This paper and the case study presented will explore issues related to freedom of conscience and consider practical approaches to ethical collision in clinical medicine.
The role of oncologists in balancing these interests and meeting their primary obligation to the patient, while considering the limitations on this duty and their competing obligations to other parties, is well explored by Tenner and Helft.
Considerations in Ethical Decision-Making In light of the fact that modern ethical principles do not address specific medical procedures and can be interpreted in many ways, how then are physicians and other healthcare providers to make challenging decisions in situations of ethical distress.
For many centuries, the medical community ascribed credence to the venerable Hippocratic Oath, or related ethical principles, as universal points of ethical reference.
Such ethical standards have sometimes received diverse interpretations Reflective account ethical dilemma treating cancer practical settings. Advertisement We need to be very thoughtful about which drugs or technologies we provide and approve for use, meaning new agents and devices need to be a lot better than what is already available.
For example, one physician may refuse to violate his or her beliefs about a particular intervention claiming it would endanger professional integrity, while another physician may experience no internal disquiet or angst over performing the same intervention—either because he or she does not hold convictions against such procedures, or because he or she is convinced that acceding to patient requests is fundamental to professional integrity.
Furthermore, from a practical standpoint, FC legislation would seemingly complicate the healthcare system and compromise any united standard of care [ 74 ]. Public advocacy generally involves personal risk to the advocates as they are resisting the status quo and often contending against vested interests that are alleged to be subversively harmful to patient and societal wellbeing.
These professional societies frequently claim to be the official voice for their specialty, but in reality they are only accountable to their members. Our job as a nurse is to do no harm and this may be maintaining confidentiality and privacy. An ethical dilemma is generally a problem that has no right answer, wrong answer or sometimes there is not even resolution.
Ethical theories have differing implications and it is hard to say if any one particular theory will account for every situation that comes to light. How do we deal with alcoholism and substance abuse when the patient is a chronic addict.
The cognizance on making ethical decisions can be achieved by considering intrinsic ethical concepts, ethical beliefs, a model for decision-making and the code of ethics for nursing. Failure to disclose the rationale for professional conscience decisions may leave patients confused, in a quandary, and perhaps feeling rejected for the evident disagreement.
Some cultures have spiritual or magical theories about the origins and cause of disease, for example, and reconciling these beliefs with the tenets of Western medicine can be very difficult. In the academic and grey literature, the majority of conscience issues are discussed somewhat imprecisely within two general domains: The perspectives vary considerably.
See also Do Not Resuscitate and cardiopulmonary resuscitation In many cases, the "expressed wishes" of the patient are documented in these directives, and this provides a framework to guide family members and health care professionals in the decision-making process when the patient is incapacitated.
Informing patients of their options becomes key to helping oncologists learn what they want. Physicians may be concerned that discussions of the limits of care may be confused with rationing. Utilitarianism is about telling the truth when it provides more good than harm utilitarian.
N Engl J Med. There is uncertainty as to whether escalating ethical diversity within contemporary medicine is an asset or a liability to cohesion with the medical community and to the provision of optimal clinical healthcare.
Some ardent adherents of this perspective also state that physicians who refuse to comply with legally accepted and established medical treatments are not qualified to fulfill the role of a professional within the medical community, and should therefore be asked to find a more suitable profession or medical specialty with no threat of conscience dilemmas [ 27555771 ].
Delivering affordable cancer care in high-income countries. History is rife with instances where delivery of independent, ethical medical care was compromised with disastrous results. Psychiatrists and Obstetrician-Gynecologists for example, are two disciplines noted for having a higher rate of sexual misconduct.
This writer feel that Andrea should have been encouraged to tell her parents after educating her on what cervical cancer was. One area that the medical profession takes very seriously is patient confidentiality. How should nurses approach ethical dilemma when patients are utilizing resources that might be better used on another patient or population of patients.
Individual physician behavior is often measured against the grid of clinical practice guidelines, which are medical practice directives delineating the SOC to guide physicians about what is expected in specific clinical situations.
The remainder of this paper will focus on exploring issues related to FC freedom of conscience. Trespassing the bounds of personal conscience, they contend, results in severe compromise to individual self-respect, integrity, and personal job satisfaction [ 1087 ]—qualities integral to physician well-being.
There will still be conflicts between family members or patients and their families over how much information should be provided and how care should proceed. When these conflict, utilizing other skilled practitioners or the ethics committee might be needed to help solve the dilemma.
Clinical loyalties and the social purposes of medicine. From our survey of the literature as well as through personal experience, a few examples of the myriad situations that involve ethical consideration with patients, peers, or regulators are presented Table 1.
First, a person's conscience is rooted in a fundamental responsibility to consider all situations within a framework of ethical obligation [ 8 ].
How should nurses approach ethical dilemma when patients are utilizing resources that might be better used on another patient or population of patients. The example for this dilemma would be a patient that has no brain function, is on life support and has been for several years.
August 3, The Immortal Life of Henrietta Lacks Loretta Pleasant, also known Henrietta Lacks, Hennie and many other names was born August 1, in Roanoke, Virginia. Henrietta was a poor African American woman who worked as a tobacco farmer.
Berman, A. & Snyder, S. Kozier & Erb's Fundamentals of Nursing. pg 87 An example of the nurse's moral obligation according to the ANA Code of Ethics is: a) Withholding food and fluids to a dying patient if it is determined to be more harmful to administer them then to withhold them.
This reflective account will discuss an ethical dilemma which arose during a placement within a community setting.
To assist the reflection process, the Gibbs () Reflective Cycle which encompasses 6 stages; description, thoughts and feelings, evaluation, analysis, conclusion and action plan will be used which will improve and strengthen my nursing skills by continuously learning from.
Ethical and epistemological questions relate to the methods that should be used to take existing evidence into account before the clinical trial is designed and ultimately approved.
It has been argued that investigators have moral obligations to use the best current methods to assess existing knowledge before clinical research can be sanctioned.
First aid reflective account ac identify the role and responsibilities of an emergency first aider- On 17th January I attended a study lesson on emergency first aid where we learnt the roles and responsibility’s of a first aider and how to carry out those responsibilities/5(1).Reflective account ethical dilemma treating cancer