Assignment 1 2 Health care professionals must learn how to balance the principles of Nonmaleficence, Beneficence, Autonomy, and Justice especially in a busy hospital as in the case of Armando Dimas. Health care ethics is a type of normative, applied ethics. It is based on the assumption that, despite all of our differences, we can determine what is right and wrong within the constraints of a human condition prone to error. The goal of health care ethics is to provide health care professionals, students who seek health care careers, and members of the general public with moral guidelines that any rational …show more content…
It was a surprise to the staff when they were able to speak with Armando, they found that he actually wanted all measures possible to save his life even though he would be a quadriplegic for the rest of his life. Doing this, he was asserting his autonomy and not taking the disregard of beneficence and nonmalefience from the staff. Mr. Dimas stayed in the hospital and was given all possible services that the hospital could provide for him. Problems came about which are related to justice. In our country, it is not right to treat one patient different than another patient when the circumstances are similar. One must think about the effort, need, ability to pay, resources and merit to provide fair treatment to everyone. In this situation, Armando had no insurance and became a financial burden to the hospital. The hospital however, did do everything they could to help Armando and even helped him get a custom wheel chair thus keeping their principles of justice. As time went on, even though the hospital did what they could, their ethical standards became too much for them. They had to compare what it was costing for just one patient compared to how many they would have to turn away if they continued to absorb the costs for Armando’s care. The hospital made the decision to transfer him to a cheaper facility that could care for him. Armando actually liked the new facility, Barts, and the care that
he was dangerous to no one, that he was not mentally ill, and that the hospital was not providing
Dr. Burditts argument is that he is not paid by the hospital but because he does not receive payment from the hospital when he treats patients there, he should not be required to abide by this law (Lewin, 1991, para 12). Unfortunately, he cannot select which patients that require the emergency care of an obstetrician to treat and those to transfer while working at this hospital. It was determined that the patient’s vitals and her active labor put her at a serious risk and that “transfer to another hospital “in an uncontrolled environment of an ambulance” increased the risk” (Lewin, 1991, para
The hospital had two options for treating patients who could not pay. At first, the hospital
The authors friend Bruce, would be a clear advocate of being uninformed and making a decision without extensive inquiries. A patient being at the age of 82, having gone through numerous procedures such as an aortic-aneurysm repair, pacemaker, dialysis, now facing fainting episodes, left the decision making to his son, possibly assuming he would understand what to make of the situation. But Bruce did not research the surgery and its risk but only the best hospital for his father to undergo the surgery. The team did inform him of risks, but further expressed how the procedure was now very routine and they were sure of successful results. The definition of successful deferred for the doctors as opposed to Bruce. Their success was a procedure performed that would reduce the future risk of a stroke, not better was what causing the fainting episodes. For Bruce, success would have been his father being able to interact again, but instead his description of his father is “no life in his eyes….He’s like the living dead”, few months later his father dies. Doctors insisted on the procedures, despite having risks that outweighed the benefit, though I cannot say he would have lived longer otherwise, but suffering from a stroke while having surgery may just have contributed to a short lived recovery period. For a patient, or person making decisions for a patient, would this case not suggest that Bruce
This family felt that their mom still had a good amount of life in her and were concerned that the physicians were prematurely encouraging them towards a path of comfort care. Psychologically this was distressing to the family, especially Dale who felt that he was not being heard. He was becoming suspicious that what is behind the push to change code status for his mom was regarding money since his mom was on Medicare. This felt wrong to him and it was causing him distress. The social issues were that because Dale was retired and was the main support person for his mom and her care, he physically can spend more time in the hospital than his sister who is currently working full-time. Dale is feeling overwhelmed with the situation
his chronic pain in his back. Nurse J. never questioned the orders for medications or the
To begin, the union displayed several arguments to persuade the arbitrator that there was no “just cause” for the suspension of Nurse Kevin. The prime issues presented by the union were as follows; grievant suffers from back pain that can often cause him difficulty lifting a patient; the suspension given to the grievant was primarily due to the hatred Supervisor Olivia Guevara Quijano had towards Union’s; the progressive disciplinary action that was provided in the collective bargaining agreement was not correctly followed; hospital did not follow contract (“an employee will not be placed in a harmful work environment”); and the grievant did not want to put his health at risk along with the patients.
In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that
Nurses are faced with ethical issues and dilemmas on a regular basis. Nurses must understand his or her values and morals to be able to deal adequately with the ethical issues he or she is faced with. Some ethical issues nurses are exposed to may be more difficult than others and the ethical decision making process is learned over time.
He has a lot of money, and refuses to work unless the patient has money. He has very questionable ethics, yet he gets so much money. With that money, he is condescending and arrogant to those below him. Meanwhile, Kino and Juana live in a brush house and eat the same thing for breakfast everyday because they can’t afford anything else. They
This case analysis will discuss a fact within the case study that I read for this weeks reading. The fact or issue that will be discussed is what drew my attention as being the most important issue after reading. Marco Madrera has a medical issue and gets to a point where he wants to stop receiving medical treatment. He was in the hospital receiving treatment then moved to another part of the hospital to ensure that the wound would be cured and did not get an infection. After several weeks, Marco asked to be discharged because he is ready to leave and go back home. The skilled nurse facility suggested he stay but he viewed the case different. In this case analysis I will discuss the change that should have taken place and how I would have worked
This can be read as a key ethical question to many healthcare case studies because of the errors and situations that occur. One of the explanations for this occurrence may be the overwhelming workload, chaotic environment and lack of individual attention prescribed to each patient. These issues can cause a disruption to the ethical principle of Beneficence. The principle of Beneficence calls to action the act of helping others and having compassion for the patients. This principle can be threatened when a doctor or caretaker is overworked and unable to effectively manage the series of patients and work they are assigned to take on. I believe that the admitting doctor did not initially catch the error of not calling for the specific drug need because he was more focused on getting Mr. Londborg stable and on the medication to treat his initial and present condition before worrying about the preventative medication. In addition, the doctor was so focused on helping everyone all at once that he was blind to the small details and loose ends that needed to be taken care
The patient was starving and was in pain due to his injuries and illness. His surgery had been postponed multiple times because of more emergent cases and unstable labs. He wanted nothing more than food in his belly and his own bed. Laying in a hospital bed for weeks on end can really wear a person down, and I can only imagine how he was feeling since it was so difficult to understand what it was he wanted. I easily could have left him alone in his room like others
As Margarete Rubik asserts, ‘long-term hospitalisation or sending the patient out into the streets both seem equally unattractive’ (373). Not only is it revealed that Robert manipulates the situation to suit his own agenda, Robert ends up collapsing under the pressure of the dilemma and unleashes an outburst on Christopher, transgressing professional boundaries. Both doctors put forward some convincing arguments but then undermine themselves with their unclear motives and intentions. Were they to have discussed the case in a respectful manner, clarifying their reasoning and eliminating the underlying power struggle, an appropriate course of action could have been decided upon that would satisfy them both as well as fulfilling Christopher’s
In this paper I am going to identify some the legal and ethical issues in My Sister’s Keeper. Some of those issues include emancipation of a minor, genetic engineering, and limited termination of parental rights. I will be giving my opinion on these matters also.