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The patient doctor relationship essay
Ethics in patient care
Ethics in the medical field
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There is only one circumstance in which it is okay for doctors to lie to their patients. The main thing that doctors must abide by is to do no harm. It is acceptable to withhold information when a patient is in a critical condition and hearing bad news could possibly make their situation worse. At that point, I believe it is okay for the doctor to lie to the patient and tell them that they will be okay in order to give them hope. This could lead them to feel better for a few days and after that it is necessary for the doctor to tell them the truth. However, this is circumstantial. If the patient does not even have the chance to survive a couple more days, then the doctor must tell them the truth up front. But if it increases the likelihood
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
In conclusion, doctors have a moral obligation to tell patients the truth about their illnesses, unless the patient clearly states that he or she does not want to know. Medicine is a field that works to treat the patient. This means that physicians are there for guidance, using expertise and years of education to guide them to a cure. This does not mean that a physician should make decisions about the patients without proper consent. Believing that patients will misunderstand the diagnosis, or assuming that they won’t want to know are not valid reasons for keeping information from the person. Communication is important in a medical setting, and is especially important when talking about the health of an individual. With relevant, appropriate and humanistic communication, telling a patient their diagnosis can and should be done in a caring way.
What is the morality of a lie? Morality and ethics is a topic widely discussed in philosophy. There is a distinctive difference in the perspectives of ethics held by Kantians and those who hold a utilitarian view of ethics. Kantians believe that the ethical standpoint of a decision be made purely on the decision itself, whereas
Ethical dilemmas are the issues that nurses have to encounter everyday regardless of where their workplaces are. These problems significantly impact both health care providers and patients. Patient safety is the most priority in nursing and it can be jeopardized by a slight mistake. Medication errors and reporting medication errors have been major problems in health care. Errors with medications have been found to be the most common cause of adverse drug effects (Brady, Malone, Fleming, 2009). Northwestern Memorial Hospital in Chicago conducted a research in 2012 that approximately forty percent of the hospitalized clients have encountered a medication error (Lahue et al., 2012). A nurse’s role is to identify and report these medication errors immediately in order to stop or minimize any possible harm to the patients. Ethical moral dilemmas arise when reporting the mistakes that have been made by one’s own colleagues, acquaintances, peers, or physicians.
Roger Higgs, in “On Telling Patients the Truth” supplies commonly used arguments for paternalistic deception. For the purposes of this paper, paternalism will be defined as, “interference with one’s autonomy or self determination for their own good.” The first argument for paternalistic deception is founded on the idea that medicine is a technical subject where there are very few guarantees (613). Thus, Higgs supplies the argument that not only is it impossible for a patient to understand the true breadth of their diagnosis and prognosis, but additionally that medical predictions are not medical truths. The second argument for paternalistic deception comes from the belief that patients do not actually want to know the truth about their condition, and could suffer from worse health outcomes if they are told the truth (614, 615).
Physician-assisted suicide refers to the physician acting indirectly in the death of the patient -- providing the means for death. The ethics of PAS is a continually debated topic. The range of arguments in support and opposition of PAS are vast. Justice, compassion, the moral irrelevance of the difference between killing and letting die, individual liberty are many arguments for PAS. The distinction between killing and letting die, sanctity of life, "do no harm" principle of medicine, and the potential for abuse are some of the arguments in favor of making PAS illegal. However, self-determination, and ultimately respect for autonomy are relied on heavily as principle arguments in the PAS issue.
Lying is never acceptable because it can hurt people sometimes in the end or it can ruin your relationship with someone. It can ruin your relationship with someone by having that person feel like your not a good person for not telling the truth about something or someone. You can hurt someone by making them get in trouble or get called things for not telling the truth about something and then they get upset with you for it. First, we should always tell the truth to someone especially if they deserve it.
As mentioned earlier, doctors are not bound by an obligation to tell the truth. Nevertheless, not been truthful can take on many forms. Doctors may unintentionally mislead patients by omitting certain information, or indicate a falsehood to a patient. In this case, the latter applies where the doctor willingly would lie to his patient by revealing the father was not a good match. Since the girl’s life is at stake, then not lying to the family is morally necessary to protect her from harm, which is acting according to the principles of
Not telling the truth sometimes is the best outcome of a situation. Harold Smith, 64, was going through treatment for a kidney tumor. He didn’t tell his daughter about the tumor but instead lied about it. “I tried to protect her. It slowed down the anxiety,” Smith said. Something as serious as a tumor, is not easy to say out loud. And if the lie shielded his daughter from emotional stress, anxiety, and sadness then lying was the right choice.
Lying is used in a multitude of situations; from something as simple as telling your parents that yes your room was clean when in reality it was still a total disaster, to something of a more serious matter such as accusing someone of something they didn’t do to save your own skin, but the real question is whether or not lying should or should not be acceptable. A lie is defined as “a false statement made with deliberate intent to deceive; an intentional untruth; a falsehood” Although some would say that lying is acceptable in certain situation, in actuality lying shouldn’t be acceptable because it can worsen the current situation, cause more problems to arise and cause harm to oneself and others.
Anne is a single mother, and grew up in a deprived area of the inner city. She currently lives in a local authority housing estate near to where she grew up and leads an unhealthy lifestyle. She smokes, does not exercise and more importantly, does not follow medical advice given to her. This is detrimental to her well-being as in the long run, her health will deteriorate. Having grown up in possibly poverty, she probably does not have a fair amount of education as well. Being a single mother of two means that she has to shoulder the stress of bringing up the children in addition to providing for them, this emotional burden, coupled with her ill health, will have a likely impact on her upbringing of her children as they would be compelled to lead the lifestyle she is leading as she is their parent after all and they would very likely follow in their parents footsteps as what they perceive to be the right way. Anne might also not have enough knowledge on how to bring herself and her children up healthily and this might result in implications in the long term medical statuses of her children. From a lifespan perspective, Anne is in ill health probably because of her social determinants whilst she was a child. Having lived in poverty and in a deprived area of town, she would not have ready access to resources needed to sustain herself such as clean water. All the above factors would lead to her being unable to take care of her own health, and the various illnesses she presents with now might well be the consequence of it. Having inadequate education, she would not be able to bring her children up correctly especially in terms of health, this probably is probably a cause of their obesity issues. The unconducive environment is likely a...
When is lying acceptable: sometimes, always or never? The background of lying is that utilitarian philosophers have supported lies which achieve good outcomes such as white lies. My thesis statement is that lying is sometimes acceptable when is can be used to protect and care for others.
In certain situations, however, lying is permitted, expected, or even encouraged. Having false information, and portraying that lie to authorities can have serious
Lying is Bad Some people think that it is permissible to tell a lie because they want to protect vulnerable people feelings while others think it is not necessary to tell a lie. Their need to tell a lot to take care of other’s emotions. There are a couple of examples to show why lying is okay.
In certain circumstances and situations, I truly believe it is ok to lie. Initially, it is extremely beneficial to lie, rather than hurt the feelings of a loved one. Equally important, if you are trying to protect someone from getting impaired, it is okay to lie in order to keep them safe. Last but not least, exaggerations can help boost people’s self-esteem by making them exceptional. William Blake once said “A truth that's told with bad intent beats all the lies you can invent.” I urge you to question if honesty is really the best route, or is it okay to lie sometimes.