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Essay on medical ethics
Medical ethics chapter 7
5 challenges to providing patient centered care
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The thesis of this chapter states that in certain situations, it is crucial to listen to a medical professional, however, in others, it is very important to listen to yourself and also to do what you feel is right. The author of Complications," Atul Gawane, has written this specific chapter to persuade the reader of his thesis. If the choice you make is incorrect, then it could potentially be a matter of life and death. Atul Gawande gives multiple examples of patients that have made wrong and right decisions to prove his point. He uses the personal anecdotes of four different people, with four decisions to prove his point.
After reading this case I was terribly shocked about the fact that something like this could happen in our medical history. I couldn’t believe how a patient could be neglected so much. Based on the material that we have learned the lack of ethical theory of deontology in Dr. Evan was disturbing. As a doctor Dr. Evan’s role is to care for patients, keep them away from harm and prolong their life. Though in the trial he stated as if he didn’t care.
For example, if the physicians were to ask the Lees how severe they thought the sickness was and whether it would have a short or long course, Fadiman believes they would have said, “Why are you asking us those questions? If you are a good doctor, you should the answers yourself” (Fadiman 260). If a person were to develop an attitude such as this because he or she was asked these questions, then it begins to compromise the doctor’s position in terms of intelligence and ability to develop a better relationship with his or her patient. Therefore, Arthur Kleinman has three recommendations for cross-cultural medicine, specifically to Lia’s case. He believes that compliance should be eliminated as a term because it suggests that the
In Joseph Collins article, “Should Doctors Tell the Truth?” he states that doctors shouldn’t tell the truth to their patients that deals with their life and death. Collins argued that doctor should withhold the truth on any circumstances. For example, when Collins blamed himself because of the death of a lawyer who suffered from kidney disease, only if he had lied to the lawyer about his health issue, the lawyer still could have been alive. However, I believe that doctors should always tell the truth to their patients regardless of the circumstances because withholding information violates patient’s autonomy and harms the doctor-patient relationship.
Doctors and physicians have more and better knowledge than normal people about human body and they are able to assist their patients while making tough decisions. However, they can not always make the right decision. Doctors can not predict the result of a surgery or a treatment and they do not have enough confidence of the result because sometimes the surgery could go in a way they didn’t expect. Although patients have the right to decide their treatments, doctors and patients should share
A Doctors Dilemma I do not like the essay, “A Doctors Dilemma” written by James Dillard. The whole story was well written, but contradicting. The persuasion was driven by whether to help a dying person or save his future career.
The ethical principle of autonomy provides for respect for the patient’s autonomy to make decisions and choices concerning their life and death. Respecting the patient’s autonomy goes against the principles of beneficence and non-maleficence. There also exists the issue of religious beliefs the patient, family, or the caretaker holds, with which the caretaker has to grapple. The caretaker thus faces issues of fidelity to patient welfare by not abandoning the patient or their family, compassionate provision of pain relief methods, and the moral precept to neither hasten death nor prolong life.
The doctors shouldn’t be able to make decisions for you just because of the simple
There are many levels authority in the hospital, which models status hierarchy. Doctors and nurses are ultimately the ones that all the patients
They must ensure that they are providing adequate services to patients and at the same time ensuring that insurance companies are getting paid (Saint Joseph’s University, 2011, Para 6). Along with that they must secure that they are getting paid. Furthermore, physician moral and ethics are challenged as well; Thus, causing them to rethink how they take on their responsibilities as a medical care provider by trying to keep patients best interest, insurance companies interest and their own interests. This conflict with trying to meet the needs of several different stakeholders causes strain on the physician because they must walk fine line to please each. While trying to please a specific stakeholder another holder could be compromised.
In the case of Donald (Dax) Cowart, one can determine that the conflict is between Beneficence and Autonomy. The doctors were morally right in choosing to treat Donald despite his autonomy by using the principle of beneficence. Firstly, doctors entire training is about how to save lives, so in a sense it is something they are morally obligated to do. Patients go to hospital in the hopes of being treated.
In “ How Doctor Die”, an article written by Ken Murray, is about the way to prolong the life of doctors and patients when they have terminal illness. In most cases, a doctor home went, closed their practice and never set foot in a hospital again. They want to have more time with family. Doctor is a person treat the desease and save the patients; however, when they have illness, they are also like other patients. They can meet a difficulty with their patients in treament,but they feel easy when they are a patient.
Ethical Complexity of Distribute Justice and Rationing Medicine is a practice based on moral standards applied to clinical values and judgments, also known as medical ethics. Ethical values consists of beneficence, nonmaleficence, autonomy and justice. However, these ethical principles are affected when distributive justice and rationing of health care resources are implemented “…in a world in which need is boundless but resources are not…” (Scheunemann & White, 2011, p. 1630). The historic Hippocratic Oath described the four main principles of medical practice and established a moral conduct for clinicians. Beneficence demands that health care providers develop and maintain skills and knowledge, consider individual circumstances of all patients, and strive for the patient’s benefit.
Ethics can be explained as principles a society develops to guide decisions about what is right and wrong. Ethical principles that society has are influenced by religion, history, and experience of the people in the group. Meaning that ethics is based on guidelines we have learned while growing up, that helps us differentiates what is right and what is wrong. For example, some people think health care should be a human right as others think it should only be available to those who can pay for it. Each group of people is guided by the principles they believe in.
Physicians ' punctuality is a fundamental aspect by the reason of being the building block for patient-doctor relationship and the cornerstone for professionalism.(1,2) Therefore, it illustrates the quality of training doctors received, and demonstrate how the health care is organized. Patient-doctor relationship is a prime concept when it comes to healthcare. In spite of the variation of the meaning or scope of the relationship according to the viewpoint of the observer, “clinical imperatives emphasize its value as a component of the care process that might improve health outcomes". Thus, patient-doctor relationship is a valuable concept for eliciting the quality of healthcare.