Furthermore, although the patients have the autonomy to take their medical decisions, it is the physician’s duty to limit treatments that are considered medically futile for the patient. One of the most challenges faced by medical professionals is the demand made by patients or their family members for treatments that are considered futile in accordance to the professional standards of care. This paper discusses the ethical challenges associated with medical futility. First, the paper dicusses the conceptual and ethical analysis of medical futility provided by Mark Wicclair. This analysis presents three different aspects of futility and the difficulties associated with them.
What if he is purchasing the nuts for someone else? If that were the only consideration in the case, it would be clear that I should not feel the prescription. Another value that needs to be considered is the respect for the Mr. Ramirez’s rights to make an informed decision about his own health. This also brings up a rule/law that requires the physician and the pharmacist to provide facts about the prescription. Another dilemma to face is the trust relationship with Mr. Ramirez.
Ethical Decision Making Model: End of Life Conflict Nurses are faced with ethical dilemmas every day regardless of where we practice or our level of education. Ethics will test our values, integrity, spiritual needs, and legal knowledge. It will involve patients, their families, physicians, co-workers, and management. Some dilemmas will have clear cut answers and resolved almost as quickly as they occur. However, there are instances that do not have a right answer and the outcome has a negative impact on the patient, the family, and the nurse involved.
Patients although should be aware of the drugs that are out there should not be self-diagnosing, for that should be left up to the doctor. What consumers do not know that the advertisements shown could be misleading and portray something other than their main purpose. With the information given out to the public consumers should not follow exactly what advertisements say, in most cases it will lead to the over medication or prescription of an unneeded drug. The FDA should do more to educate the public and not allow the patients to be influenced by misleading
(Henney FDA-1) So it seems that these organizations that are made to protect us are doing their part in helping the cause of illegal drug prescriptions, yet they are not ceasing because of the lack of finding the practitioner that gives the prescription. The FDA says that in their efforts to stop these abuses, one must see a licensed doctor in order to be examined and offered the medicine. This being said, it still doesn’t target the doctor on its own. They might be able to make the process tighter, but if a doctor is crooked, there is really no way of stopping them from writing the prescription. That is why I fight that without making the process of obtaining a license to distribute prescriptions more detailed and strict, there will be no stoppage of the flow
Psychopharmacology and Mental Health Counseling Robina Choudhry Walden University The use of psychotropic medication is becoming more common in the field of mental health. While working with the clients taking these medications, counselors need to know the impact of these medications along with professional, ethical, and legal boundaries of practice. In order to achieve the goal of a client’s well being, counselors should develop a collaborative approach to the client’s other medical professionals prescribing such medications (Foxhall,2008). RECOMMENDING OR PRESCRIBING MEDICATIONS Counselors should not recommend or prescribe medications. In general, the medications used for different mental health problems are called psychotropic medications.
Doctors – If we take a client to the doctors it is essential that we are able to inform the doctor of any relevant information required otherwise this may result in a misdiagnosis. Some clients are unable to communicate very well so we must first understand their problem so that we can convey this on their behalf. 1.2 Explain how communication affects all relationships in an adult social care setting. Communication can lead to good or poor service within a care setting. Good communication with clients encourages participation in activities therefore promoting equality within the care setting.
Non-compliance with medication is often due to adverse effects however involving the clients in the recognition and management of them can help to overcome this. The author has chosen to set up a clinic with the primary focus is to monitor and assess for any/all side effects which are commonly attributed to antipsychotic medication use. The clinic will also be used as a platform to encourage and promote healthy life styles, offer education regarding the illness and management of side effects and a great emphasis will also be placed upon encouragement of concordance with prescribed medication. Regular assessment and monitoring of medicines is essential to ensure optimal treatment for clients. Consideration of both the positive and negative effects of medication and the consequences of these on the clients is essential.
The Chief Operation Officer needs to collaborate with other departments (e.g., Chief Medical Officer, Chief Financial Officer, Chief Operations Officer, etc.) to direct compliance issues thru existing channels for investigation and resolution to make sure that the services provided are meeting the needs of the patients. Patton-Fuller Community Hospital goal is to make the patients experience as pleasant as possible, so improvements must constantly be made to keep up with the needs of the patients. If a patient’s needs are not being met because the hospital does not have the required equipment an action plan would have to be made to make sure the hospital is meeting their standards set by their mission statement. To purchase the required equipment an action plan would be set and different departments would have to collaborate to make it happen as quick and painless as possible.
CONSCIENTIOUS AUTONOMY Displacing Decisions in Health Care by REBECCA KUKLA The standard bioethics account is that respecting patient autonomy means ensuring that patients make their own decisions, and that requires that they give informed consent. In fact, respecting autonomy often has more to do with the overall shape and meaning of their health care regimes. Ideally, patients will sometimes take control of their health care but sometimes defer to medical authority. The physician’s task is, in part, to inculcate patients into the appropriate good health care regimes. At crucial moments of choice most of the business of choosing is already over.