patient might be. This is illustrated in Mrs. Smith’s case. Mrs. Smith is an 85 year old who has suffered from a large stroke that extends to both of her brains hemispheres which has left her unconscious. She only has some brain stem reflexes and requires a ventilator for support. She is unable to communicate how she wishes to proceed with her healthcare. Mrs. Smith’s children, Sara and Frank have different views regarding their mother’s plan of care. The decision that needs to be made is whether to prolong Mrs. Smith’s life, as Sara would like to do, or stop all treatments and care, as Frank feels his mother would want. In the healthcare field, there are situations similar to this case that happen daily where moral and ethical judgment is necessary to guide the decision that would be best for the patient. The purpose of this paper is to explore and discuss, compare and contrast the personal and professional values, ethical principles, and legal issues regarding Mrs. Smith’s quality of life and further plan of care.

Professionals in every field are always confronted with some kind of ethical issues. It has however been noted that these ethical issues become high in magnitude and extent when public officials are involved. Due to the involvement of human life, an industry like healthcare holds ethics in highest regard. Even though these healthcare practitioners are highly trained to deal with issues of these kinds, their decisions can sometimes have a lasting impact on their professional and personal lives (Edwards 2009).

Euthanasia, which is also referred to as mercy killing, is the act of ending someone’s life either passively or actively, usually for the purpose of relieving pain and suffering. “All forms of euthanasia require an intention to accelerate death in order to benefit patients experiencing a poor quality of life” (Sayers, 2005). It is a highly controversial subject that often leaves a person with mixed emotions and beliefs. Opinions regarding this topic hinge on the health and mental state of the victim as well as method of death. It raises legal issues as well as the issue of morals and ethics. Euthanasia is divided into two different categories, passive euthanasia and active euthanasia. “There are unavoidable uncertainties in both active and