autonomy of the patient
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In the following three cases, I indicate whether if it would be justified to overcome the autonomy of the patient under the principle of beneficence and why:
In the intensive care unit, you are working on a patient in a very unstable state. The woman and her children (who were all killed) had been in an accident. It is clear that further emotional trauma would be disastrous to the patient and may cause her death. In a lucid moment, she looks at you and asks, "How are my children?" Is this an instance when therapeutic privilege seems reasonable? Whether you decide yes or no to the therapeutic privilege question, write a sentence that you think would be the most appropriate answer for the patient.
You are working late and you enter the patient's room to find that she has climbed out on the window ledge. She appears to be crying and tells you to leave her alone.
Your elderly patient hates to have the bed rails up and tells you to leave them down.
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This job examines cases under the principle of beneficence.
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In the following three cases, indicate whether you think it would be justified to overcome the autonomy of the patient under the principle of beneficence and why.
In the intensive care unit, you are working on a patient in a very unstable state. The woman and her children (who were all killed) had been in an accident. It is clear that further emotional trauma would be disastrous to the patient and may cause her death. In a lucid moment, she looks at you and asks, "How are my children?" Is this an instance when therapeutic privilege seems reasonable?
Response: We have to have some framework upon which to base our ethical decisions. I have found none better than the old adage, "Do unto others as you would have them do unto you." I tell you this right up front. You need to know where I'm coming from in my approach. This statement forms the basis for right relationships and, therefore, we can use it as a framework for ethical decision making. Let's see how.
The woman is lucid. This is the important point. She needs to know the answer to her question. That's why she asked it. She also knows that she's in seriously bad physical shape. Now, we ask ourselves the question, to paraphrase Shakespeare, "Do answer or not to answer. That is the question."
Now, let's put ourselves in her shoes. ...
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