The NP is this case has a couple of ethical issues to address. First, patients have the right for their health information to be protected; therefore discussing the diagnosis with his wife would be a violation of privacy. On the other hand, his wife should have the right to know about and seek treatment for a disease that could cause complications and even death. Furthermore, she has a right to make an informed decision about appropriate prenatal care and whether to continue with the pregnancy (The Center for HIV Law and Policy,
In this argument a 21 year old Hispanic male named Carlos is in the process of being released from the hospital and in need of a at home nurse. Since Carlos did not have the best insurance they would not pay for a at home nurse because Carlos sister is a nurse. The only problem that Carlos has with this situation is that he is HIV positive and does not want his family to find out. Carlos contracted HIV from sexual intercourse with males and Carlos does not want his family to know because it would be a disgrace to the family. In order for Carlos’s sister not to find out, Carlos asked his doctor not to inform his sister about the HIV. The argument is whether Carlos’s doctor be morally justified to breach the patient confidentiality on the grounds that he has a “duty to warn”?
As we grow up, our parents’ views on what is morality good and bad is embedded into the way we see issues and situations. One ethical issue that splits society into two groups is the death penalty. In the movies Dead Men Walking and Return to Paradise the death penalty is a controversy due to the different perspectives. Moreover, there are ethical issues and ethical theories such as utilitarianism and ethical formalism that applies to both these movies.
First, the physician should not divulge the patient’s diagnosis to the patient’s wife. He cannot justify his disclosure if he does so. Because of his legal obligation, he must respect his patient’s preferences. Second, athough it is the physician’s ethical concerns for the best interests of his patient, the interests of the patient’s wife are also relevant as well. He would strongly encourage the patient himself to reveal the condition to her. Third, the patient’s wife will certainly
The doctor advises the possible results that might come out of this diagnosis. The patient and her husband are trusting this doctor to respect their decision. Beneficence influences the doctor to act in the best interest of the patient's welfare and it is methodically connected to non-maleficence, the obligation to do no harm (Clinical Ethics p.43). If the patient decides to end her pregnancy the doctor has to respect their decision causing non-maleficence to the fetus. Autonomy and Non-maleficence come in conflict with abortion in this case. It is the patient's legal right, with no justification required to terminate her pregnancy. Regardless if something is or is not wrong with the fetus, it needs to be done. It is in the patient’s best interest to get the diagnosis started right away. A normal fetus will not have abnormalities in a prenatal diagnosis. There is no say the fetus is normal when testing has not been done. However, the parents will have an abortion if the fetus carries two copies of the gene, or the fetus carries no copies of the
Ethical issues have always affected the role of the professional nurse. Efforts to enact this standard may cause conflict in health care settings in which the traditional roles of the nurse are delineated within a bureaucratic structure. Nurses have more direct contact with patients than one can even imagine, which plays a huge role in protecting the patients’ rights, and creating ethical issues for the nurses caring for the various patients they are assigned to. In this paper I will discuss some of the ethical and legal issues that nurses are faced with each and every day.
#1. According to Nursing Leadership and management ATI ethics is defined as an expected behavior of a certain group in relation to what is considered right or wrong. (Henery, McMichael, Johnson, DiStasi, Ball, & Holman, 2016) There are six ethical principles they are autonomy which is the ability of the client to make personal decisions, even when those decisions might not be in the client’s own best interest. The second principle is beneficence which is care in the best interest of the client. Third is fidelity which is keeping ones promise to the client about care that was offered. The next principle is justice which is fair treatment in matters related to physical and psychological care and use of resources. Then there is non-maleficence which is the nurse’s obligation to avoid causing harm to the client. The last principle is veracity which is the nurse’s duty to tell the truth. (Henery, McMichael, Johnson, DiStasi, Ball, & Holman, 2016)
An ethical dilemma is a situation in which one need to select from two or more morally acceptable choices or between equally unacceptable actions when one option prevents selection of the other (Ong, Yee & Lee, 2012). An example for an ethical dilemma in the moral values related to health policy is the end of life issues. One of the end of life issues includes withholding and withdrawing the medical treatment. Passive euthanasia is the act of withdrawing life supports or interventions needed to keep a patient alive (American Academy of Physician Assistants, 2014). This is usually done according to the wish of the patient. Patients who do not want to receive resuscitative treatment will opt out of these treatment measures and obtain a do-not-resuscitate
Mr. B has confided that he has been diagnosed with the HIV/AIDS virus. His diagnosis has caused both his physical and mental health to suffer. Mr. B has been engaging in sexual activity with several partners who were all unaware of his diagnosis, he has intentionally kept this from them and has no plans to inform them. He has chosen not to tell his partners about his HIV/AIDS status which means he is purposefully putting others at risk for contracting this disease. His reasons for not informing his sexual partners include the fact that he does not want to be treated differently by his family and friends, Mr. B 's concerns are understandable that he would want to keep his health information private however, Mr.
People from all walks of life face many ethical dilemmas. These dilemmas have consequences. Our worldview determines how we deal with these dilemmas, and guides us to the right decisions. In this essay, I will examine an ethical issues through my Christian worldview. I will also present other viewpoints, and compare them to mine.
Although confidentiality is considered to be of great importance in therapeutic relationship, one must not assume it to be independent. In particular, confidentiality ought to be compromised whenever it conflicts with a higher moral value, such as the duty to safeguard human life. Most often physicians do not know if to disclose the HIV status of their patients to known contacts or if failure to do so may give rise to liability if the known contact becomes HIV positive. This is one of the most controversial issues in reporting and partner notification
If Emanuel accepts the offer he benefits greatly because he will be able to complete his assignments efficiently in his dorm room instead of using the college library but Microsoft will not profit and the roommate will have broken the law and potentially receive a penalty or fine for sharing a licensed product. But if Emanuel denies his roommates offer and
With warp speed advances in the fields of science, medicine, and technology there is no doubt we can expect a large number of students to enter into any number of fields or professions requiring an understanding of bioethics. Students should be asking the following questions: a) What is the ethical question? b) What are the relevant facts? c) Who or what could be affected by the way the question gets resolved? and, d) What are the relevant ethical considerations? (NIH). Thanks to the Belmont Report, the NIH, medical schools, and a multitude of interdisciplinary professionals there has been a marked increase in the awareness of the importance of providing these students and future students with an education in the study of bioethics. What has
In medicine one of the things every patient is entitled to, no matter what, is their privacy. Since ancient times the privacy between a doctor and a patient has been somewhat of sacred thing. The patient has the right to release their health information to whomever they please. Even for doctors to access a patient’s medical history there has to be consent from the patient. In Mair’s article she reports about the case PD v Harvey in which PD upon asking for her future husband’s (FH) HIV test results was denied access because of lack of consent from FH. FH because of his right to confidentiality, despite having the disease, was able to lie and forge a pathology report which reported his HIV status as negative and in turn PD was lead to believe that FH actually received a negative result. If PD had been allowed the right to view the positive result or maybe even if the doctors would have taken into consideration her well-being PD could have avoided being infected (2009). Before testing a patient for HIV/AIDS a doctor should consult the patient in this consultation the patient should be educated about the disease, the testing process, and actions to be taken upon a positive result, including disclosure to sexual
When it comes to ethical issues in this case it really surrounds the question is the “healthy” snack is truly healthy and whether or not it will make individuals sick? Questions like what would happen to the reputation of the company are also in play? Finally, the fact that the employee came from another company and you, the company are assuming that what your employee is telling you is true. The company might also be liable in a way, from that employee squeaking about the other company’s “trade secrets”.
Doctors are not allowed to disclose any kind of medical information in regards to the patient to anyone, including relatives. However, sometimes the lines between where the patient’s confidentiality ends and nurse/doctor’s duty to warn may become blurred. Every case is different, but I feel that doctor-patient confidentiality can be broken when the patient is a danger to themselves or to society. A situation where the rights of an individual with HIV can be superseded by society is if the patient has malicious intent or portrays negative behavior, such as spreading HIV/AIDs knowingly to others then the doctor can breach the contract and warn