PHI 227 VILLANUEVA, KRYZTEL ARABELLA
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Northern Virginia Community College *
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Course
227
Subject
Philosophy
Date
Dec 6, 2023
Type
docx
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6
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PHI 227 Write-up on Fremgen’s Medical Law & Ethics: Chapter 1
Chapter Questions
1.
I believe that in the case of Jeanette M., an ethical problem arose but the second
party does not have any legal responsibility to the deceased patient. In my
opinion, the receptionist asked an important question to the patient if she was
experiencing any other symptoms aside from shortness of breath. Although the
patient said no, the receptionist overlooked the patient’s situation which later
escalated to an emergency that caused the patient’s life. I truly believe that
Jeanette’s case is unethical because if only the receptionist had been able to
relay the message to the doctor right away, Jeanette’s life could have been
saved.
2.
Although, understandably, the receptionist was swamped with work providing
other patients’ needs, she failed to do one of her duties that could have saved
one’s life. Therefore, I believe that the receptionist is somewhat at fault for
causing Jeanette’s life.
3.
I think many factors affected Jeanette’s case. Even though I believe that the
receptionist held an ethical responsibility in Jeanette’s death, other factors like
having enough staff during that busy day or better staffing could have also
changed the outcome of Jeanette’s situation.
4.
I think Jeanette’s case could have been prevented if the receptionist had been
attentive to Jeanette’s complaint. Although she was able to perform her other
duties, she failed to uphold her responsibilities to Jeanette as her healthcare
provider.
Points to Ponder:
1.
I believe that an alcoholic patient has a right to be still eligible for an organ
transplant if the patient signs a legal document that the patient will abstain from
any type of drinking alcohol and if the patient shows a will to live. I think this
is only ethical because addiction is also a form of illness and should not hinder
a person from receiving treatment. I think the principle of justice applies to this
type of dilemma. (Fremgen 21)
2.
I think a suicidal patient should be assessed as to whether or not the patient is
capable of making the right decision regarding the patient’s plan of care. Doing
this will protect the patient’s principle of autonomy (Fremgen 21) and at the
same time will provide the best opportunity for the patient’s case.
3.
I think prisoners should still have access to medical treatment if necessary. I
think it is important to keep in mind that there are prisoners who are wrongly
accused therefore it is only just to treat prisoners’ medical conditions.
4.
Assisted suicide can be ethically justified depending on the situation. The
principle of autonomy states that “people have the right to make a decision
about their own life.” (Fremgen 21) and it is also important to know that ethics
is grounded on reasons and facts and not just about what others might think is
morally right. (Fremgen 20)
5.
Yes. If it’s in the best interest of the patient and will not do any harm to the
patient.
6.
If the patient’s life is at risk or at a disadvantage.
7.
I don’t believe so. We must uphold the principle of non-malfeasance which
means to do no harm to our patients (Fremgen 21). Doing the human
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experiment is almost like blindly treating a patient with no certainty of the
outcome and does not respect the sacredness of life.
8.
If there is no written and signed consent that can prohibit health providers from
disclosing patients’ medical information.
9.
Yes, if they are in charge of the child’s welfare.
10. No. We should adhere to our Duty-based ethics and respect patient’s privacy
despite of our emotional needs.
Discussion question
1.
The receptionist should have additional training about the ethical rights of
patients. I believe that Jeanette’s case could have been preventable if the
receptionist had enough knowledge of her responsibilities to the patient and as
an employee in a healthcare setting. The receptionist needs additional training
in implementing a commonsense approach to ethics (Fremgen 17).
2.
Legal is based on rules and regulations to protect our rights as a citizen of our
society. Moral is the determination of what is right and wrong that may depend
on the situation. The law in our country does not change but our perception of
what is just or unjust may change depending on what we believe and our
principles.
3.
An example of an ethical dilemma is when companies from make-up industries
use animal test experiments to produce products that are safe for humans. A
bioethics situation can be about abortion for women who do not want to
continue their pregnancy. And a medical-legal problem could be giving
resuscitation to a patient who’s signed a DNR order.
4.
I believe that the points to ponder are both ethical and legal issues because the
situations that are given both concern the moral and legal needs and rights of
the patients involved. The given situations do not fall in one scope and concern
both moral and legal rights of each person involved.
5.
The first example of an ethical situation in nursing may be contradicting a
physician’s plan of care for the patient. It is also a common ethical issue in
nursing to find yourself in a situation where confidentiality challenges your
duty to warn. Protecting the patient’s privacy but also getting concerned about
others who can get harmed if they are not informed. Third, is End-of-Life care.
Nurses may find themselves stuck between following the patient’s wish for
end-of-life while other family members may ask to do everything possible to
save the patient’s life. Fourth is when a patient’s cultural and religious belief
hinders the standard protocol and practices of the healthcare setting. Lastly is
autonomy versus beneficence. Nurses have the duty of administering
medications to the patients, but patients also have the legal right to refuse
medications if they are assessed to be capable of making decisions of their plan
of care.
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