The process of identification involves the awareness that a decision needs to be made but also the recognition of the ethical implications of that decision (Manias 2013). The central ethical issue surrounds the doctor prescribing her medication for something other than its purpose. There is a moral and ethical reason for the patient to take the medication as prescribed. It is a matter of trust between the patient and doctor. According to Web-MD, "Off-label" means the medication is being used in a manner not specified in the FDA 's approved packaging label, or insert. Every prescription drug marketed in the U.S. carries an individual, FDA-approved label. This label is a written report that provides detailed instructions regarding the
Whenever in charge of the management of a patient’s medication, the nurse should first and foremost be focused on the “12 rights of Medication administration” as indicated in the ‘Pharmacology in Nursing’ textbook (Broyles, 2012). This applies both in the pre-operative phase and every other branch of nursing.
When deciding on which area to focus on for this task it was important for me that medication administration is done with no room for error to occur. When administering any type of medication to a patient it must be clear as well as concise as to what you are doing. One thing that has to be correct at all times is the five rights’ to medication administration are followed and done correctly. The five rights’ are: Right patient, Right route, right time, right medication, Right dose. If you miss even one of these important rights you can cause severe harm to your patient.
Healthcare professionals face ethical dilemmas on a daily basis. Dilemmas concerning staffing issues, patient care, to end of life issues. When healthcare workers are faced with ethical challenges their person values, past experiences, rules, and culture influence their decisions. At times, our own values and beliefs may conflict with what the patient wants and we then have to find a way to resolve our own moral values with the duty of the profession.
The evidence that support my findings are related to the situation that I observed, but they have to be consider as a last resource and the method has to be justified. Wilkinson et al. (2011) in his procedure to administrated oral medication, suggested that oral medication, such as tablets being prescribed can be crush or dissolve with water or soft food such as pudding or yogurt to help the patients have their medications, using this method as a last resort and seeking consent from the patient, as well as consulting his doctor or the pharmaceutics team.
Thousands of people voluntarily enroll in clinical drug trials every year. They are putting their health and safety at risk by participating in a drug trial. One would think they would be doing this to promote medical advancement, but in all actuality, it is for the high dollar amounts they receive for compensation. People that frequently enroll in drug trials are often called “guinea pigs.” The monetary amount people are paid can go as high seventy-five hundred dollars. The more invasive the procedure is the higher the compensation. These “Guinea pigs” are required to pay taxes on the money they do make. (Elliott, 2008)
Despite having the knowledge of the side effects that propoxyphene could have on a patient, the pharmacist did not advise the patient or the family on its side effects an action that led to its harmful effects (Leagle, 1994). Pharmacists need to have a good record and trace how drugs are dispensed to the patient, based on this case, it is evident that the pharmacists failed in doing that, even though they had access to a computerized program which allowed them to view patients’ history, an action that led to dispensing of drugs at a faster rate thus its faster consumption. Despite pharmacists engaging Dr. Edwards in dispensing drug, they failed to disclose their views concerning the medication so that together with Dr. Edwards they could manage to dispense the drugs at the right proportion and time thus promoting patient’s
Specify the types of country risks that pharmaceutical firms face in international business. How do the political and legal systems of countries affect the global pharmaceutical industry?
My initial reaction to this situation is to not advise them to write a prescription for their patient to give to the woman nor would I advise them to visit the woman either. If possible, I would say to that instead the patient could try to convince the woman to visit them or another doctor to examine if she actually needs the drugs for her condition. In this circumstance I consider both the physical, resident, and the woman as the primary decision makers with the patient as the stakeholder. My primary ethical question is whether it is morally permissible to write a prescription for someone who is not your patient and is it right to pay them a visit at their home.
Pharmaceutical companies, like other companies involved in development of new products and services, must find equilibrium in stakeholder interests. Often, the interests of one stakeholder cluster will conflict with the interests of another stakeholder group. For instance, productivity and sales may benefit shareholders and employees, but may not help consumers, if a product is unsafe. The safety of the new AD23 drug for Alzheimer 's comes under supplementary scrutiny, as it did not receive FDA approval before being presented to patients. Pharma Care bypassed FDA consent by evolving a subsidiary, Comp Care, to serve as a compounding pharmacy filling instructions for the drug ordered by physicians. The ethical concern is based on promoting a product without knowing all the possible side effects or harm caused to patients, without the improvement of conducting clinical legal proceedings and seeking FDA approval. Off label use of prescription medicines is often promoted with little rigid data to help clients and their physicians make sound, safe choices for usage.
When it comes to the Guatemalan syphilis experiment and the Tuskegee experiment both were two unique experiments. Recently, the United States apologized last year for the experiment, done in Tuskegee which was meant to test the drug penicillin. However, Two years before that, Health and Human Services Secretary Kathleen Sebelius made an apology for the experiment conducted in Guatemala. With that said, the researcher rejects the case that a utilitarian could make the case that the Guatemalan syphilis study was more ethically defensible than the Tuskegee study, because the Guatemalan study had greater potential to lead to useful medical knowledge that could save many lives, while the Tuskegee study did not have any such potential (Bonnie Steinbock, 2005). I believe that neither experiment was for medical knowledge or served and medicinal purpose and that
At first I would gather information as possible as I can about the facts that let the company that I work for to avoid the FDA inspection. Then, I will define the ethical issues that let the company evade FDA inspection. When a company is doing that only to make profit at the customer’s expense. Also, without thinking about what will happen to the people whether harms will effect on their health or benefits which is rarely will happen. Moreover, if a customer gets harm that could affect the company production and its employees may lose their jobs. The values should a company has are responsibility, Integrity, and credibility. My obligation is to make sure the company’s product matches public safety standards and has the quality that will keep
A physician has the responsibility to determine the legitimacy of all work injuries and to report its finding accurately. If a physician prepares a report with the intent to use it in support of a fraudulent claim and knowingly submitted for payment under an insurance contract, the physician may be subject to fines or imprisonment and risks the possibility of having his or her medical license revoked. Presenting a claim for an item or services based on a code known to result in greater payment or submit a claim for services not medically needed is a violation of the false claim act.
After a year in nursing school, drug administration and nursing responsibilities are firmly drilled into our heads. The 6 rights: right Medication right route, right time, right client right dosage, right documentation, and the right to refuse any medication. Before giving the medication the nurse must fully ensure that the patient knows what the medication is for and what to expect. The nurse must check the patient’s armband before administering medication, ask the patient to verify his name and date of birth, only administer meds the nurse has prepared herself, and if there is something the nurse is unsure about she should look it up or ask for help.
A 17-year-old teen declined to take chemotherapy to treat her Hodgkin’s lymphoma. This is a serious ethical dilemma that comes from two ethical principles. She should be able to have the right to choose what she wants to do. But a doctor/ hospital must also do what is best for their patients. The problem is that she is a 17 year old and is still a minor so she is cared for by her parents. Because she is 17 and is still a minor her parents have the legal right to make the decision for her. Her mother feels that she should be able to choose what she wants to do regarding her health and she supports her decision. “Courts have the authority to overrule parents when their medical decisions