Encouraging independence and freedom of action is an important part of providing good quality of care and of supporting a person`s autonomy. Restrictions that limit these freedoms may have an adverse effect both on the person`s autonomy and on their…
On 05/10/16, Mr. Stevens was charged with Reckless Driving and sentenced to 30 days level 5 suspended for 1 year at level 3.…
I agree with your statement that we can cause harm as a result of not acknowledging autonomy. I think that assisting patients to a position of maximum autonomy involves providing them with unbiased information about their health status and pros/cons of their treatment regimen. According to Canther (2001), providing value-free information includes staff being ready to engage in debates that include awareness of the interpretation which their own values and beliefs unavoidably impose on the evidence (Canter, 2001). Furthermore, Brinchmann (2002), explains that nurses must be ready to work collaboratively with patients and within the multidisciplinary team to enable patients to express their own point of view, commensurate with their desired…
In this case study the patient, Mr. E, has made it abundantly clear through his words and his actions that he does not wish to be placed on a ventilator. In spite of these declarations, the doctor obtains consent from a family member who does not have the authority to grant permission. The nurse involved in Mr. E’s care has a legal obligation to intervene, something that he/she has failed to do. This obligation stems from the Standards of Competent Performance, California Code of Regulations Title 16 Section 1443.5 which clearly states: “the registered nurse acts as a client’s advocate, as circumstances require, by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the client, and by giving the client the opportunity to make informed decisions about health care before it is provided”. (http://www.rn.ca.gov/regulations/title16.shtml)…
Read the case study in Ch. 4 of Medical Law and Ethics that begins, “Jerry McCall is Dr. William’s office assistant.”…
Schwartz suggest our autonomy is not denied by the healthcare system if they do not provide treatment that might be effective, but has no medical meaning, nor falls in-line with alternative medical treatments (105). In other words, a stressed out mother can’t go to her physician, and expect her doctor to prescribe her, or even recommend her to spend a day at the spa, and then go out for drinks later with friends. Even though this experience might relief her of the stress for…
Camerin, even though I did not mention autonomy in my post, I as well believe it’s an important ethical principle. Everyone has the right to make their own decisions and others should respect that. This is very important in healthcare because in many situations patients will refuse treatment or procedures regardless of the benefits. Even though many will think that’s absurd, we just have to learn to respect and move on. Not everyone will agree and that’s okay.…
There may be a situation where decisions about a patient’s medical care aren’t clear cut. For example, a patient with dementia may be competent to decide about health care one day, but then at another time…
No matter what their personal beliefs are they must act in the best interest of their patients. Four aspects for caregivers to consider when making these decisions are welfare, interests, moral status, and social mores. In the case of the terminally ill cancer patient, it is important to realize that he is 96 years old. Should he be put through unnecessary pain or just made comfortable? It is very important to consider his overall welfare. As far as interests go, all caregivers in this scenario must resolve their conflict and focus on the best outcome for the patient. It is apparent that the daughter in this case feels that her naturopathic treatment will help her father in some way. This is her father, and like any child, her focus is on keeping him with her as long as possible. However, is this in his best interest? That is most likely not the case here. There is no question about the moral status of the patient in this case. Although he is disoriented and confused, he is very much alive. That is what is so important in this case. Morals are ideas about what is right and what is wrong; for example, causing pain is wrong and easing pain is right (Pogzar, 2012, p. 370). The primary physicians know that it is unnecessary for the daughter to inflict any more pain onto the patient when their main focus is to make him as comfortable as possible. And lastly, social mores…
The protagonist and antagonist, Dean Moriarity is the manifestation of the Beat counterculture generation, experimenting with drugs and immersing himself in music, he portrays the perfect example of divergence from the mainstream. Dean’s portrayal of the complete anti-conformist ideal questions the undisputed belief of conventionalism and depicts defiance to collective ideals to the most extreme in a positive light.…
Patient autonomy refers to S.Z deciding what the best option for himself is, whether that is discharging home to continue working with his curandero for management of his conditions, or discharging to a nursing home (Potter et al., 2015). While members of the health care team and his daughter may not believe the best option is for him to continue working with the curandero, they have to respect S.Z’s decision. Overall the goal of patient autonomy is to decide the best course of action for the patient, keeping the patient’s wishes in mind (Potter et al., 2015). By meeting with his primary care provider, S.Z can explain his rational for seeing a curandero and why he is not taking his prescription medication; the doctor can also asses S.Z’s mental health from his wife passing away. This steps into the second supporting point for the solution – having S.Z’s provider educate him on different treatment…
2. Evaluate 2.1 Ethical Principles • Autonomy – Competent adults with capacity have the right to refuse treatment. Respecting Ginty’s rights and values. • Beneficence – Medically, it may be in Ginty’s best interest to continue her treatment as she is a young woman and the treatment could potentially prolong her life and allow Ginty to watch her children grow and have more time together.…
* Paternalism refers to the power the healthcare team has over the patient and is based on the nurse or physician’s belief that what is in the best interest of the patient and whether or not to share information with the patient. (ANA, n.d.)…
My duty as a nurse is to promote good and do no harm and respect the patient as the most basic and universal principle. According to the code, my most fundamental accountability is to the patient. In addition, it is my duty to make the most wise and ethical decisions for what is best for the organization. As a leader, I am self-aware of my values and basic beliefs about the rights, duties and goals of human beings. Unfortunately, here utilitarianism of what is best for the common good outweighs what is best for the individual. Mr. Cole has the right to leave against medical advice and it saddens me the issues they may face being denied home health care, however, it is not justified to withhold information from the physician. I could be risking…
5. How could Skinner’s theory explain Yolanda’s success in college the second time in graduate school?…