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Bioethical Principles

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How might you apply the ethical philosophies and bioethical principles (i.e. beneficence, nonmaleficence, autonomy) in a health care setting? Please provide an example.
In dealing with bioethical dilemmas, there are four principles that are used. The principle of autonomy is the right of the person to make decisions regarding their life. The person/patient must also be informed about their treatment including the risks, success rate and alternatives, which is also known as informed consent (Fremgen, 2009). The principle of beneficence is also known as the principle of doing good in which no harm is done against patients while trying to help them (Fremgen, 2009). The principle of nonmaleficence is defined as “First, do no harm” (Fremgen, 2009, Ch. 1, pg. 18). This means to not do harm to the patient and harm in the process of serving the patient. The principle of justice serves all patients whether they are “rich, poor, educated, uneducated, able-bodied, or disabled” (Fremgen, 2009, Ch. 1, pg. 18).
In applying the ethical philosophies and bioethical principles in a healthcare setting, I would first apply the three step model in evaluating ethical dilemmas: Is it legal? Is it balanced? How does it make me feel? (Fremgen, 2009).
I would apply the principle of justice when implementing policies in a healthcare organization. For example, if I were to create a policy which prevents smoking near the facility in efforts of helping patients quit smoking, it would also be applied to employees of the facility. This would ensure that the patients are comfortable enough to be in a space without the need for a cigarette, especially while being close to others who are smoking.

Fremgen, B.F. (2009). Medical law and ethics (3rd ed.). Upper Saddle River, NJ: Pearson Prentice Hall.

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