Problem: Dr. Rini's main and immediate problem is whether to decide on further giving credit to the boy's family or not. It is influenced by the following critical factors:
1. Hematal's cash flow problem limits Hematal's decision on giving further credit to the boy's family or not. It has been proved in the case that the family is very poor and won't be able to pay right away and most probably won't be able to pay anymore considering also the increasing hospitalization bills. This fact is important because Hematal will already have to consider writing off of the family's debt, which further affects the company's cash position in the future when she gives additional credit. The boy needs at least 20 more vials yet, Hematal has less than 20 vials left on stock. With this fact, I have assumed that Dr. Rini's decision should be an "all or nothing" kind of decision because anything less will not make any difference in the boy's condition considering also the fact that he needed more than 40 vials during his initial surgery, thus I conclude that the boy will die if less than 20 vials were provided. Therefore, Hematal will have to order more vials from Gamma Corp. to fill the 20 vial requirement.
2. Media exposure and NGO support/protest can both be helpful and detrimental to Hemetal's reputation as a pharmaceutical company. Pharmaceutical companies need to gain the trust of the public for the end consumers to patronize its products. Getting bad publicity, especially being "young" in the industry, will greatly affect the company's sales and its life.
3. Hematal will need to maintain a certain stocking level for the regular paying customers brought in by their Hemophiliac Society as they may need their supply of Factor-A Concentrate. This fact will mean that Hematal will have to order more than the required number of vials for stocking. If Hematal does not order to keep stocking levels and decides to deplete its stocks for the boy, regular paying customers may create an issue with the Hemophiliac Society and not get their support anymore. Hemophiliac Society may also cause bad publicity to Hematal by voicing out their concerns and protests. Moreover, the Society can influence Gamma into changing its exclusive distributor in the country.
4. Dr. Rini's conscience and peace of mind will be greatly affected with her commitment as a doctor based on the Hippocratic Oath if she decides not to help.
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Another consideration that the clinic should take into account is the external environment. The seasonal patient volume and the bank agreement may be the main aspects of concentration. Although the relationship between the bank and the clinic is defined in the case, Alpine Clinic should consider alternative solutions or alternative organizations to finance its needs. Also, the clinic should estimate the possible changes in the economic environment in the next years and the impact of them in the serving population of the clinic.
I was on my Monday evening shift and I was assigned for eight patients where seven of them were older and this teen named Mr.Govanni was with sickle cell anemia. When I took the handover from the dayshift nurse, I particularly noticed this patient from my assignment list because of his age and condition and at the same time the nurse who handed over the duty specifically told me that the teen boy was non-cooperative and also I saw it from the chart that the patient was getting the normal saline at 75cc/hr, CBC result morning( 6 am) showed HB-82g/dl, WBC 10.6. According to doctor’s order repeat CBC at 1600hr and if the HB is less than 80 transfuse two units of PRBC and lasix 40 mg in between the transfusion.
Miles, S. H. (2005). The Hippocratic oath and the ethics of medicine. Oxford: Oxford University
We were able to attain a verbal consent for treatment over the phone from the father. We will be admitting your son to the hospital for IV antibiotics and we will keep an eye on him until he gets better. I respect your wishes and religious views, but I am obligated as a physician to provide treatment to your son based the medical code of ethics and based on your son’s otherwise good health. I know this has to be hard for you to hear and understand right now, but we need to do what is best for your son. And even if your son’s father would not have granted us permission to treat this condition, we would have had to go about it another way to get consent to treat him, as that is ethically the right thing to do. I hope you can find peace in the decision we had to make today, and I hope you can continue to support your son as he needs you by his side during this difficult time. If you have any questions, please do not hesitate to ask, we are here for you too, as well as your
Even since ancient times, it was recognized that doctors had power over their patients, and that there must be ethical implications coming with this responsibility. This was first represented in the Hippocratic Oath, which was created by an Ancient Gree...
Hemineglect also known as unilateral spatial neglect, hemispatial neglect, hemi-inattention, hemisensory, parietal neglect or spatial neglect (Kerkhoff, 2000), is a condition in which patients are unable to attend and respond to the contralesional side of space (Dijkerman, Webling, ter Wal, Groet, & van Zandvoort, 2003). Hemineglect is characterized by the lack of spatial awareness, most commonly on the left hemispace (Parton & Malhotra & Husain, 2004). The most common form of hemineglect, is that of patients who have right hemisphere lesions commonly found to damage the ‘where’ pathway, most commonly after a stroke. These kinds of patients tend to neglect the left hand side of space (Driver & Mattingley, 1998). Although it is not restricted to right hemispheric lesions in the ‘where visual pathway’, it is more predominant and tends to be harder to rehabilitate back to full recovery (Parton; Malhotra; Husain, 2004). Hemineglect does not just present itself visually, but also through other senses such as motor neglect, auditory neglect, representational neglect and also personal neglect (Plummer, Morris, & Dunai, 2003). Hemineglect is not a result of loss of sensory disorder. It is not uncommon to receive left hemisphere lesions or trauma and gain hemineglect. It does seem however that it is easier to treat and rehabilitate patients to a full recovery if this damage has occurred, compared to right hemisphere damage.
In the medical field, there are many ethical dilemmas that a person could face. One of the major dilemmas in the medical field comes from being a doctor. While attending to a patient/ client the doctor may not know the best treatment or course of action to take because of the many options there could be. The values and beliefs of a doctor can’t interfere with the treatment of a patient/client. Their job is to be honest, benevolent, respectful, and to maintain confidentiality of the patient/client.
Nathan Wilkes is the father of a little boy named Thomas, who was diagnosed with very serious Hemophilia at birth. In only 3 days, Thomas can use $47,500 worth of medicine to try to stop internal bleeding that he has had to deal with since birth. The insurance company they received through the father?s work did not want to pay the large sum of money, and no other insurance company has even considered them as a customer. Every year Thomas?s medical bill has been over three quarters of a million dollars.
...ort her actions, then Jack must do so as he is too responsible for making this situation known to the appropriate people. However, one must acknowledge how difficult this may be for Jack due to the long-standing relationship he has with Linda. It should also be apparent now that Linda’s actions are unjustifiable. She is not only acting unprofessionally and unethically by not delivering the medication but she is committing an illegal offence by falsifying records and stealing from the ward. To conclude, it is important to remember that the Department of Health and Children (2008) acknowledge that healthcare has originated in a world which is not flawless and that as humans, errors are possible. However, members of the healthcare system must try and prevent these errors from occurring where possible to ensure a high standard of care which is owed to the service users.
The writer asserts that, although the doctor upholds the dignity of oaths by preventing or terminating any harm towards the patient, equally important is assessing the possible benefits and drawbacks of any treatment. Therefore, it is vital to discuss the principle of beneficence under two subheadings, positive beneficence and the utilitarian principle (Beauchamp, 1989, p.195).
In view of the rising costs of blood, the hospital tried to have sensible discussions with Red Cross and their answer was quite simple and disappointing and that was, for the hospital to get other blood suppliers if it simply didn’t like their prices. Carolinas Healthcare System was not the first to get such a blatant answer and neither was it to be the last. The hospital understood that though the Red Cross had their headquarters in Charlotte, and a national blood testing lab, decisions were not made from within but from St Louis. Based on this, they would not be expecting any considerable action as St. Lois never showed any interest in solving Carolina’s
Consequently, it can be assumed that doctors might tend to avoid such a confession in order to maintain their image of being a “good doctor” (J.Shahidi). Not being a good doctor may eventually lead to doctor’s loss of business and as a result physicians may tend to hide the truth even if it opposes patient autonomy