...principles. 1.3 Describe problem-solving methodologies. Readings Read Ch. 1 of Health Care Ethics. Read Ch. 1 & 2 of Medical Law and Ethics. Read this week’s Electronic Reserve Readings. Read the Week One Read Me First. Participation Participate in class discussion. 4/10/2014 1 Discussion Questions Respond to weekly discussion questions. 4/10/2014 1 Nongraded Activities and Preparation Ethics Case Study Begin working on the Ethics Case Study due in Week Two. Learning Team Instructions Begin working on the Code of Ethics Paper due in Week Three. Review the Week One objectives and discuss additional insights and questions that may have arisen Individual Health Care Ethics Matching Exercise Complete the Health Care Ethics Matching Exercise, located on your student website. Match keywords commonly used in health care ethics to the definitions on the page. Discuss the exercise in class and turn in your answer sheet to your facilitator. 4/10/2014 15 Week Two: Application of Ethics Within Individual Organizations Details Due Points Objectives 2.1 Describe ethical principles used in health care organizations. 2.2 Explain the relationship between an organization’s culture and ethical decision-making. 2.3 Recognize the role and importance of ethical values within an organization. Readings Read Ch. 3 & 5 of Health Care Ethics. Read Ch. 8 of Medical Law and Ethics. Read this week’s Electronic Reserve Readings. Read the Week Two Read Me First. ...
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...Ethics Case Study Tina Marie Gaddie HCS 335 Edna Wilkerson June 20,2011 Ethics Case Study It is important to understand that in this case, valium is not an anti-depressant because it can actually cause or worsen the patient’s depression. Another issue to understand is that Jerry does not have any authority to provide medical prescriptions. According to medical law and ethics, the doctors or other authorizing people such as PA or LNP must approve all medication refills. What Jerry could do is to call Dr. Williams and inform him on what his client wants because doctors carry their cell phones because they are aware they might be needed in the office at any time. In case, Jerry will get approval from Dr. Williams, then he will go ahead and issue this refill order. In case, he will issue without consultation of Dr. Williams, then he will be in big trouble because it is against medical laws. Does Jerry’s medical training qualify him to issue this refill order? Why or why not? Actually, Jerry’s medical training does not qualify him to issue this refill order because he is not qualified to issue out the valium prescription. Being both assistant medical and LNP, means that he is not qualified to issue refill order. This is because it is not his work but the work of medical doctors who qualify to issue this refill. Even though Jerry may call Dr. Williams, it may be hard to be given prescription because there is what we call informed consent in medical ethics (Hall and Bobinski...
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...Title: Medical Ethics: History and Guiding Principles Author: Alan J. McGoldrick Course: Medicine, Disease and History Instructor: Professor Foss Date: June 15, 2012 Medical ethics are the moral guidelines and ethical laws that help to prioritize a medical professional's work responsibilities. The code of medical ethics outlines the proper conduct between medical professionals and their patients, communities, and colleagues. Each country has a different code of medical ethics, though most contain the same basic principles, and all share the same history of evolution, according to the World Medical Association. Medical ethics refers to the discussion and application of moral values and responsibilities in the areas of medical practice and research. While questions of medical ethics have been debated since the beginnings of Western medicine in the fifth century B.C., medical ethics as a distinctive field came into prominence only since World War II. (Porter, 1998) This change has come about largely as a result of advances in medical technology, scientific research, and telecommunications. These developments have affected nearly every aspect of clinical practice, from the confidentiality of patient records to end-of-life issues. Moreover, the increased involvement of government in medical research as well as the allocation of health care resources brings with it an additional set of ethical questions. Emerging Medical Ethics Through the Ages Ancient Medical Texts ...
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...Ethics Case Study Heather Holcomb University of Phoenix Ethics: Health Care and Social Responsibility HCS 335 Deborah Laughon RN BSN MS DBA January 23, 2012 Ethics Case Study Case Study Jerry McCall is Dr. William’s office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant mediation, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time. What should he do? (Fremgen, 2009). Overview Health care providers are faced with making difficult ethical decisions everyday. Moral and value systems influence the ethical decision process, but the law and licensure regulations do as well. This case study is an example of a potential ethical dilemma and a possible breach of the law. The following questions will be explored: 1. Does Jerry’s medical training qualify him to issue this refill order? 2. Would it make a difference if the medication is for controlling high blood pressure that the patient critically needs on a daily basis? 3. If Jerry calls in the refill and the patient has an adverse reaction while flying, is Jerry protected from a lawsuit under the doctrine of respondent...
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...ones. There are several types of medication errors and prevention begins with recognizing the causes and developing possible solutions in order to limit the occurrences. Prevention of these errors is an immediate need considering the analysis that they are one of the leading causes of medical grievances in the United States. Infant Death In the case study, “Understanding the Causes and Costs of Medication Errors”, a medication error lead to the death of an infant who was one day old. There were more than fifty latent and active failures that occurred throughout the series of events that lead to the infant’s death that began with the pharmacists and ended with the nursing staff. The laws that were broken in this case weren’t in the hands of a single individual or component however; there were liable parties: nursing staff, pharmacist, manufacturer, physician, health department, and hospital administration. Laws Broken The administration of a medication act is when a single dose of a prescribed drug is given to a patient by an authorized person in accordance with the federal and state laws and regulations, (Pozgar, 2009). This law wasn’t adhered to by the nursing staff involved in this case. The unauthorized nurse practitioner altered the way the medication was prescribed to the patient by administering the medication through an IV instead of an IM injection in accordance to the pharmacist’s orders. This misconception began with the assumption that the medication prescribed...
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...Business Ethics in a Hospital Setting Darlene V Nickerson Columbia Southern University Abstract Business ethics in a hospital setting includes a review of many areas. Ethical considerations include the areas of patient care, nursing ethics, physician ethics, patient privacy, and medical billing practices. This paper will touch on ethical concerns for each of these topics. Keywords: hospitals, ethics, patient care, nursing, physicians Business Ethics in a Hospital Setting When beginning a discussion of business ethics in a hospital setting it is important to take a broad approach. Because a hospital is a business and also a treatment facility, the ethical concerns must be considered not only for areas such as billing and privacy but also for ethics related to the appropriate care of patients, nursing ethics, and physician ethics. The ethics of the treatment methods employed based on the patient’s condition must also be considered. Ethics and Patient Care I believe that when discussing the ethical implications of patient care it is helpful to review a real-world scenario. One highly publicized case involved Terri Schiavo and her husband’s fight to stop her tube feedings as there was no hope for her recovery (VandeKieft, 2005). One reason for the high visibility of this case in the media occurred because the patient's husband and the patient's family disagreed on the diagnosis (VandeKieft, 2005). Terri suffered a cardiac arrest due to severe hypokalemia (low potassium...
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...Press 0521804167 - Euthanasia, Ethics and Public Policy: An Argument Against Legalisation John Keown Frontmatter More information EUTHANASIA, ETHICS AND PUBLIC POLICY An Argument against Legalisation Whether the law should permit voluntary euthanasia or physicianassisted suicide is one of the most vital questions facing all modern societies. Internationally, the main obstacle to legalisation has proved to be the objection that, even if they were morally acceptable in certain hard cases, voluntary euthanasia and physician-assisted suicide could not be effectively controlled; society would slide down a slippery slope to the killing of patients who did not make a free and informed request, or for whom palliative care would have offered an alternative. How cogent is this objection? This book provides the general reader (who need have no expertise in philosophy, law or medicine) with a lucid introduction to this central question in the debate, not least by reviewing the Dutch euthanasia experience. It will interest readers in any country, whether for or against legalisation, who wish to ensure that their opinions are better informed. john keown is Senior Lecturer in the Law and Ethics of Medicine, Faculty of Law, University of Cambridge. His previous publications include Abortion, Doctors and the Law (1988) and Euthanasia Examined (1995). © Cambridge University Press www.cambridge.org Cambridge University Press 0521804167 - Euthanasia, Ethics and Public Policy: An Argument...
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...Week Two: Application of Ethics Within Individual Organizations | | Details | Due | Points | Objectives | 1 2.1 Describe ethical principles used in health care organizations. 2.2 Explain the relationship between an organization’s culture and ethical decision-making. 2.3 Recognize the role and importance of ethical values within an organization. | | | Readings | Read Ch. 3 & 5 of Health Care Ethics. Read Ch. 8 of Medical Law and Ethics. Read this week’s Electronic Reserve Readings.Read the Week Two Read Me First. | | | Participation | Participate in class discussion. | 4 of 7 days/wk | 1 | Discussion Questions | Respond to weekly discussion questions. | DQ 1: Day 2 (June 6, 2012) DQ 2: Day 4 (June 8, 2012) | 1 | Learning Team Instructions | Continue working on the Code of Ethics Paper due in Week Three. Review the Week Two objectives and discuss additional insights and questions that may have arisen. | | | Individual Ethics Case Study | Resource: Ethics Case Study Grading Criteria on your student website Read the case study in Ch. 4 of Medical Law and Ethics that begins, “Jerry McCall is Dr. William’s office assistant.” Prepare a 700- to 1050-word paper in which you answer the following questions: Does Jerry’s medical training qualify him to issue this refill order? Why or why not? * Would it make a difference if the medication requested were for control of high blood pressure that...
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...legal issues will be reviewed concerning the decisions and responsibilities of the nurse in the case of Marianne who has had a stroke and the decisions that the family is facing for treatment or end of life care. The legal and ethical issues in a malpractice case that occurred several years ago and the responsibility of the nurse to her employer, the nurse being sued, the client in question, and the institution’s client will be reviewed. The areas that will be reviewed include how the American Nurses Association Code of Ethics would influence a final decision in each case study, how personal and societal values can influence the ethical decision making, the fundamental legal aspects of each case study, and the legal responsibility of the nurse in the work setting. The ANA code of Ethics must be followed in practice and is an especially useful tool when there are difficult legal and ethical issues that arise in nursing practice. In the example of the malpractice case for negligence, as a witness to questionable practice, it is the nurse’s primary responsibility to protect the safety of the patient. Although the nurse was correct in reporting the episode to administration, she also had a duty to counsel the nurse about the inappropriate standard of care. The ANA is clear that when a nurse is aware of questionable practice the person must be confronted with the concern ("Code Of Ethics for Nurses With Interpretive Statements", 2010). Furthermore, if the nurse was asked at if she...
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...Jerry McCall Ethics Case Study Overview This is an USA pseudo-case diverged from the following Medical and Ethics Textbook case study in Ch. 4 of Medical Law and Ethics that gives insight to medical – ethics and their applications (Fremgen, 2010, p. 85). Jerry McCall is Dr. Williams’s office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium and that the provider, a friend, calls in the medication prior to any flights. This type of request happens often and in slightly different scenarios, but the outcome should remain the same to avoid ethical and legal issues. This paper will review the case study to help resolve the problem, the ethics involved, and the medical responsibility to refilling a prescription without provider authorization. Qualified Medical Training Understanding the definitions of a licensed practical nurse, LPN, and a medical assistant, MA is the first step to making a factual conclusion for this case study. Support staff to the provider cannot make decisions about medication refills for patients without a direct order from the provider. This action is outside the scope of practice for an LPN or MA. Licensed Practical Nurse An LPN is a role in support of the nurse or RN, a registered Nurse usually in a skilled nursing setting such as a hospital or long-term care facility...
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...technology have provided patients with an array of treatment options as well as assumed or possible increased chance of survival. As a result, nurses are met with a rise in ethical decision making. This paper will discuss the legal, ethical, social, and personal factors that can impact our decision making process, with the focus on two specific case studies. American Nurses Association Code of Nursing Ethics Role in Practice The American Nursing Association (ANA) has created a set of ethical standards for the profession of nursing to abide by, which is entitled the ANA Nursing Code of Ethics. The ANA Code of Ethics states that collaboration is central to the care nurses deliver and to their ethical commitment to the patient (Garity, 2005). In the end-of-life case study, the nurse (she) has an unwritten obligation to the patient; the family appears to be in conflict with how to proceed with the patient's medical treatment. The medical team has an obligation to give the family all of their options and possible outcomes. If the family remains in conflict, it would then be appropriate for her to refer the family to the Patient’s Ethics Committee. Referring the family to the committee allows the family to make the final decision of what would be the most favorable outcome for the patient. The critical thinking exercise, however has more of an individual ethical dilemma. This includes the ethical principles of justice and veracity. She should reflect on her own values to determine...
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...Administrative Ethics: A Case Study Social media, such as Facebook and Twitter, have professional uses. However, there is increasing concern over misuse of social media. In The New York Times article “When Med Students Post Patient Pictures” Cohen (2011) describes a situation in which a medical student posts a comical picture of a patient with rebar in his abdomen. The student uploads the picture to Facebook with the caption “a 5-foot-9 Hispanic male walks into a bar” (para. 1). Additionally, the article states that battlefield humor is a common response by many medical professionals, but this does not diminish the doctor-patient privilege of confidentiality. Even though no identifiable patient information is on display, Cohen (2011) indicates that “the chances of that happening increase as the injuries depicted grow more grotesque and less commonplace” (para. 2). Although one can easily surmise the medical student’s actions are both illegal and unethical, his or her actions have further-reaching implications. Facts Legality Like Cohen, Hernandez (2011) agrees “the weirder and more specific the facts, the greater the chances are of identifying who’s involved” (para. 3), and the poster violates the AMA Code of Medical Ethics “which these future physicians ought to emulate” (para. 5). The American Medical Association (AMA) has many Opinions in its Code of Ethics in regard to the protection of patient privacy. However, there are three Opinions that exemplify the need...
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...Ethics Case Study HCS/335 April 6, 2015 Beryl Keegan Ethics is a very important aspect in someone life either it’s from a professional or personal stand point. With having ethics help individuals with determining whether their action is right or wrong. Interpersonal ethics are essential within any career. Healthcare is a number one profession where ethics is essential, due to the fact you are dealing people from all different type of lifestyles and situations. In this case study, Jerry McCall is Dr.Williams office assistant. He has received professional training in both a medical assistant and LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium and antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. H states Dr. Williams is a personal friend and always gives him supply of Valium when he as to fly. Only Jerry is in the office at this time. Jerry is unable to provide the patient with the medication that he needs for his flight. When prescribing a medication the prescribed practioner is responsible in case the prescription given cause any harm or doesn’t conform in all essential respect the law and regulations."(Federal Register Volume 75, Number 193). Jerry needs to apologize for the inconvience and advise the patient under the penalty...
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...as defined by the Oxford Dictionary, is “principles concerning the distinction between right and wrong or good and bad behaviour”1. Hinde states that the principles are influenced and changed by one’s society and culture but also “based in human nature”2. As morality is influenced by society, public opinion is important when it comes to controversial issues. Morality differs from place to place and evolves over time. To compound this diversity, changes in medical treatment, and discoveries which enhance medical knowledge evolves rapidly and what was not even conceivable in some cultures or at certain points in history are now commonly accepted. Developments in end of life care fall within this category. With our increased ability to prolong life, arguments can now be made in favour of moral killings. Similarly, since morality is intuitive in nature, it exists outside of law. However, “many laws are formalizations of moral values”3. Hinde compares the two, stating that “morality prescribes how people should behave”4 while “laws are concerned with how "morality" Oxford Dictionaries. April 2010. Oxford Dictionaries. April 2010., Oxford University Press,...
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...Ethics Case Study Susan M. Brandt HCS/335 February 12, 2012 Professor Beryl Keegan University of Phoenix/Axia Ethics Case Study When we look at health care professionals they are immersed in ever-changing environments. In this case study it is important to know and understand how people face different situations within their everyday lives. Health care has been the main focus for individuals that have anything wrong with them such as an illness or a disease. People that are going through something like this go through a lot and they all have different ways of dealing with the issues. Organizational ethics should also influence both role conflict and mindfulness (Valentine, Godkin, & Varca, July). There are two things that we must understand when it comes to understanding ethics. First, ethics refers to the well-founded standards of both doing right and wrong this tells us what individuals should do, when looking at terms of the right, obligations that benefits to society, fairness or specific virtues. Ethical standards include those that are virtue of honesty, compassion, and loyalty. Ethics are adequate standards of because they are supported by consistent and founded reasons. The second thing to take into consideration about ethics is that ethics refers to the study and development of one's ethical standards. Feelings, laws, and social norms can deviate from what is ethical. 1. Does Jerry’s medical training qualify him...
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