Ethics: Modern Medicine

In addition, relying on a doctor who does not share the same beliefs as one does can become fearful. Trusting the doctor for full treatment is necessary but when from a different cultural background it can prevent them on trusting them. According to a research article, Cross- Cultural Medicine a Decade Later, clearly states “when the basic belief structure of biomedicine and another set of health beliefs differs radically, problems and frustrations almost inevitably arise” (Barker, 1992, p.249). The central purpose of the research was to show whether or not health beliefs between patient and doctor differs will they find it difficult to interpret the symptoms and treatment variations to accommodate their beliefs. However, the doctor having faith in one’s health beliefs can sometimes be beneficial for the patients because they’ll be fully understood and not misjudged as being crazy. As stated by the author, for the article Chinese Health Beliefs of Older Chinese in Canada, “the findings support the previous prescriptive knowledge about Chinese health beliefs and illustrate the intergroup socio-cultural diversity that health practitioners should acknowledge in their practice” (Lai, 2009, 38). Like the Chinese, Hmong’s too first go to their shaman for traditional treatment rather than going to the doctor; to them an illness and their healing is more of a spiritual thing that

Furthermore, the Nacirema seek help of the “temple” or “latipso” for other serious illnesses, comprised mainly of medicine men and other female specialists. The culture’s devotion to rituals is undeniable as a considerable sum is required for the service of the “temple,” although “these temple ceremonies may not cure, and may even kill the neophyte, in no way decreases the people’s faith in the medicine men” (173). This belief of the “temple” constitutes checking in to the hospital to treat diseases in the American culture. Often times a significant hospital fee needs to be paid for even a short visit and it is not guaranteed that one would be healed as a result. The American culture’s “ fundamental belief…human body is ugly and its natural tendency is to debility and disease” can help explain the society’s faith in hospitals

B) According to the “ Journal of Medical Ethics” it may not be that simple to assist with

15. For Pellegrino, even though the obedience to the law is necessary in medical practice, it is not enough for the following reason:

Many Alaskan Natives and Native Indians, also known as American Indians, share the same or similar views on health and medicine. Their definition of “traditional medicine” incorporates medicine and religion, various chants and rituals, and being one with Earth (Broome, B., Broome, R., 2007). “In the United States we are challenged to think about health care from our tradition as a cultural melting pot. Therefore, we must address the large range of individual health care needs from populations living the inner-city and suburbia to those in rural environments.” (O 'Brien, Anslow, Begay, Pereira, & Sullivan, 2002). It is important for healthcare workers to understand the views of American Indians in order to integrate their traditional medicine as well as western medicine. Examining areas such as common health conditions, treatments, and attitudes towards health, natural and alternative health will lead to a better capability of providing culturally competent care.

relationship with the doctor has been established. In the case Hall v. Hilbun there was a

Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of

The United States is known for its melting pot of cultures, which creates one of the most contentious issues in the medical world which is the clash of cultures. The book we read “The Spirit Catches You and You Fall Down” is a great example of how a miss communication and struggle between cultures which lead to a very dismal end. The difference in beliefs cause constant issues in communication, even though both want what is best.

This chapter focuses on some of the conflict between the Hmong healing traditions and the doctor’s practice in medicine. The Hmongs took the doctors prescriptions as advice not as orders, and they did whatever they wanted regardless of what the doctor prescribed, but at the same time if they left the doctor’s office without being prescribed something, they felt cheated. The doctors and the Hmong have many problems communicating because of the language barrier and cultural barrier. This makes it hard for the doctors to try and treat someone, and some of the Hmong’s healing techniques aren’t acceptable and considered abuse in America.

I think that it is as equally important to be accepting of other cultures as well. Those from differing cultures should also seek and understand their limitations and understanding of the culture they are submerged in. As discussed in chapters four and 17 medical professionals should take cultural background into account and realize their limitations and learn to accept that the westernized way of care may not always be in the best interest of the patient.

In the first synthesis essay, examination of worldview was identified as one of the most important concepts necessary to understand and interpret medical anthropology. Worldview is the reason that there are many different types of medical systems. As explained in lecture, these include diagnosis, healing, and some form of payment to the healer. The study of these different medical systems falls under the term ethnomedicine. Singer describes ethnomedicine as the idea that all medical systems develop from “particular sociocultural systems regardless of the scale of the society.” For example our US healthcare system, based on western worldview, is a hierarchy of administrators who tell the doctors what they can and cannot do. Our devotion to the US healthcare system stems from our need to label the symptom or disease such as nasal drip and a cough can be labeled as a common cold. The worldview seen here is the need for immediate cures to avoid interrupting our busy lives. On the other hand, in “Touching the Timeless” with Billy Yellow from the Navajo tribe, there are many steps to prepare for his healing ritual such as the sweat hogan, where purification rituals are performed, in this case, before a strong spiritual ritual can be done. Thus understanding the worldview that comes with the development of medical systems is vital to understanding why the practices are being used and being able to compare these medical systems cross culturally.

Health care providers must keep the basic concepts of treating all of their patients with respect, compassion, and honesty no matter what the culture they may have. If the caregiver has a enhanced understanding of the persons cultural beliefs

after initial assistance from a physician” (Darr, 2007, p. 31). This idea sparked a legal and

The four principles of medical ethics include nonmaleficence, beneficence, autonomy, and justice. These principles were created by Beauchamp and James Childress because they felt these four were the building blocks of people’s morality. Nonmaleficence is to do no harm to others. Beneficence is to care or help others. Autonomy is to respect another’s wishes. These four principles relate to issues surrounding physician-assisted death in many ways. To begin, there are seven individual forms of PAD. They are the following; voluntary passive euthanasia, nonvoluntary passive euthanasia, involuntary passive euthanasia, voluntary active euthanasia, nonvoluntary active euthanasia, involuntary active euthanasia, and physician-assisted suicide. Passive euthanasia is an act in which the health care physician withholds treatment or surgery and the result is the patient’s death. An example of passive euthanasia is a cancer patient refusing treatment and the physician agrees with their decision, therefore the patient dies from the lack of intervention to treat their illness. Active euthanasia is an act in which the health care physician has a direct contact with the patient’s death due to the physician’s act of doing something to the patient in order for them to die. An example of active euthanasia is an injection of potassium chloride. Voluntary is when the patient is requesting assistance to die. Nonvoluntary is when the patient is not requesting assistance and their wishes are unknown

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).