Key Ethical Theories In Health Care

The family has an annual income of $91,080. Melvin and Brenda have named Brenda's sister, Michelle Tucker, as the back-up caregiver. She lives in Decatur, Illinois. Michelle is single and doesn't have any children. Jocelyn sees her approximately 1 time a month. A conversation was held on XX/XX/XXXX, with Michelle regarding this responsibility and she is able and willing to take this on if necessary. She understands the process of how to obtain guardianship if

mother and needs the most attention from her. When her mother got sick and was bedridden for a

Studies have shown that many factors have been contributing to influence patient’s care in an ethical manner. What factors could affects one decision for their medical care? Does it also included the nurse’s individual views or should consider their moral obligations? But what is ethics really is? Based on the book Nursing Ethics by Butts & Rich, “Ethics is a systematic approach to understand, analyze, and distinguish matters of right and wrong, good and bad, and admirable and deplorable as they relate to the well-being”. Ethics should follow the current AMA guidelines.

Ms. Thomas is a 58-year-old Caucasian female. She was born and raised in Brooklyn, New York. Ms. Thomas is the maternal grandmother and legal guardian of the child Lisa. Ms. Thomas came to FAP with Lisa, her 14-year old granddaughter, to state that she could no longer continue to be a caregiver for the identified child because of two reasons: one, the child was getting increasingly ungovernable under the adverse influence of a putative boyfriend, and two, her health condition was deteriorating and following the diagnosis of cancer she was scheduled for a surgery on February 19, 2017, when there would be no back-up plan for the subject child to be supervised. Lisa who is fair-skinned, dark-brown eyed, black-haired, 5 feet 4 inches tall child

Within healthcare, practitioners often have to make difficult decisions regarding the care of their patients. This could be to do with giving or withdrawing treatment, or as simple as sharing risk information (Glover, 1997). Ultimately, the practitioner must be able to rationalise any decision they have made (Morrison, 2009). With this in mind, the following assignment will draw upon an ethical dilemma and explore how theoretical perspectives can be utilised within the decision making process. Therefore it will also be pertinent to draw upon the law, and how this influences actions within health care. To facilitate this discussion, I will identify a scenario from practice that

What defines "unethical" or even "criminal" when speaking of healthcare issues as it relates to privacy, best practices, keeping costs down and instilling accountability with everyone involved (including patients)?

In our role play we were assigned the Brady family. Present for the initial assessment were Carol Brady, Dr. Greg Brady, her step-son and Marsha Brady her daughter. Carol Brady is a widow of 10 years, she has been diagnosed with Alzheimer’s and is worried about her safety. Additionally, most of the responsibility in overseeing Carol’s condition and due to his own work and family demands does not feel as if he can give adequate time to his mother. The remaining 5 children either live far away or do not feel as if they have enough time to dedicate to her care.

The hierarchy seems inconsistent in this family. It seems that the therapist is on top of the hierarchy with the mother and children underneath her. Working for Child Protective Services the therapist holds the most power and authority. The mother doesn’t have clear and consistent authority in the family. In terms of functioning there are no clearly defined roles in the subsystems. There is a diffuse boundary between the executive subsystem and the sibling subsystem this result in a confusion of roles. The mother is acting more like a peer in the sibling subsystem fighting for power and influence with her children. Within the sibling subsystem it seems that Anthony is on top of the hierarchy and Vanessa seems to be the least powerful member. She seems to be isolated and excluded. This is evidenced by the fact that she had her own room before Anthony moved back in. With Anthony moving in she had to move out her room and move in with mom. In this context Anthony has more power than mom and this places him above his mother in the hierarchy.

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

There are times that self-determination has opposition with the values and beliefs of health care providers. The five step ethical decision making model is in place for patients that are unable to make their own health care decisions due to incompetency; paternalism is not the method used anymore. “In relation to health care, paternalism manifests itself in the making of decisions on behalf of patients without their full consent or knowledge. (Burkhardt & Nathaniel, 2008). Value systems, which includes a patients and family morals, play a factor in ethical decision making.

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

Fortune reported that she is comfortable living with her mother. She indicated that her brother’s also live with she and her mom. Fortune stated that there are no other adults that live with them. Fortune indicated that the maternal grandmother lives nearby and is often at the home. The child reported that her mother is home when she returns from school. The child reported that there is nothing that she would change about her mother.

Ethics is a strongly culturally linked area of philosophy interrelated with what is considered acceptable human conduct. There are two branches of ethics; medical ethics and bioethics. The moral conduct and principles which govern practices of medical and health professionals falls under medical ethics, whereas in biomedicine and the health sciences theorised developments in the study of social and moral issues is considered bioethics(1). There are two philosophical principles within the conduction of health care research these are deontology and utilitarianism. Deontology is an approach to ethics that focuses on the rightness or wrongness of actions themselves, as opposed to the rightness or wrongness of the consequences of those actions (2). Utilitarianism states that the most benefit

Moreover, an emphasis is imposed on the rights of a single patient to commit an act or decision even though it is in contrast with the views of the others. In regards to the ethical dilemma, a nurse could not justify the morality of the two possible choices based on their results and consequences. The Deontological approach would encourage the health care staff as well as the patient to ask themselves the most righteous choice for their situation. With this in mind, a combination of ethical theories can also be employed to give light to the dilemma. In view of this, another ethical approach could be applied to solve the issue, and this is the Right-based approach. This theory also aim to promote the rights of every person, and that, they are indispensable just to make ends meet. However, not all ethical theories can be incorporated in every dilemma in a health care setting because their foundations would contradict one another. In order to provide an effective and efficient solution, nurses should be knowledgeable of the principles enveloping each of the ethical theories and should be wise to apply them in appropriate issues and

There are some common use ethical theories; deontology, utilitarian, and virtue ethics. Deontology refers to the important aspects of man lives are control by indestructible moral values and ethical standards regardless if by overruling it improve outcome. In other words, they may do the right thing, even though the consequences of that action may not be good. Utilitarian