Autonomy in Medicine Finneaus Parker National University February 8, 2013 Dr. Schlitz
Autonomy is the “personal rule of the self that is free from both controlling interferences by others and from personal limitations that prevent meaningful choice” (Pantilat, 2008). Autonomous individuals act intentionally, with understanding, and without controlling influences. Respect for autonomy is one of the fundamental guidelines of clinical ethics. Autonomy in medicine is not simply allowing patients to make their own decisions. Physicians have an obligation to create the conditions necessary for autonomous choice in others. For a physician, respect for autonomy includes respecting an individual’s right to self-determination as well as Advance Directives are oral or written instructions regarding an individual’s choices for what medical care is to be given during a future illness when the person articulating such choices is no longer able to express his or her desires (Ethics Manual, 1998). Advance directives seek to respect patients’ values and preferences to direct their care when they no longer may be capable of making health care decisions. Written directives are preferable, since they are less easily challenged and, if executed properly, have legal standing. As extensions of their patients’ autonomy in decision-making, clinicians are expected to treat advance directives with the same respect as they would with other patient choices. If the provider disagrees with the patient’s choices, he or she has an ethical obligation to inform the patient when the document is executed, and to either resolve the conflict, or arrange for transfer of care. Regardless of the conflict at hand, the autonomy of the patient is the most imperative choice both parties can engage in. Modern medicine is highly specialized, and technological interventions are commonplace, allowing people with chronic illnesses to live longer lives. As illnesses progress and the burdens of life-maintaining interventions increase, patients often exercise their autonomy by
It includes the use of herbal and natural medicines such as opium, natural oils, an mineral supplements to name a few. Ella grew up on a farm and does not trust conventional methods for treating her of breast cancer. No one can really blame her there are so many side effects to medicine now a days who knows if they are actually better or worse? Not only that, alternative medicines seem to be a lot less expensive than traditional or conventional medicines; they seem to be more swift, more effective…
Allison Pas T/TH 2:00 PM PHIL 327 Think Piece #2 The Chief of Medicine How would you describe the Chief of Medicine in terms of his view of the patient/physician relationship (Strong Autonomy vs. Strong Paternalism)? During the article, the Chief of Medicine is showing strong paternalism in terms of his view of the patient/physician workforce. Paternalism as a description of patient-physician relationship is defined as "the attitudes or actions of a person that protects people and gives them what…
University Erica L. Montgomery Module 4 SLP Managed Care MHM/522 Legal Aspects of Health Administration Dr. Paulchris Okpala June 1, 2015 Managed Case The paper, “Physician Incentives: Managed Care and Ethics”, depicts the ethical practice in medicine, and in extension in the MCOs, as well as the economic part of these enterprises. The authors are attempting to emphasize the thin line which exists between morality and business pursuit in the course of execution of duty by MCOs. These two objectives…
professionals, and the public, by providing the framework for commitment to the Welfare of others. They are also belief or ideas to which an individual is committed and which are reflected in patterns of behavior. Institute of medicine (2000). In this article, I will define Altruism, Autonomy, Human Dignity, Integrity, and Social Justice. I will also identify how these values are demonstrated in our every day lives by other nurses and myself. According to Dougherty (1992) “Altruism is a concern…
recognize illnesses, when to see a doctor, expectations of care, and the inability to understand instructions on prescribed treatments. Other cultural barriers include the role of family, religion, spirituality, fatalistic views and the use of holistic medicine. Barriers to obtaining appropriate care can also be linked to the attitudes and responses from medical staff towards the Hispanic patients. In Hispanic families even though it’s a male dominated world, the mother is in charge of the medical problems…
The aim of this essay is to analyse the legal and ethical dilemmas doctors and other healthcare workers may encounter in the working theatre environment. The essay will explore the concept of ‘Autonomy’ and ‘Paternalism’ and how these apply to health care in a given case scenario. Standards set out by the Health Professionals Council for Operating Department Practitioners will be discussed with regards to the patient scenario The case scenario for this essay is a forty seven year old lady who…
systems for medical supply management, clinical workflow, practice management, pharmacy automation and care management, provides pedigrees programs to ensure the quality of the product has been tampered with for Apple Discount Drugs. To make sure medicines, products, and services are all working as they should, Apply Discount Drugs have the quality assurance department call people to see how they are doing and making sure everything is alright. Later on the pharmacy staff will make a follow up call…
Laws often change will ethics remain the same depending on the situation • When laws are violated, you are punished. • Laws are practiced differently in other countries • Laws are the final arbiter in society • Laws governs the practice of medicine • The mission is to protect health care through proper licensing and regulation of physicians and surgeons and certain allied health care professionals and objectively enforce the Medical Practice Act To Promote Access to quality medical care…
and family to learn what treatment is acceptable and what we as providers can do to follow their beliefs and wishes. The Amish and Healthcare Practice Barker (2009) defines the aspects of cultural competence as cultural autonomy, acculturation, and imposition. Cultural autonomy is to uphold ones cultural values without invoking pressure to change their views. Cultural acculturation refers to adapting to traits from another culture and cultural imposition is when one attempts to impose their values…
wide range of reasons that are driven by unique circumstances and stage of life” (p. 12). Women should consider abortion as a medical option because it sustains women’s psychological well-being, protects women’s physical health and ensures women’s autonomy. Abortion sustains women’s psychological well-being. Abortion eliminates women’s anxiety from mistimed pregnancies. “Most women view unwanted…
