Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Medical / individual ethics
Medical / individual ethics
Medical / individual ethics
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Medical / individual ethics
Autonomy is defined is defined as having control over one’s self. This has become the governing principle that healthcare providers strive to practice when it comes to their relationships with their patients. Giving patients the controls over their own body allows them to choose the direction they believe will be best for them, while also allowing the provider to ethically respect their decision even if they may not personally agree with it. In contrast, another approach to the healthcare provider, patient relationship is paternalism. Were autonomy has the patient steering the wheel of decision making, paternalism gives the keys to the healthcare provider. Paternalism has the healthcare providers making all the decisions, sometimes without
Which I’m sure most of them did if this was going to be their first round with cancer. However, there are times when you do not have time ask the patient what course of treatment they would prefer, such in the case of an emergency in the ER. With the exception of respecting DNRs and their patients’ religious beliefs, paternalism should take over in the case of emergencies. There are other times when paternalistic like approach should take place as well, such as when patients may not understand what is wrong. There was story that someone in class told about Dr. May, his patient apparently has had many medical problems in the past, and she had decided that she was just going to let her body do what it was going to do without treatment. The way the situation was described, it sounded as if Dr. May profusely encouraged her because she did not know just how simple the procedure was. Other times when the approach should focus more on paternalism is in situations when the patient is not mental and or physically capable to make autonomous decisions and there is not a next to kin to make those decisions. However, one of the risks associated with paternalism is the healthcare provider not making decisions that are best for the patients,
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
According to Terrence F. Ackerman, as of the 1980s the American Medical Association had to include the respect for a person’s autonomy as a principle of medical ethics (Ackerman 14, 1982). This includes having the physician provide all the medical information to the patient even if the information could cause negative implication onto the patient. The physician is also expected to withhold all information of the patient from 3rd parties (Ackerman 14, 1982). Although it is seen as standard in today’s world, in
The main reason paternalism is even debated revolves around one primary question: Is it beneficial to the patient? This one question has, and will continue to evoke strong responses from those who hold viewpoints across the spectrum. The spectrum varies from those who are in favor of paternalism, to those who think it should only be allowed if certain criteria are met, to those who strongly oppose it in any form at any time, but may consent to a few, rare occasions when it would be deemed acceptable. One such person who strongly opposes paternalism is Alan Goldman, and he presents his argument in an article entitled, “The Refutation of Medical Paternalism.”
Patient autonomy was the predominant concern during the time of publication of both Ezekiel and Linda Emanuel, and Edmund D. Pellegrino and David C. Thomasma's texts. During that time, the paternalistic model, in which a doctor uses their skills to understand the disease and choose a best course of action for the patient to take, had been replaced by the informative model, one which centered around patient autonomy. The latter model featured a relationship where the control over medical decisions was solely given to the patient and the doctor was reduced to a technical expert. Pellegrino and Thomasma and the Emanuel’s found that the shift from one extreme, the paternalistic model, to the other, the informative model, did not adequately move towards an ideal model. The problem with the informative model, according to the Emanuel’s, is that the autonomy described is simple, which means the model “presupposes that p...
Within public health, the issue of paternalism has become a controversial topic. Questions about the ethics of public health are being asked. The role of ethics in medical practice is now receiving close scrutiny, so it is timely that ethical concepts, such as autonomy and paternalism, be re-examined in their applied context (Med J Aust. 1994). Clinically, patients are treated on a one on one basis, but public health’s obligation is toward the protection and promotion of an entire population’s health. So, based on this difference, the gaping questions targeting public health now becomes, under what conditions is it right to intervene and override an individuals’ autonomy?
Patients are ultimately responsible for their own health and wellbeing and should be held responsible for the consequences of their decisions and actions. All people have the right to refuse treatment even where refusal may result in harm to themselves or in their own death and providers are legally bound to respect their decision. If patients cannot decide for themselves, but have previously decided to refuse treatment while still competent, their decision is legally binding. Where a patient's views are not known, the doctor has a responsibility to make a decision, but should consult other healthcare professionals and people close to the patient.
...ns. Patients should not be so medically ill that they are unable to make this decision. Patients should be fully conscious and understand the implications of their decision. Everything should be documented possibly even videotaped that way the doctor doesn’t lose their job, receive a lawsuit or worst jail!
In a paternalistic stance the physician would need to use strong soft paternalism. Even though the physician would show a strong type of paternalism toward Mrs. Walker by opposing the husband's decision, at the end if the life of the wife is saved the couple would be grateful about this decision. The principle of Utility states the morally right action is the one that has the best outcome in the long run, the husband should have thought of the worst case scenario, what would happen if the wife does develop bacterial meningitis and she ends up dying? Thats is why I believe the husband should have allowed his wife to stay a couple more days to “play it safe” and have the best outcome at the
Autonomy is a concept found in moral, political, and bioethical reasoning. Inside these connections, it is the limit of a sound individual to make an educated, unpressured decision. Patient autonomy can conflict with clinician autonomy and, in such a clash of values, it is not obvious which should prevail. (Lantos, Matlock & Wendler, 2011). In order to gain informed consent, a patient
In his essay, “The Refutation of Medical Paternalism,” Alan Goldman discusses his argument against differentiation in the roles between physicians and patients. He says the physician may act against a patient’s will in order treat the patient in their best interest. Goldman makes his whole argument around the assumption that a person’s right to decide his or her future is the most important and fundamental right, saying, “the autonomous individual is the source of those other goods he enjoys, and so is not to be sacrificed for the sake of them.” His claim is that most people agree that they are the best judges of their own self-interest and there is an innate value in the freedom to determine their own future. On these principles, Goldman starts by discussing conditions under which paternalism may be justified.
The principle of autonomy states, that an individual’s decision must be respected in all cases, also an individual can act freely in accordance to their plan. For example, in a case where a patient and family demands to continue medical or surgical care and a physician want the patient to stop further treatment. In this case the patient’s choice will matter the most. According to the principle of autonomy it will be the patients and family choice whether to continue or discontinue treatment. The principle of beneficence which states, “one must promote good” comes into play in this case. In accordance to beneficence the patient will not benefit from the physicians responses personally. He/she will not benefit from harming her body with more surgeries. The patient will be going against the principle non-maleficence, which states that “one must cause no harm to an individual” by causing harm to herself. In this case the physician is justified in his/her actions by discontinuing medical or surgical care to the patient because it will not it her. These principles are what healthcare provider use to help and guide patients with the ...
Knowing this it only makes sense that the doctors make sure the patients’ requests are held above all. When a patient asks for a Do Not resuscitate order this means they have reason to want to not be revived when their heart stops. In case two, a 70 year old woman had cancer spread throughout her body. She knew she would not get better and it would only get worse. She had a doctor sign a do not resuscitate order to make sure if her heart stopped she would not be resuscitated and would not have to continue life in pain (“Do Not Resuscitate: Case Studies”).
In the case study, Betty was adamant in refusing treatment, despite the risks of the illness progressing and potentially leading to death; under the laws of the medical treatment act (1988) any adult who exhibits competency has the right to refuse treatment, even if refusal of care increases the risk to their health, this right is based on autonomy (3). The information outlined suggests that Betty was capable of making a decision as she fulfils all the elements of consent; therefore she is competent and has the right to deny treatment. Betty acknowledges the risks of not receiving treatment and admits that not receiving treatment will make it difficult, demonstrating her sound understanding of the risk and benefits of the outcomes. For a patient to fulfil the element of understanding they must receive, process and incorporate the information they are provided with into their own personal values and Betty demonstrates this level of understanding by sticking to her values, her decision to stay home and by acknowledging the difficulties and risks of not receiving treatment (3). Once Betty received a diagnosis she was informed by the paramedic of the outcomes and potential risks of not receiving treatment for her condition, Betty was sufficiently informed with information and risks relevant to her situation, enabling her to make an informed decision (3). In order for consent to be considered voluntary, a patient must consent to treatment in an environment free of threat and pressure; if a patients decision is genuine they will also accept responsibility for the outcomes and understand the risks (3). Voluntary consent is a slightly grey area in Betty’s scenario, her son is potentially placing pressure on Betty with his demands, however, Betty expresses responsibility by admitting it will be difficult to and
...rity over a patient, since it is the patient who is directly affected by any course of treatment taken, the final decision should remain in the hands of the patient. The risk of losing patient autonomy by allowing doctors a free hand with what they think is the correct treatment seems to be too high. The patient should have the right to accept or reject any course of treatment so long as that decision is made with informed consent. Thus it would be ethically incorrect for Dr. Lowell to try and coerce her patient into following her recommended treatment. However, I think that Dr. Lowell would not be morally incorrect in trying to explain to Mrs. Jackson about the details of the treatment. Perhaps Mrs. Jackson has a fear of losing her hair during chemotherapy and Dr. Lowell could explain to her that hair loss does not occur inevitably with chemotherapy but varies person to person. Maybe if Mrs. Jackson knew more about what the treatment entails she might change her mind about it.
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.