Introduction
“Ethics are a set of beliefs about right and wrong”. The idea about medical ethics was first brought up by Hippocrates in the Hippocratic Oath in about the 4th century BC. The Oath states that doctors should always keep their patients prior to anything else and should avoid causing harm. (Brightknowledge.org, 2016)
The health, life and death of a human being is in the hands of a medical doctor and other health care professionals. They have direct contact with the patients, prescribe their medications and even have the right to determine who is going to live and who will die. They have been given powers to decide over human life and death, which gives them a huge importance in our lives. Medical ethics deals with the practice of medicine and health care, thus has an enormous impact on human life, as we are trusting medical professionals with our lives. (Newworldencyclopedia.org., 2014)
Medical ethics
Since many years, philosophers have been working on medical ethics and have come up with many different ethical theories. As stated by English, Sommerville and Brannan (2012), some of these theories are namely; consequentialist ethics, communitarian ethics, deontological ethics, the ‘four principles to approach’ to ethics, narrative ethics and virtue ethics. These principles are concisely explained below.
Consequentialist ethics
Consequentialism focuses on the actions of an individual and states that the right action is the action with the best overall
Ethics are rules of conduct and moral principles of an individual which have various origins such as family, culture, and social environment. Given the diversity of people in the healthcare profession and the importance of providing care that is ethically sound
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.
Ethics is told to be the concept of right and wrong, a type of moral compass that helps guide people through life. No one is thought to be held to a higher standard of ethics than doctors, but to the people in the public wards, doctors were merely scientists, experimenting on the people as a misconstrued form of payment. Patients of the public ward
The term “medical ethics” is defined by The American Medical Association as “(1) moral principles or practices and (2) matters of social policy involving issues of morality in the practice of medicine.” The nine principles of medical ethics as outlined by the AMA tell how a physician should conduct themselves in the profession, the third and fourth of which states “(3) A physician shall respect the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patient. (4) A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard patient confidences and privacy within the constraints of the
Ethics is about what is right and wrong, the reasons one gives for the choices and action one makes, and basically “what ought we to do and why (St. Michael’s, 2018)?” Bioethics; autonomy (right to make own choice), beneficence (to do good), non-maleficence (prevent harm), and justice (fairness) play an important role in these decisions in health care (Furlong, B., & Morrison, E. E., 2014, p. 11). Healthcare
As someone who is interested in pursuing a career in the medical field, it becomes apparent that medicine and ethics have a unique and pertinent relationship. Everyday doctors, nurses, and other health care workers have to make ethical decisions or help families make ethical decisions for their patients. For example, in the video that featured bioethicist Toby Schonfeld, she discussed some of the ethical dilemmas faced in hospitals today. The most notable ethical conflicts she noted were physician assisted suicide, and other dilemmas such as transferring a patient to palliative care, or whether someone should get a pacemaker or not. Perhaps, in my future I will face similar ethical problems and will have to figure out a way to draw a conclusion that is the best for both the patient and their family.
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
Medical ethics mainly deals with behavior of physician and the decisions they have to make rather than how to treat patients. Physicians face these kind of questions and dilemmas often. Simply put ethics in medicine is about making decisions that are moral and just. Medicine is both science and an art, where science implies physicians to recognize signs of illness, treat or cure the patients and art involves making right decisions in ethical situations.
Professionals in every field are always confronted with some kind of ethical issues. It has however been noted that these ethical issues become high in magnitude and extent when public officials are involved. Due to the involvement of human life, an industry like healthcare holds ethics in highest regard. Even though these healthcare practitioners are highly trained to deal with issues of these kinds, their decisions can sometimes have a lasting impact on their professional and personal lives (Edwards 2009).
Medical ethics could be considered a really broad spectrum that dictates the healthcare system. Defined as a system of moral principles that apply values and judgments to the practice of medicine. This however, can become quite tricky when deciding what is morally correct to one person to another. The movie Patch Adams deals firsthand with an aspect of medical ethics. The movie displays Robin Williams as the main character, Patch Adams, as a medical student who believes treating patients with happiness is the best way to help them. (Patch Adams, Tom Shadyac)
Ethical Codes are in use today by many organizations to clearly establish their values and provide a procedure if a code violation occurs. Medical ethics began as a professional code for physicians and has now expanded and includes a variety of health care professions and health care organizations. The growth of medical knowledge and technology have grown so have the concerns that ethical standards and issues facing our society today may be compromised or not appropriately addressed (Littleton et al., 2010).
For example, the Hippocratic oat, the prayer of Moses Maimonides, the bible, the Holy Koran, and the Islamic legacy, as well as cultures, traditions, and social morality have shaped and guided the development of ethical standards in the medical profession. The majority of these historical documents focus on “avoiding harm to patients” Ethics refers to a professional moral conduct. Ethics, particularly professional ethics, describes the moral actions based on professional character and ethical principles in each profession. The statements of medical ethics require the health care providers to do what is best for the patient and place the patients’ interests before the interests of the physician. Above all, the purpose of medical ethics is to protect and defend human dignity and patients’
Imagine you are injured or sick and have sought a doctor’s help. Although you trusted your doctor, something, something seemingly very in control of the doctor, went wrong. You are angry and confused, but also think of the commonality of medical malpractice. So, why do doctors, who are supposed to help, harm? Though many flaws influence it, malpractice can be, and often is unintentional. Most doctors aren’t trained to harm their patients. Inexperience and lack of medical discovery led to unintentional suffering of the patient. Personal flaws, like lack of willingness to abandon previous medical methods and shortcomings in communication also harm patients. Further reasons why doctors harm are socio-medical understandings that breed hate, prejudices stemming from a society’s belief about certain people, such as the medical practice under the Nazi regime. Additionally, displayed in the case of Ignác Semmelweis, judgement of one to oneself can be detrimental to any progress one’s ideas could make. We will examine these concepts through Jerome Groopman’s “Flesh-and-Blood Decision Making”, Sherwin Nuland’s The Doctors’ Plague and Barbara Bachrach’s “In the Name of Public Health”. Those who practice medicine are, unfortunately, unfree from the imperfections that plague all of humanity. Through these intimate and varied faults, doctors do harm.
There are four basic ethical and bioethical principles that have a strong influence in the practice of medicine, predominantly medicine that deals with those who are dying. The first is beneficence, which directs the physician and health care worker to take positive actions, specifically by restoring health and relieving suffering (Bongard et al., 2008). Then there is nonmaleficence. Goldman and Schafer (2012) add that nonmaleficence is the idea that people should not be harmed or injured knowingly. The third ethical principle is autonomy,
The essay will discuss the ETHICS IN MEDICINE : The Relationship Between Law and Medical Ethics: