Prescription Ethical Dilemma

In July 2001 Robert R. Courtney’s illegal and highly unethical behavior was brought to the attention of local authorities and the Federal Bureau of Investigation (FBI). Courtney’s blatant disregard for the trust patients placed in him was evidenced by his daily violations of their rights and expectations while he supposedly provided quality healthcare service. By August 2001, following investigation, the FBI filed 20 federal charges against Courtney that carried a maximum prison sentence of 196 years (United Press International, 2002). $8 million of his assets which were estimated to be in excess of $10 million were frozen to be used as restitution for victims in the criminal case. Following a plea agreement Courtney’s prison

D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for

I have gained full consent to use this lady as my patient in my care study. Consent is important as you must always gain permission from the patient in regards to their care plan and keep them fully informed. ‘It is vital that the person consents before any treatment, care, examination or assessment’ (Brooker et al., 2007, p.157). ‘Confidentiality is a fundamental part of professional practice that protects human rights’ (NMC, 2008). To maintain my patient’s confidentiality throughout my care study I am going to call her Annie. Annie is a 72 year old lady whose care I have been involved with on placement. Annie’s medical history included; previous left hip replacement, osteoporosis, high blood pressure, high cholesterol and

• how to obtain the resident’s consent to treatment that the doctor has not prescribed

We (Individuals) do not want an individual in jury duty under the use of illegal dugs. But, what if the individual is actually under prescription drugs?

Was the pharmacy requesting the refills for her and the prescriptions were written for a year at a time? Other questions that are a little more difficult to ascertain include does she not have insurance, transportation issues, was she a rape victim, was she traumatized by having a pelvic exam done ten years before. A caring and concerned nurse can get this patient to answer these questions if asked not directly but with more of an indirect approach and using open-ended questions. The patient may also not realize that she should have been having this done yearly, she may have come into the office for refills regularly and spoken to different nurses or she may have said she would make the appointment when she was leaving and either never did, canceled or no-showed the appointment. The nurse should speak with the provider and if in any way possible have her seen that day while she was in the office. If it is a matter of religion or feeling uncomfortable with a male doctor,

On a second thought I decided to tell my mentor what had happened. McCabe, (2004) has demonstrated the value of patient-centred communication in facilitating a positive nurse-patient relationship towards the delivery of quality nursing care so in that light my mentor suggested we meet with Trisha in private and discuss the incident. She admitted that she has never liked the size of the tablet and we offered to ask the doctor to prescribe her a dispersible alternative to which she readily agreed. I am pleased to now see her take her medication without anymore dislike for it because of its size. This means she no longer misses out on a vital part of her prescription. After the incident, my nurse- patient relationship with Trisha suffered as she struggled to trust me again.

I think this particular ethical dilemma encompasses three of the APhA Code of Ethics principles. The principles involved are as follows: “pharmacist promotes the good of every patient in a caring, compassionate, and confidential manner”, second “pharmacist acts with honesty and

When a patient or an agent requests a prescription transfer, it is mandatory to be done in a timely manner. The transfer occurs between pharmacies and not members. Narcotics and controlled drugs can not be transferred. Benzodiazepine or targeted substances can be transferred only once and they are valid for a year from the date prescribed. Prescription transfers are usually done through fax machine but sometimes they can be done verbally if there are technical issues.

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

According to the Cambridge Dictionaries Online, ethics is a system of accepted beliefs that control behavior, especially such a system based on morals ("Cambridge," n.d.). Ethics in health care is aimed at providing guidelines and codes for health care providers for their duty, responsibility, and conduct (Mohanti, 2009). Major ethical issues arise at the end-of-life, this can include aspects in pharmacology, barriers to effective pain management, drug diversion, and the role of the nurse in pain and symptom management. With the many issues surrounding end-of-life, there are also available resources out there to help.

In addition to the Nursing Code of Ethics, the National Council of State Boards of Nursing (NCSBN) states that one of the standards related to the RN scope of practice is that nurses evaluate the patient’s response to nursing care. They do this by evaluating: the patient’s response to interventions, the need for alternative interventions, the need to consult with other team members, and the need to revise the plan of care (NCSBN, 2012). When Ms. W saw that the patient was not compliant, she should have reevaluated her plan of care. Ms. W can delegate to the LVN, who is experienced in prenatal education, and would be able to explain the importance of finishing antibiotic therapy or performing tests that are essential for a healthy pregnancy. If Ms. W is too busy to educate, then she is responsible for finding someone

Explore strategies: Deborah can accept the years of fraud the private clinic has been conducting and take part. Putting herself at risk and her patients. Currently that we are aware of the only people facing an ethical dilemma is Deborah. However other healthcare providers could have taken part in the suggestion by their supervisors to maintain their job. It is clear that Deborah is not content with the information she received from her superior. We know this because she is hesitant to carry out the action. Inventing diagnosis to receive compensation on behalf of Medicaid is not acceptable for the patient and the government providing the funds. We can clearly see that the providers do not want to deliberately cause harm to the patients. If anything they want to keep the clinic open to help the community. However, this method of business will not be sustainable and is doing more harm than good. That is, saying patient medical records will affect the individual in the future. Or she can either

Dr. Hawkins should incorporate the step-wise approach of utilitarianism to appropriately handle this situation (Veatch, Haddad). The first step involves what you could do in a certain situation (Haddad). Dr. Hawkins could either refuse to give Dr. Petrov the medications or he could ignore the hospital’s and FDA’s policy. Next, he needs to look at the consequences of his actions, good or bad (Haddad). If he refused to give Dr. Petrov the medications, he would be ignoring the needs of a population. However, he would be protecting them from the potential harm of expiring prescriptions. By allowing the donation, he would be able to provide these patients with access to medications limited in their country. Dr. Hawkins’ next step would be to weigh

The pharmacist Code of Ethics states that pharmacists must respect the autonomy and dignity of each patient. The major ethical issue in this case deals with the principle of respecting Mrs. Jackson’s autonomy. Her patient does not lack any of the factors inherently necessary to be an autonomous person. There is no reason to believe that the patient lacks the innate capacity to understand her action and intention. However, her fixed income and high heating bills may play a role in her ability to make a truly autonomous decision. There is evidence in the case that the Jacksons are sharing the medication due to a financial strain.