Is there an ethical dilemma here? Section IV then considers judicial interpretations of how best interests should be understood and applied. He/she then must learn more about the situation and lay down the options available before acting on it. ‘I consent’ means ‘I freely agree to your proposal’, which is an explicit statement that my consent to a certain course of action has been sought and granted without any element of coercion. Finally, Hoagwood et al.'s (1996) book Ethical Issues in Mental Health Research with Children and Adolescents contains a casebook of 61 short case descriptions, including a few from outside the United States and Western Europe. They should be able to come and go from the hospital within reason and are able to discharge themselves if they decide to go home. Constructing the ‘Vulnerable Adult’ in English Law and Public Policy’ (2008) 28(2) LS 234. In other words the more happiness and the less unhappiness an action produces the more morally praiseworthy it will be. Subsequently, the next step would be to evaluate alternative approaches like the Utilitarian approach, Rights approach or Justice approach that best fits the situation. (Williams G, (2010). It is imperative they have a sound understanding of various ethical, legal and professional issues they will face during their careers. Since higher possible benefit and minimum risk of injury pertain to this scenario, justice is making sure that Dina is given fair access to needed supplies or therapies. It is generally recognised that the more closer the relationship the more likely the law will impose a duty (French Penal Code Article 63). Research methodology. As he did not abide by the Ethics in Clare’s viewpoint, she has the right to report him to the higher authority to protect the patients. : M.Velasquez, D. Moberg, M. J. Meyer, T. Shanks, M. R. McLean, D. DeCosse, Claire Andre and Kirk O. Hanson. Subsequently, Dina became hypotensive and went into septic shock. The instructor should provoke discussion and exchange of ideas among participants. The ethical dilemma presented in the case study is whether to adhere to the patient's autonomy or ignore his wishes by performing the surgery in order to save life. John Coggon, ‘Varied and Principled Understandings of Autonomy in English Law: Justifiable Inconsistency or Blinkered Moralism?’ (2007) 15(3) Health Care Anal 235. Do you have a 2:1 degree or higher in nursing or healthcare? Case Study #2: Patient Safety An oncology center of excellence realizes that several dozen patients recently received radiation doses in excess of what had been prescribed due to a mis- This way, the patients would be able to receive better care with a methodological and ethical approach. She has requested to smoke but have been ignored on numerous occasions. For the purpose of this essay, I will only highlight the situation where there is a special relationship between doctors and patients. Ethics are not based on science, law, religion, accepted social norm, or feelings. It is established to reflect, or at least be consistent with, the patient’s personal view of her interests: this may be established through gaining consent, or by reference to proven facts about the patient’s values. This is the first step you need to take to receive our spotless assistance. When we say "there is a dilemma in life," it means the situation when a person is faced with the necessary choice between two identical opportunities. All work is written to order. She was also eating less, often reluctant to go to the dining room. Ethical Dilemma Case Study. If you are the original writer of this case study and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! (Kant, Immanuel. Section 3.2 of the Nursing & Midwifery Council Code of Professional Conduct for instancestates that “you must respect patients’ and clients’ autonomy- their right to decide whether or not to undergo any medical or health care intervention – even where a refusal may result in harm or death to themselves”. II.Wikler, Daniel. The Rights Approach is the one that best protects and respects the moral rights of those affected. This argument is probably more feasible when we talk about restricting informational rather than physical autonomy. He was trained in the USA, and came with a reputation for being very fierce. Ethical views on autonomous decisions determining whether a life has lost value are gaining momentous. She noticed that a very large proportion of Dr Simons’ patients were in considerable pain after surgery, and several patients had adverse outcomes such as heavy bleeding from the surgical site. Consent may be regarded as invalid if the consenting individual does not know what they are consenting to. Rule Utilitarianism, on the other hand, doesn’t believe assessing individual situations is appropriate, or even possible. He holds that actions are right in proportion as they tend to promote happiness: and wrong as they tend to produce the reverse of happiness. A. MacIntyre, A short history of ethics, London, Routledge, Kegan Paul, 1967, Ibid, Ayer; A. J. In total, there are 16 rights set out in the Human Rights Act. In this case, there were two opposing sides in which one would inform the patient and another would not inform. An example of possible breaches of this Article in my scenario can be linked to allegations of abuse. The conflict is between the duty of the medical team to respect the instructions of the patient’s next of kin, who have explicitly given consent to firstly medical intervention and (perhaps) a duty owed to Dina to pay attention to her wishes. Two days later, after discussions with the ICU staff and Dina’s brother, it was agreed that she is moved from the ICU, and the care level was changed to palliative care status. The practice of Doctor Simon who caused pain and heavy bleedings to his patients was accepted by his peers may be due to the ‘Bolam’ test where traditionally, doctors were not said to have breached their duty of care if they acted in accordance with a practice accepted by their peers: Bolam v Friern Hospital Management Committee (1957). The Ethics Manual also advises, "When barriers diminish care for a class of patients because the patients themselves Ethics Case Study (cont.) CASE STUDIES 1 CASE STUDIES Legal and Ethical Issues in Working with Minor in Schools . Eighteenth Report of Session 2006–07. Schloendorff v Society of New York Hospital 211 NY 125 (1914). By reporting to AHPRA also on the culture of the higher authority in her hospital, Clare would be able to break the inappropriate culture that is similar to ‘Bolam’ test. In analysing a clinical ethical dilemma, the first step is to further characterize the situation in terms of the underlying ethical principles that apply and the possible related ethical concepts that may be involved for example advance directives (Alfandre, 2007). One nurse, Clare, worked in Recovery where she looked after patients directly after they had surgery. The Case of the Cloned Cats (pdf) cloning issues close to home. The experiment became national news in the San Jose Mercury News in 2001, and a book was written. doi: 10.1001/amajethics.2021.778. *You can also browse our support articles here >, http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines/Guidelines-for-mandatory-notifications.aspx, http://www.scu.edu/ethics/practicing/decision/framework.html. In order to make the appropriate decision in this presenting case, it is important to carry out a diagnosis in order to determine the stage of the condition. Even though this action may have taken place at a critical stage, the consultant can prove that his action helped to minimize Dina’s pain. This does illustrate nicely the law and the public’s increasing acceptance of others apart from the patient as having say in what procedures are allowed. Considering that most of Doctor Simon’s patients were in a lot of pain and were exhibiting signs of heavy bleeding at the surgical site, Clare did raised her concerns to the hospital management and may have had exposed him to medical malpractice in the process. This is to safeguard patients and to reduce or prevent the risk of potential harm from a result of medical malpractice, negligence or impairment. Premise 2: The public has a right to be able to avoid contracting HIV/AIDS. (Hasman, A., Mcintosh, E. and Hope, T. 2008), Jackson however has argued that doctors do not consciously apply rationing to decisions, in day to day practice; at the most ‘If a patient is suffering from symptoms which are very likely to be caused by a minor illness but there is a remote chance that there is something much more serious wrong with them the doctors will adopt a wait and see approach. There is a vast amount of case law in this field which will be used to illustrate the exceptions to an omission. In Clare’s perspective, she viewed Doctor Simon’s actions as most harmful to the patients as he had caused a lot of pain and bleeding to his patients’ surgical site. Ethical theories may also be applied to all issues of uncertainty, including those not covered by laws or professional guidelines. Creating Your Term Paper Outline: Step-by-step Guide A term paper serves the professor as a way to evaluate Ethical Dilemmas In Healthcare Case Studies what you have learned in the term. It contains 64 case studies, each of which raises an important and difficult ethical issue connected with planning, reviewing, or conducting health-related research. When a paternalistic stance is taken the principle of respect for autonomy comes into conflict with other ethical considerations like beneficence and non-maleficence. Copyright © 2003 - 2021 - NursingAnswers.net is a trading name of This approach starts from the belief that humans have a dignity based on their human nature and their ability to choose freely what they do with their lives. Ethical Dilemmas In Healthcare Case Studies, Problem And Solution Ielts Essay, Living Wage Essay, My Happy Family Essay We do guarantee that all works completed by our responsible writers are checked for Ethical Dilemmas In Healthcare Case Studies plagiarism as according to our plagiarism policy, any form of plagiarism is unacceptable. Introduction to Ethics and Nursing Lecture. Faunce, T., Shat, K., & Adams, C. (2008). These are people like Dina who are on hospital admission but are not detained under the Mental Health Act 2005.
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