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U10A1 : Tonyas Case And Professional Codes
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U10A1 : Tonyas Case And Professional Codes
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Course Code: U10A1
University: Capella University
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Country: United States
Question:
CaseTonya Archer is a fifteen year-old patient admitted to the hospital early last week to have some fairly routine surgery performed. Post-surgical complications resulted in cardiac arrest, and then loss of blood circulation caused whole brain death. However, a ventilator and intubation are sustaining her body’s life functions, including all other vital organs. The doctors have determined that the damage is permanent and that Tonya has no chance of regaining consciousness. Therefore, they want to take her off life support. However, Tonya’s parents are adamant she remain on life support. They point out that her heart is beating, and they insist that their daughter is still very much alive.Write a paper that answers the following questions:What are the most relevant end-of-life issues in health care ethics as they relate to this case?What should the hospital do? Should doctors simply keep Tonya on life support, as the parents want? Or, since all medical evidence indicates that Tonya’s brain is permanent, should life support be removed?Support your answer with the following considerations in mind:Explain which principles of health care ethics and which moral theory are the best philosophical foundations for your view.Is your view supported by your professional code of ethics? If so, explain how. If not, explain what your code gets wrong about a case like this.Is your view consistent with the mission statement and values of the hospital you discussed in Unit 1? Why or why not?Would an accrediting body, like the Joint Commission, support your choice? Why or why not?
Answer:
1). The relevant end of life issues in case of Tonya Archer are Beneficence and Fidelity. Beneficence means doing everything that is in favour of the patient’s heath but it should not conflict with the patient’s decision or if the patient is not in the condition of taking the decision then the decision of the guardian’s matter. Fidelity means delivering true and faithful health care. Both ethics were taken lightly as her heart was beating and she was very much alive but the doctors wanted to take her life support off (Cavalieri, 2001).
2). Doctors should keep Tonya treating nicely and give her the best health care as her parents want because it is ethically correct to do. The fundamental principles advice the doctors to take care of the patient even when there is no longer the cure available (LMS, 2012).
3). The principles which act as the foundation for me are:
Nonmaleficence: The basic understanding of this principle is to do no harm of any kind. If talking philosophically, in case of doing no harm to anybody means everything should be done that benefits oneself and others too. Doctors should always work according to the benefit of their patient. In case of Tonya, she was alive and they wanted to take her life support off which was not called for.
Autonomy: Autonomy is very important in my opinion because no doctor can take a decision without informing the patient or the patient’s guardians. In other words, it is the right of the patient that he or she can take his or her own decision in terms of their health care(Summers, 2009).
The moral theory which is important for me is Utilitarianism. This theory advices that the best decision should be taken with respect to everyone’s utility. This decision should do no harm to anyone and is best for everyone. There should always be a win-win situation. In Tonya’s case too, even when there was no cure left for her condition, she should be at least given the best health care as living is every human’s right (Kirilmaz, Akbolat, & Kahraman, 2015).
4). In my view, my opinion supports my code of ethics as if talked about Tonya’s case I would have given the right to Tonya or her parents to take their own decision and would have kept her on life support till she is alive as according to her parents, her heart was beating. In my view, the patient should be given the best of the health care until he or she is alive. The best ethics that works for me are mentioned above, Autonomy and Nonmaleficence. Both these codes of ethics suggest the similar views in this case too (Bhanji, 2013).
5). The mission states that the patient should be treated with good quality and care. They are to be provided with the great service and clinical quality and at the same time the patients should be given compassion. The values of Healthcare are Integrity, excellence, teamwork, compassion, innovation, respect, diversity and efficiency in work. My opinion is not consistent with the mission and vision statement in terms of the case in Tonya as the doctors on the first place could not perform even the minor operation in a best way and hence, she got cardiac arrest and this caused brain death to her. In my view, there was no integrity shown in the work done by the doctors and no compassion was there. No compassion example is that the doctors were adamant to remove Tonya’s life support while she was still alive. Just because no cure was left, they wanted her to not live anymore. This was a very serious concern in my opinion (SCFHS, 2014).
6). The bodies like Joint Commission would definitely support my opinion as the join commission standards too promotes quality work done in health care. In case if any new standards are to be introduced or the old ones are to be renewed, they should be continuously done. The standards themselves focus on the very significant patient, person or resident and the functions of the firm which are necessary and required to give safe and good quality care. The Joint Commission’s state-of-the-art standards set expectations for organization performance that are reasonable, achievable and survivable.
References:
Bhanji, S. M. (2013). Health Care Ethics. Journal of uoJ Clinical Research Bioethics, 4(1).
Cavalieri, T. A. (2001). Ethical Issues at the End of Life. JAOA, 101(10).
Kirilmaz, H., Akbolat, M., & Kahraman, G. (2015). A Research about the Ethical Sensitivity of Healthcare Professionals. International Journal of Health Sciences, 3(3), 73-82.
LMS. (2012). Ethics and the Healthcare Professional . Retrieved June 13, 2018, from https://lms.rn.com/getpdf.php/1867.pdf
SCFHS. (2014). Code of Ethics for Healthcare Practitioners. Retrieved June 13, 2018, from https://www.iau.edu.sa/sites/default/files/resources/5039864724.pdf
Summers, J. (2009). Principles of Health Care Ethics. Retrieved June 13, 2018, from https://samples.jbpub.com/9781449665357/Chapter2.pdf
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