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moral compass as healthcare professional
ethical codes adhere in health care
legal and ethical issues in greys anatomy
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Doctors are not infallible; they can make mistakes. However, it is the responsibility of the medical authorities to notify the patient of the missteps. In this episode of Grey’s Anatomy, Dr. Derek had performed two surgeries on his patient, who had had seizures. Due to Derek’s mistake in the first surgery, the patient has to undergo a second surgery. The second surgery is successful, but later on, Dr. Addison informs the patient that she was preeclamptic. The patient being unaware of the term asks if she needs to be worried. Derek then stops Addison from disclosing the truth because Derek wanted to enjoy the success of the surgery and did not want the patient who just recovered from one surgery, to worry again. Nevertheless, Addison warns Derek …show more content…
To discern if the decision were morally right, we have to evaluate it based on the external criteria and internal criteria. “The external criteria… include scripture and church teaching, the community and its values, and moral principles and relevant laws” (Panicola 70). Although the scriptures or the church does not specifically address this problem, we can conclude from the writing and the teachings that it is wrong to conceal truth and pardon the person that commits a crime. This decision is not in harmony with the laws of the community. It would be unacceptable to the community because it would like to promote truthfulness and punishment of the law offenders. This decision also has to be evaluated on the basis of internal criteria. For the internal criteria, a person has to look inside oneself to evaluate the decision. Does the person feel satisfied with the decision and promote these values? The doctor’s decision does not give the inner sense of contentment; we experience “hate, discontent…confusion” (Panicola 71). Nobody wants to become a liar, thus it is not consistent with the kind of a person one would want to become. Moreover, the emotions indicate that something is wrong and these actions do not contribute to the doctor’s moral benefits. The decision of Derek to hide the truth does not promote what is right for right relationships; it definitely does not give a sense of inner content. Consequently, after evaluating the decision based on both the internal and external criteria, it can be concluded that the decision taken in the episode is morally wrong and has to be changed to option
American Medical Int’l, Inc. According to this theory, individuals’ decisions are guided by what they are supposed to do, not by consequences or effects. That is to say, a person’s action is ethically right if it coincides with a prevailing moral duty (“Deontological Ethics,” 2007). In the dilemma involving the patient Riser, Dr. Lang violated the theory of deontological ethics by not performing his duty of acquiring informed consent from the patient. By standard of conduct, Dr. Lang was supposed to present a consent form to Riser prior to the operation that would explain the procedure of a femoral arteriogram (although it was supposed to be bilateral arteriograms instead) and thoroughly explain the possible benefits and risks of the procedure. As a result, the patient should have the right to decide whether the femoral arteriogram should be performed or not. However, Riser was not aware of the femoral arteriogram at all. Therefore, deontological ethics should have been followed, which would advise Dr. Lang to follow the ethical duties of a healthcare professional, and those include obtaining informed consent from the
In closing this story, as well as many others should be a lesson on why we as patients should research our doctor’s background intensely before we choose to be under their care. If we are referred to a doctor by another doctor it is okay to still investigate their history with past patients. It is our bodies and our choice who we let perform surgery or any other procedure on at all times. If we feel uncomfortable at any time for any reason we have the right to refuse care from any doctor. So many people do not realize this and it is a sad fact. I urge everyone to do their homework on their doctor before choosing one. Look at their school back ground, accreditations, years in the field as well as lawsuits or complaints filed. These steps will help weed out the negligent doctors.
Dr. Nemur and Dr Strauss are arguing about whether or not they should use Charlie,“Dr Nemur was worried about using me but Dr. Strauss told him Miss Kinnian recommended me the best from all the people who she was teaching”. This shows that Ms Kinnian recommended Charlie and most likely reviewed the surgery. Ms.Kinnian cares for Charlie, so would not recommend him without looking into the surgery. What this argument fails to consider is the fact that Ms. Kinnian was the only one that reviewed it. There was no other person allowed. Dr. Nemur even specifically told Charlie not to tell anyone, “ Joe Carp said hey look where Charlie had his operation what did they do Charlie put some brains in. I was going to tell him, but I remembered Dr. Strauss said no”. This goes to show how little people are allowed to know about the operation. Even the friend of the patient is not allowed to know. This is no ethical because then people that care are then not allowed to give their review on the subject. Therefore there may not be a proper amount of people that is needed for a proper
Unfortunately stories like Sam Levine happen everyday. Is it morally ethical for doctors to know Sam Levine’s quality of life before he was admitted? Should that effect the care he receives? The best way to try and get a moral decision is by using the four principles, but first let us look back at the situation. Days ago Sam Levine was coherent enough to understand what medical care was being offered to him, but he quickly made a turn for the worst. When Sam originally decided that the medical staff use any means necessary to save his life, did he really thin about every scenario. Was every scenario giving to him by the healthcare professionals.
We'll be deliberating two cases from an Ethical point of view so first we need to know the four principal of medical ethics
Everyone who has seen Grey’s Anatomy knows all the problems and struggles the characters go through with each episode they watch; they know how much Meredith Grey struggles with her mommy and daddy issues which distract her at work and led her to become emotional involved or make an error with a patient. Everyone has seen the characters on the show have committed at least one mistake that led to the death of a patient or a near to death experience. From the time Callie Torres, an orthopedic surgeon, left a sponge inside of a patient and closed him up to the time George O’Malley, a surgical resident, who nearly killed a patient. But what most viewers who watch Grey’s Anatomy do not fully comprehend is that this is not just in a drama but this is in real life—all doctors make mistakes.
Healthcare providers must make their treatment decisions based on many determining factors, one of which is insurance reimbursement. Providers always consider whether or not the organization will be paid by the patients and/or insurance companies when providing care. Another important factor which affects the healthcare provider’s ability to provide the appropriate care is whether or not the patient has been truthful, if they have had access to health, and are willing to take the necessary steps to maintain their health.
Berlandi, J. L. (2002, June). Ethics in perioperative practice: accountability and responsibility. AORN Journal/Find Articles at BNET. Retrieved on January 21, 2011 from http://findarticles.com/p/articles/mi_m0FSL/is_6_75/ai_88575988/?tag=content;col1
One day while doing his job, a physician used a used swab that was possibly infected with HIV on another patient. When looked at by certain people, the doctor did the correct thing by telling his patient that he roused a swab on him/her. However, the chances of this patient getting HIV was substantially low, and he should have waited for the patient to develop symptoms, which would have been rare, before telling the truth. As stated by Michael Greenberg, “he might have done better by keeping his mouth shut.” If the doctor did lie, he could have lied to protect himself, the quality of life of the patient, and his ability to help others with their lives. If he had not told the patient that he used the swab on him/her, he/she would not have had to live in fear of getting HIV. Because of this decision of truth telling, the doctor lost his job, money, confidence, and also affected someone’s quality of life.
Doctors, like every other person, are human beings and thus they can make mistakes just like everyone else. However, when a doctor makes a mistake, it is much more serious than a fast food employee messing up your order. Doctors must follow a set of ethical guidelines in order to minimise the amount of mistakes they make. In a perfect world everyone follows the
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
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.
The most common areas of clinical practice where truth-telling and deception become an ethical dilemma are critical care, cancer and palliative care, mental health and general nursing practice (Tuckett, 2004). Other areas where it can raise potential ethical concerns are in placebo therapy, disclosure of human immunodeficiency virus and informed consent (Tuckett, 2004). Truth-telling is also an act of exchanging moral agents (patients, relatives, nurses) with their sets of values and norms, which in turn are derived from culture, personal and religious beliefs, and traditions (Dossa, 2010). For this reason, the issue of truth-telling is not only approached differently in the various clinical settings but also in different countries, cultures and religions (Kazdaglis et al., 2010). For example, in the United States of America (USA), England, Canada and Finland, the majority of patients are told of their diagnosis (Kazdaglis et al., 2010). Conversely, in Japan, family members play a major role in the decision of ...
The American Medical Association (AMA) developed a Code of Medical Ethics which includes: the patient has a right to obtain and discuss health information related to benefits, risks, and costs of treatment alternatives; patient’s can make decisions pertaining to healthcare suggested by the physician; the patient has the right to courtesy, respect, dignity, and attention to healthcare needs in a timely manner; and the patient has a right to confidentially, continuity, and adequate health care. (emedicinehealth, 2011). Communicating openly and honestly between the patient and doctor will allow both parties to make decisions to properly take care of needs.
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