RMata Module1
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School
Aspen University *
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Course
520
Subject
Medicine
Date
Feb 20, 2024
Type
pptx
Pages
10
Uploaded by ConstableFieldKingfisher32
Principles and Theories of Ethics
By: Rachel Mata
Objectives
Discuss the case study regarding inappropriate medical care
Act as an ethicist in a provided case study
Discuss a case study from a health care policy’s perspective
Inappropriate Medical Care: MORAL Model
M- Massage the dilemma: concerns about patient’s wishes
O- Outline the Options: ongoing treatment, transfer, withdraw life support
R- Resolve the dilemma: consider ethical principles
A- Act: implement best option for this scenario
L- Look back: evaluate effectiveness of chosen action Guido, 2020)
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Make Mrs. R’s autonomy a priority
Communicate clearly with the family
Follow chain of command
Include ethics, consider legal & ethical issues such as surrogate decision maker
Document thoroughly Inappropriate Medical Care: Nurse’s Response
(Rich, 2002)
Being the Ethicist: Ethical Rights to Consider
Patient autonomy
Right to refuse treatment
Determine best interests
Medical Futility
Surrogate decision-maker (Rich, 2002)
Being the Ethicist: Policies & Possible Outcomes
Clear end-of-life policies and guidelines
Advance Directives or living wills
Having ethics committee available
Using ethics to form my decision: minimize suffering, respect patient values & dignity (Fischhoff & Barnato, 2019)
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Evaluation for End-of-Life Decision Policy
Assess ethical and legal frameworks
Examine current practices, policies and challenges
Include various stakeholders & their input
Review similar policies at other organizations
Perform ethical consultations
Base policy off of legal requirements
Creating a Proposal for End-of-Life Policy
Include policy statement that outlines patient autonomy
Advance care planning
Decision-making framework
Include ethics committee
Conflict resolution process
Provide education & training (Luna Menza et al., 2021)
Conclusion
Patient autonomy, beneficence, non-maleficence, and justice are ethical concerns during end-of-life decision making
Several reasons why end-of-life decision-making policies should be in place
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References Fischhoff, B., & Barnato, A. E. (2019). Value awareness: A new goal for end-of-life decision making. MDM Policy & Practice
, 4
(1), 238146831881752. https://doi.org/10.1177/2381468318817523 Guido, G. W. (2020). Legal and ethical issues in nursing
. Pearson Education, Inc. Luna-Meza, A., Godoy-Casasbuenas, N., Calvache, J. A., Díaz-Amado, E., Gempeler Rueda, F. E., Morales, O., Leal, F., Gómez-Restrepo, C., & de Vries, E. (2021). Decision making in the end-of-life care of patients who are terminally ill with cancer – a qualitative descriptive study with a phenomenological approach from the experience of healthcare workers. BMC Palliative Care
, 20
(1). https://doi.org/10.1186/s12904-
021-00768-5 Rich B. A. (2002). The ethics of surrogate decision making.
The Western journal of medicine
,
176
(2), 127–129.