Thursday, January 3, 2019
Analysis or Current Ethical Dilemma in Health Care
There are umteen types of respectable plights that plague the medical line of merchandise that never is a dilemma more grievous than when dealing with vivification and death. In situations such as these, bingle moldiness follow their own example compass. When the case involves an entire hospital spill against their religious mandates for the life of a charr, the finis becomes that much more uncontrollable. This paper leave behind analyze the situation peerless capital of Arizona hospital found themselves in and the repercussions it suffered because of it finis. St. Josephs Hospital and Medical Center in Phoenix, Arizona is a hospital internationally recognized for their neurology department. They lead case-hardened high profile forbearings such as Brett Michaels and Muhammad Ali, but neither has gained the hospital preferably the publicity as a fair sex pursuit sermon in November 2009. aboard neurology, St. Josephs Hospital also has a noted obstetrics depar tment and this is where the char cleaning adult female was acti hotshotd. In late November 2009, a terminally ill woman came to the obstetrics social unit suffering from pulmonary hypertension. She was 11 weeks pregnant.During the sort of diagnosis, it was found that the pregnancy was exacerbating her ailment by worsening her hypertension to the get of placing the affected role of in immediate risk of death. Doctors determined the only course of bodily process to save the woman was to abort her pregnancy. With St. Josephs being a Catholic hospital, this ratiocination went against their guidelines. The decision was directn before an lesson philosophy committee which decided to proceed with the procedure. The rationale for the committees picking was that they were seeking specifically to save the womans life, not to remove the pregnancy. (Clancy, 2010, p. 1) As a result of performing the procedure, the hospital was bare of its Catholic status. The problem identified in this situation can be present in one question does the religious affiliation of a hospital pass the practiced to dictate the trouble of a forbearing? Had the ethics committee deceased the other way and decided not to abort the pregnancy, this would have prohibited the womans right to live. One should take into account that the diligent sought treatment at a Catholic hospital and she should have been aware of their belief system. notwithstanding one doesnt know if the patient came to this specific hospital because of its Catholic relegating or whether she had no choice in the matter. In either case, is it not a hospitals firstly duty to fork up the beaver care possible for their patients? The beaver care for this patient was to abort her pregnancy but the guidelines of the hospital would rather have seen the patient die trying to save both. My individualized set and ethical position in this case lead me to side with the hospital. I have always been a index of the pro -life ideal and this instance is no exception.The principles I advocate for the strongest are maintain for the patients autonomy and beneficence. Keeping these principles in mind, the patient do an informed decision slightly her care and the hospital needed to delight in that decision. As far as beneficence, the equal to benefit ratio was analyzed and a conclusion was reached that benefited the patient most. Utilitarianism is a surmisal I would apply to this case. Doing the greatest near for the greatest amount of people and deliver those you can save.Sometimes the end does dislodge the means. This not to say that religion plays no part in treating patients, but it is my firm belief that if the Catholic guidelines had prohibited the patient to receive the spontaneous abortion, two lives would have been lost. When do a serious choice in a case like this, it is important to factor in alternate resolutions. The first alternate resolution is the most diaphanous and would ha ve had the highest priority transfer the patient to a facility that has no abortion restrictions.This would have been the best case scenario but the patient was not stable enough to be relocated and may have died in transit. Another alternate decision would have been to attempt to wait reveal the patients condition and treat her medically. Do to patient confidentiality, the specifics of the patients condition are not known. base on the testimony of doctors at St. Josephs, the woman was in critical condition and had this blast been followed, the consequences would have been fatal to both get under ones skin and child. This information makes medical management the net in alternative priority.When faced with difficult ethical dilemmas, it is best to have a plan of action to assist in decision-making. A quantity by measuring stick approach often works best because it allows the decider to breakdown a stressful choice into workable parts. First one must discover the problem and ask the divert questions What? Who? How? The second step is to identify ones own personal values toward the dilemma. The third, fourth and fifth steps admit coming up with reasonable alternative, examining them and hence predicting the possible outcomes of those decisions.In the sixth step, one should prioritize the alternative choices to better identify the most acceptable one. The seventh step is where the terminal decision is made found on all the information gathered and a plan is created. The plan is whence implemented in the eighth step. The final ninth step is when one evaluates the end result and determines if the decision made was the right liaison. In evaluation of this particular ethical dilemma, the right thing was done. The decision to withdraw from the values of Catholicism to save the womans life was the right thing to do.The hospital agrees and therefore lost its Catholic status because they stated that they would have made the same choice again. (Kurtz, 201 0) Dealing with ethics can be a guileful thing to navigate which is why it is prevailing to have a good adept of ones own moral compass. This is not the last dilemma this hospital will face but avocation solid ethical values and principles, they should tactile property confident in their ability to provide the best care to the patients they treat.