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Ethical issues in organ donation
Ethical issues in organ donation
Ethical issues in organ donation
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Introduction
Autonomy is represented by a person’s right to maintain control over their life and choices. This topic is important to ethical discussions because the patient is at the core of medical ethics (American Medical Association, 2001) and autonomy is so closely related to patient care. However, as with just about anything there is some conflict on this topic. Some consider autonomy to be of the utmost importance as it relates to respect for the patient, while some people think that autonomy must sometimes be restricted to protect patients from being abused or taken advantage of (Alzheimer Europe, 2009). Some people also believe in Mill’s Harm Principle, which states that the only time it is acceptable to interfere with a person’s wishes
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In fact, it makes sense for them to be involved so they can help ensure that the patient has all of the information they need to make the best decision for him or herself. Some examples of topics in this course in which autonomy was of particular relevance were euthanasia and organ donation. Both of these situations involve a patient who is unable to speak for themselves. In the case of euthanasia, the patient in question may be unconscious and their family may wonder if it would be best to let them pass away instead of prolonging their inevitable death. Alternatively, they may also be alive but very ill and may wish to end their suffering with the help of a doctor, known as physician-assisted suicide. While they are able to communicate this, it may not matter as physician-assisted suicide is illegal in some places and the physician could face legal trouble if they go through with it (Humphry, …show more content…
The case of autonomy related to organ donation is a little different than the others because it involves a person already having made the decision of whether or not they would like their organs to be donated after their death. However, despite this decision having already been made, in Newfoundland—as well as in many other places—the consent of a deceased person’s family still must be given for donation to proceed (Eastern Health, 2014). This means that a person theoretically could have exercised their right to autonomy and consented to the donation of their own organs while they were still living but yet their wishes may not be respected despite them having given their direct consent. It should be considered a severe violation to a person’s freedom and independence to deny their request to make such a meaningful
Not all cases is patient autonomy the most important thing to respect and honor. There will always be situations where Medical paternalism is justified. Justifiable paternalism in a medical perspective is prolonging patients’ lives allowing them to exercise their autonomy. Failing to respect a patient’s treatment requests or denials is a violation of the autonomy at that point in time during their illness. While the previous statement is true, the medical professional is violating a patient’s future autonomy. For this reason, medical professionals have the right to act paternalistically, therefore medical paternalism is justified by means of future autonomy and obligations to promote patient
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
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?
Taylor, J. S. (2009). Autonomy and organ sales, revisited. Journal of Medicine and Philosophy , 34, 632-648.
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
There are some arguments for assisted suicide, and respect for autonomy is one of them. A competent person should have the right to choose to live or die. Justice is another thing. Competent terminally ill patients are allowed to hasten their deaths by refusing medication. Physician assisted suicide may be a compassionate response to unbearable suffering.
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
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 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 ...
In her book, Lisa Cahill, a theologian bioethicist does not object the necessity and a patient 's right to self-determination, or autonomy. Echoing the voices of Beauchamp and Childress, who both stress the necessity of informed consent, as an integral part of autonomy, Cahill views it as necessary in the prevention of abuse and unethical practices. She also views the principle of autonomy a means of recognizing the dignity of a human being that is reflected in Christian teachings. Cahill, however, does not want this principle to be the only one valued.
Autonomy and how much of it is right by law. Autonomy is the right to self-government, moral principles we set up for ourselves. What about the respect for the patient’s autonomy? What about the patient’s right to choose what she or the couple sees fit. For example a wife would like to be implanted with six embryos. While the doctor may say that it is an unsafe venture, the couple feels that it is their bodies, lives and choice who is the physician to decide the suitable number for them. When we start to discuss embryos we bring up more issues in dealing with donor anonymity, alternative sources of donor eggs and arguments against and for donation.
The question arises whether a person’s claim to determine what transpires to their bodies afore and postmortem should be respected. Traditional medical ethics lean toward preserving the rights of the person. This translates into the act of not harvesting organs from the living or deceased unless valid consent has been obtained. The basis of this ethical policy lies in the deontological theories that were established by our philosophical forefathers, such as, John Locke and John Stuart Mill. Refusing to acknowledge the individual rights of a potential donor; the doctor, or medical facility is committing an act of ethical betrayal of the donor, the family, the institution of medicine and the law. Thus, the individual rights of the donor must be upheld to the highest ethical degree.
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.
When considering supporting palliative patients it is vital to understand the laws and ethics in each of our cases. Human Rights Act (HRA) 1998 provides legally enforceable rights essential to human dignity and as such should be a national image (Costigan, 2004). with patients’ wishes and values central to the care and treatment HRA (1998), endorsed the opinion that health professionals knew what was best for their patients to a rights-based approach that encourages autonomy and dignity (Griffith,2010). Patient autonomy or choice is emphasised as a key principle when delivering care (Wilson et al, 2014). A study by Van Brussel, (2014) concluded that autonomy and shown to dominate over others, and efforts to fix their meaning signifiers are