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Ethical Concerns on Specific Patient Issues

Please choose one of the following questions and answer using the MORAL (framework for ethical decision-making). Identify the ethical dilemma. Identify the key stakeholders. Solve the dilemma using an ethical decision framework. Please provide an introduction, body, and concluding paragraph. Integrate additional content from your research into the other paragraphs of your posts to support your statements. Please provide two references that are not a web page.

1. M= massage the dilemma (consider what the issue really is and who is involved in the issue)

2. O= Outline the options

3. R = Review the criteria (ethical principles and facts) and resolve the dilemma

4. A= Affirm the decision

5. Look-back = after the decision is made and the dilemma resolved, was this the right action

Please pick on question. Identify the ethical dilemma. Identify the key stakeholders. Solve the dilemma using an ethical decision framework.

Question 1: this question has to do with patient competency.
How do the principals of Autonomy and Beneficence conflict when making healthcare decisions that run counter to the patient's wishes? .

Question 2: Access to long-term care seems to be a problem for the elderly in general. However, it is even more difficult for minority populations. Why do you think this is true? Please be sure to ground your rationale in evidence

Question 3: Do you agree with some providers that the terminally ill have moral obligations to their family members? If so, what obligations do they have?

Question 4: What ethical principles does a physician does the physician face when he/she gets a request for assisted-suicide? As the healthcare administrator, what are the ethical principles that you face with this request?

Solution Preview

It's a little difficult to apply MORAL to such vague questions, typically you would have a case study to examine, but we'll work through it as best we can. Let's start with question 1.

According to Tunzi (2001) a patient must be assessed for capacity at "every clinical encounter." So, during your evaluation of patient A you detect a significant degree of difficulty understanding the information given. Patient A needs treatment X, but you are having difficulty getting the patient to understand how important and potentially life-saving this treatment is. The patient continues to refuse treatment. The stakeholders are the healthcare team treating the patient, the facility where treatment is taking place, the patient, and any family the patient might have.

You could decide to treat the patient despite his/her refusal, you could not treat the patient and potentially allow them to die, you could transfer the patient to another facility to deal with the problem, or you could assign a guardian to the patient who will act in the patient's best interest.

The basis of autonomy is that the patient has a right to make decisions about their own healthcare ...

Solution Summary

This solution provides a discussion of the given case using the MORAL ethical decision-making framework. It walks through a rough overview of each component of MORAL and provides 3 references.

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