Ethical Dilemmas In Healthcare

In “ How Doctor Die,” Ken Murry explains the choice of doctors when they have a terminal illness. From the beginning, Ken gives an example of an orthopedist who was diagnosed with stomach cancer. He quit his job and spent the rest of his day with his family. A doctor is a person who treats disease and saves patients; however, when they have an illness, they are also like other patients. They meet difficult situations with their patients but also feel for them. They tend to be fair because they know about medicine and its limits. They do not want to die. Surely, each doctor has the preparation for death, and they want to find a way to die in peace. On the other hand, some patients try to find a method to overcome their illness although they have to bear pain. What I take from Murray’s essay is that patients have a right to chose how they die . Every one dies, eventually, but I agree with Murray that the choice needs to be an informed decision.

According to the U.S Department of Health and Human Services, the Affordable care Act from President Obama gives consumers more options and benefits when seeking coverage from insurance company. It offers lowering cost as well as gets more access to high quality of care. This law creates Patient’s Bill of Rights that is very effective to protect consumers from any abuses or fraud from insurance company. Some preventive services are available to many Americans especially Medicare recipients at no cost. Not just that, they also receive a special offer of 50 percent discount for any well-known drugs in the market place under Medicare named “donut hole.” The Affordable Care Act helps other organizations and programs to convince healthcare providers

The case of ethical dilemma concerns a fifty-year old woman who was admitted in the hospital complaining of vomiting, indigestion and weight loss signs and symptoms. After conducting barium X-Ray and gastroscopy it was found out by doctors that the patient was suffering from malignant kind of gastric carcinoma and hence further diagnosis and treatment will have to be conducted in relation to the disease the patient was suffering from. Doctors suggested a palliative surgery for reducing stenosis but felt it before time to disclose this information to the patient which was cemented after proper consultation with the patient’s husband who said that her wife would overreact in a situation like this as she had a phobia regarding tumors and cancer diseases.

Imagine a frail elderly woman laying in the nursing home in pain. This woman is 80 years old and has been diagnosed with terminal lung cancer and her heart cannot withstand treatment via radiation or chemotherapy. She has less than six months to live. Day in and day out you pass her room and hear her crying out from the immense pain. The pain medications are no longer working. She’s tired of fighting, tired of hurting, and tired of waiting to die. After consideration and discussions with her family she has decided to ask the doctor to help and end her life. The doctor feels remorse for the elderly lady and wants to help but cannot decide if it is the ethical thing to do because he knows that what he’s

One of the reasons opponents may propose against physician assisted death and Euthanasia has to do with the consent of the patient. There is a worry that because the patient is in an insurmountable amount of pain their judgment will be altered. Conversely, if the patient is not in insurmountable pain, then they are too inebriated from pain medication to make an intelligible decision. In either of the proposed situation the patient is unable to give consent knowledgeably (Class notes, 10/28). This argument, however, disregards the possibility of finding the balance of medication and pain for a patient to create a rational decision. Through discovering a balance of tolerable pain, the patient is then able to create

Physician-assisted suicide is a prominent topic of discussion in the bioethical community. The main concerns of these discussions are the different types of euthanasia involved in physician-assisted suicide, as well as the legality of a physician’s right to aid in the death of a patient, and the patient’s right to choose death over life when there are no active treatments to forgo. The legalization of active physician-assisted suicide would coincide with a person’s right to self-determination, or autonomy, as well as a person’s right to their own well-being. However, there is concern that legalization would lead to abuse, and would also cause patients to feel pressured into choosing death. The arguments against active physician-assisted suicide are rooted more in hypothetical situation than fact and could be seen as blanket statements rather than cohesive thought. This topic has been unnecessarily broken down and analyzed to the point of exhaustion. After implementing specific guidelines for physicians to follow, the legalization of physician-assisted suicide would be plausible, ethical, and safe.

Is Physician Assisted Suicide, right or wrong? Some debate that PAS is ethically permissible for the dying individual who chose to end their life and this is, in fact, the physician duty to alleviate the patient’s suffering. Induvial anatomy accounts for a great deal of those arguments. It recognizes the right of competent people to choose the timing and manner of their death when faced with their terminal illness.

There are some ethical dilemmas evident in this scenario, starting with an End of life dilemma, refusal of care and informed consent.“End of

Some of these include, it can lead to the increased anxiety, discomforts due to the worsening of the symptoms and distress of the patient. It could hasten death. Those interventions which are expensive are futile during that time still increases the hospital bill. The main controversy about this issue is that it is possible to withhold the necessary treatments that benefit the patient. An example for this includes withholding of pain or anxiety medicine, that could help the patient a lot when nearing death. The opposing ethical principle includes the following. Continuation of the treatment measures can prolong the life and delay the natural death of the patient. If the patient does not wish to continue their life, prolonging life goes against their right (Center for Bioethics University of Minnesota, 2005).

It should be clarified that when inevitable death is imminent, it is legitimate to refuse or limit forms of treatment that would only secure a precarious and burdensome prolongation of life, for as long as basic humane, compassionate care is not interrupted. Physicians are not obligated to and should not offer useless or futile treatments, even in the name of patient automony. Despite this, physicians still seek to obtain patient and proxy consent before writing a Do Not Resuscitate (DNR) order. Reasons for this include fear of legal repercussions, limited physician patient relationship, time constraints, hospital culture, guilt, grief and concerns about family reaction. Some data show that physicians, tend to avoid end of life discussions due in part to their own discomfort with death and dying. Agreement to DNR status does not preclude supportive measures that keep patients free from pain and suffering as possible. Acceptable clinical practice on withdrawing or withholding treatment is based on an understanding of the medical, ethical, cultural, and religious issues of each patient. There is a need to individualize care option discussions to illness status, and patient and family preferences, beliefs, values, and

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.

An example of this is in pre-modern society; dying took place at home with the care of family members. However, in modern society, advances in medications and medical practices reduced the physical pain associated with dying; furthermore, people are more likely to die in hospitals and nursing homes rather than at home with their family members (Carr). As bioethicist Tom Beauchamp argues, increasing diversity alters modern moral standards and offers the principles of bioethics as ethical guidance for medical professionals (McCormick). For example, the revisions and modernizations of the Hippocratic oath reflect this change in moral standards. The original Oath asserts for physicians to never give a deadly drug to anybody who asked for it or to make a suggestion of it, categorizing PAS as unethical. On the other hand, the modern version of the Oath states that it is a physician’s duty to save a life, but it is also within his or her power to take a life, making PAS ethically permissible (Tyson). The revised Hippocratic oath demonstrates the changes in moral standards owing to globalization and technological advancement. Under these reformed standards, as echoed by the modern Hippocratic oath, it is ethical for physicians to prescribe lethal drugs if it is to relieve

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.

There are many ethical issues that the medical field faces daily. One major issue that is a common debate recently is death and dying and the ethical dilemmas associated with this stage in life. There are many different routes a patient can take when they are diagnosed with a terminal illness, two routes that are often up for debate are palliative care and physician assisted suicide. Many ethical concepts are brought up in the debate of these routes of care, sometimes even conflicting one another. Since medicine has advanced over many years we are experiencing a growing population of elders. With this increase in the elderly population, the debate of death and dying has become an important topic to