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Ethical Concepts That Represent Fairness, Honesty, And Respect For All Human Beings

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An 18 year old female arrives to the ER for the chief complaint of vaginal bleeding. The patient began her menstrual cycle 3 weeks prior and the bleeding has not stopped. Upon assessment her skin is pale, cap refill is greater than 3 seconds, mucous membranes are dry, and she is hypotensive, tachycardic, and tachypneic. An IV is placed; labs are obtained; and a 1 liter normal saline bonus is given. Labs return, and her hemoglobin is 4.8, with a hematocrit of 16. It is decided that a blood transfusion is needed, so the physician discusses the lab results, risks and benefits of receiving and not receiving a blood transfusion, in order to obtain an informed consent for blood. The patient is Jehovah witness and refuses the blood transfusion. In addition, she has an advanced directive prohibiting blood transfusions. The patient, whom is in hypovolemic shock, begins to seize and becomes unconscious.

1. Define 5 ethical concepts.
There are five ethical concepts that represent fairness, honesty, and respect for all human beings and these ethical concepts often arise in interactions between healthcare providers and their patients. These concepts are autonomy, beneficence, nonmaleficence, justice, and confidentiality. These concepts are great in theory, but applying some of them to practice can at times be difficult and lead to ethical dilemmas.

a. Autonomy means that an informed, competent person can refuse or accept treatment and invasive procedures according to their wishes.

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