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Medical ethics case dilemmas
Medical ethics case dilemmas
Informed consent in clinical setting cit quiz
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The concept of autonomy in the medical practice brings many different views. Autonomy is the ability individuals have to be self-governing. In these different views there exist two schools of thought, one is the belief that people are born with the ability to do what they want their body and no organization can tell them what to do with their body, like the government. On the other hand, some people believe that it is more complicated and conditional on mental competency so that person can make rational decisions. However, the majority of people seem to advocate for autonomy. A particular largely uncontroversial discussion arises with the case of Dax Cowart, who had his right to autonomy taken from him in a tragic accident and is therefore, an advocate for autonomy. As an ethics committee, we were to discuss this case in accord with four questions: can Dax Cowart refuse treatment, is no, why. If yes, then when could he be released, and if yes to the first question what would your decision be if Cowart asked for physician assisted suicide. I will be discussing the major points, consensus, and the reasons for the consensus from the committee. In addition, I will summarize the case and state my own opinion.
Dax Cowart was the victim of an unfortunate event that took his father’s life away and nearly his own. More specifically, a propane explosion caused the accident, burning more than two-thirds of Cowart’s body. He suffered from so much pain that his request to stop receiving treatment so he could die from infection was denied. There were other factors involved for his decision to die too, one was that he felt his quality of life was going to be horrible since he was disfigured with amputated fingers, and he could not w...
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...s mind, whether that is better pain treatment or a new doctor and if that doctor fails to satisfy those requests to the point of changing the patients mind then the doctor should grant the patients wish.
Cowart suffered through something almost nobody else experiences to that point that he wanted to take his own life away because of all the pain. However, he was denied his birth-given right to self-governance. Now, he is a strong advocate for autonomy and is attempting to get his story around. As an ethics committee we were to discuss whether or not he should be allowed to die and we came to the decision that people should be allowed to do what they see fit for themselves if that person is mentally competent.
Works Cited
“Confronting Death: Who Chooses, Who Controls? A dialogue between Dax Cowart and Robert Burt,” Hastings Center Report 28:1 (1998): 14-24.
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
There are many convincing and compelling arguments for and against Physician Assisted Suicide. There are numerous different aspects of this issue, including religious, legal and ethical issues. However, for the purpose of this paper, I will examine the ethical concerns of both sides. There are strong pro and con arguments regarding this, and I will make a case for both. It is definitely an issue that has been debated for years and will continue to be debated in years to come.
Nuland, Sherwin. How we die: Reflections on life's final chapter. New Yord: Vintage Books, 1993. 140-63. Print.
Imagine, if you will, that you have just found out you have a terminal medical condition. Doesn’t matter which one, it’s terminal. Over the 6 months you have to live you experience unmeasurable amounts of pain, and when your free of your pain the medication you’re under renders you in an impaired sense of consciousness. Towards the 4th month, you begin to believe all this suffering is pointless, you are to die anyways, why not with a little dignity. You begin to consider Physician-Assisted Suicide (PAS). In this essay I will explain the ethical decisions and dilemmas one may face when deciding to accept the idea of Physician-Assisted Suicide. I will also provide factual information pertaining to the subject of PAS and testimony from some that advocate for legalization of PAS. PAS is not to be taken lightly. It is the decision to end one’s life with the aid of a medical physician. Merriam-Webster’s Dictionary states that PAS is “Suicide by a patient facilitated by means (as a drug prescription) or by information (as an indication of a lethal dosage) provided by a physician aware of the patient’s intent.” PAS is considered, by our textbook – Doing Ethics by Lewis Vaughn, an active voluntary form of euthanasia. There are other forms of euthanasia such as non-voluntary, involuntary, and passive. This essay is focusing on PAS, an active voluntary form of euthanasia. PAS is commonly known as “Dying/Death with Dignity.” The most recent publicized case of PAS is the case of Brittany Maynard. She was diagnosed with terminal brain cancer in California, where she lived. At the time California didn’t have Legislative right to allow Brittany the right to commit PAS so she was transported to Oregon where PAS is legal....
In the medical field, there has always been the question raised, “What is ethical?” There is a growing conflict between two important principles: autonomy and death being considered a medical treatment. Physician assisted suicide is defined as help from a medical professional,
When it comes to the topic of euthanasia the four ethical goals of health care providers are in direct conflict with one another. An argument can be made that both permitting and preventing euthanasia violates one of those four principles which are as follows: beneficence, non-maleficence, autonomy, and justice. Perhaps the biggest conflict is between the principles of autonomy and non-maleficence. When it comes to PAS we cannot allow our patients to act autonomously while at the same time making sure to do no harm. In addition the Hippocratic Oath serves as a large roadblock on the way to legalizing PAS. The Hippocratic Oath is an oath taken by healthcare providers at the beginning of practice outlining obligations and proper conduct of providers. The Hippocratic Oath is based on the maxim “do no harm” and more specifically it states “neither will I administer a poison to anybody when asked to do so, nor will I suggest such a course”. American medicine traditionally succumbs to this oath and has therefore made PAS illegal. It is important to note, however, that this Oath was written thousands of years ago and it may need to be revised in the face of both e...
Peck, M. Scott. Denial of the Soul: Spiritual and Medical Perspectives on Euthanasia and Mortality. New York: Harmony, 1997. Print.
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
With the legalization of assisted suicide, a number of issues have arisen. The ethical standards of physicians seem to be in decline as they forget what exactly their role in society is. The shameless killing that is being allowed to occur will create an inevitable slippery slope, in which other crimes will be legalized. Dr. Kevorkian may have been imprisoned for his actions, but they soon may become acceptable.
Kübler-Ross also explores the idea that while death and dying have not changed, the manner in which humans cope with the constant has evolved. Medically, advancements have changed the course of treatment for both the long-term terminally ill and those experiencing medical emergencies (196). The author advocates for a calm approach to death. Similar to the plight of Woolf’s moth, Kübler-Ross describes a struggle to put off the inevitable. In this case, however, the struggle is that of medical professionals trying to prolong the life of a dying person (Kübler-Ross 199).
John L McIntosh. (2003) . Handbook of Death and Dying. Volume 1: The Presence of Death. Thousand Oaks, CA: Sage Reference.
The aim of the analysis is meant to clarify the meaning of the word autonomy thereby the introduction of a concept. Clarification is needed as the word autonomy does have several meanings and not all apply to medical terminology, some meanings span to philosophy, technology and general decision making. The medical meaning is significant in the care of patients for improved outcomes through choice and educated decision making on the part of the patient. Autonomy can be empowering as a concept or even as a single word.
The right to assisted suicide is a significant topic that concerns people all over the United States. The debates go back and forth about whether a dying patient has the right to die with the assistance of a physician. Some are against it because of religious and moral reasons. Others are for it because of their compassion and respect for the dying. Physicians are also divided on the issue. They differ where they place the line that separates relief from dying--and killing. For many the main concern with assisted suicide lies with the competence of the terminally ill. Many terminally ill patients who are in the final stages of their lives have requested doctors to aid them in exercising active euthanasia. It is sad to realize that these people are in great agony and that to them the only hope of bringing that agony to a halt is through assisted suicide.When people see the word euthanasia, they see the meaning of the word in two different lights. Euthanasia for some carries a negative connotation; it is the same as murder. For others, however, euthanasia is the act of putting someone to death painlessly, or allowing a person suffering from an incurable and painful disease or condition to die by withholding extreme medical measures. But after studying both sides of the issue, a compassionate individual must conclude that competent terminal patients should be given the right to assisted suicide in order to end their suffering, reduce the damaging financial effects of hospital care on their families, and preserve the individual right of people to determine their own fate.
One thing that we often hear is that “death is just a part of life.” So often in our day and age do we hear people utter these words. However, death is far more significant and impactful than some would allege. True death is not merely a time when we cease to exist; it is an entombment, a mindset in which we are dead to this world. Throughout our lives, it is true that we can all be dead in one way or another, but it does not have to be that way. When we have our eyes opened to what death actually is, it is far easier to grasp what the true meaning of life is, and to embrace it. Often, we will come across individuals who are enveloped in death and others who are immersed in true life. The shadow of death and entombment lies upon some, encompassing
I was very excited to take Death and Dying as a college level course. Firstly, because I have always had a huge interest in death, but it coincides with a fear surrounding it. I love the opportunity to write this paper because I can delve into my own experiences and beliefs around death and dying and perhaps really establish a clear personal perspective and how I can relate to others in a professional setting.