Healthcare Delivery Ethics Case Study

Vann also argues for the protection of the ACA, and appeals to readers emotions and ethics by stating, “22 million more people would be uninsured… and Medicaid enrollment would be slashed by 15 million (Newkirk).” Vann argues that letting people go uninsured is the equivalent of a ‘death sentence’ for poor and minority citizens, which appeals to the readers since of ethics. He also states that the, “…demons of inequality cannot be vanquished until the establishment and protection of health care for all Newkirk).” Vann compares inequality in health care to a ‘demon’, that can’t be demolished until health care for all is made a reality. By doing this he appeals to the audience to see limited healthcare as evil, and needing to be exorcised. Vann

While private hospitals tend to be the preferred choice because they are not as limited in their budget and are known for quality service in which patients receive individual care

1. Is there an ethical violation, dilemma or concern and, if so, what is it?

This paper explores several published articles following the national program, Transforming care at the Bedside (TCAB), developed by the Robert Wood Johnson Foundation (RWJF) and the Institute for Healthcare Improvement (IHI); and how it supports the ethical principles of patient autonomy, beneficence, and nonmaleficence in patients, especially amongst the geriatric population. By describing and focusing on three main points of the TCAB, safe and reliable care, patient-centered care, and value-added care and their relative goals and high leverages; this will show how they benefit the

Ethical Dilemmas in Healthcare Healthcare Values and Ethics Western Governors University Jean Renelien 000809006 January 16, 2018 A1: Potential Ethical Dilemmas As healthcare providers, we are often faced with situations and decisions that require us to make ethical and moral decisions. As a healthcare provider, we take an oath to do no harm and put our patients first. I am a licensed registered respiratory therapist, and in my role, I have a duty to care for my patients and provide adequate treatment and respiratory support that falls within my scope of practice.

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.

I feel that an individual should have a foundation in ethics in relation to health care. It is important because the community puts their trust into health care organizations and professionals. According to Flite and Harman (2013), an organization must have a code of ethics in order to maintain the community’s trust.

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

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.

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

While visiting my mother in the hospital this past weekend, I was a witness to an event that was quite unsettling. A homeless gentleman, who looked to be about 35 years old, was asked to pay $150 upfront for medical services due to his lack of insurance. The man informed the medical assistant that he was homeless and did not have the funds, to which the assistant responded that no services would be rendered without pay and turned the man away. The man stated that he was experiencing continuous chest pains, which could be an early symptom of a more serious condition. However due to his lack of funds and the fact that he was uninsured he was not permitted to be seen by the doctor.

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).

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.

As previously stated above, there is an incline in the use of Patient Centered Care since the 1990s however, statistically the implementation isn’t widely used within all practices. According to recent research there is still 23% of patients in the United States that feel rushed and 15% left dissatisfied and confused after their visit(Strauss,2017). I believe the statistics can be reduced to as low as 10% or less patients feeling rushed and 5% that leave confused. My theory is that by applying Patient-Center Care the patient will then become the priority not the disease or disorder. By identifying the patient as the priority, the physician opens the door for more feedback and involvement from the patient during treatment, increasing the likelihood of

Overall, improved experience represented by high levels of patients’ centered care has resulted in improved patients’ satisfaction. Professionalism, respect, empathy and support are parts and parcel of the process