Health Care Ethics
In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.
Mrs. G. has an aneurysm in her brain that, if untreated by surgery, will lead to blindness and probably death. The surgery recommended leads to death in 75% of all cases. Of those who survive the operation, nearly 75% are crippled. Mrs. G has three small children. Her husband has a modest job, and his health insurance will cover the operation, but not the expenses that will result if she is crippled.
When informed of this, Mrs. G. is in great emotional turmoil for a week or so until she makes her decision. She refuses treatment, because she does not like the odds. There was, after all, only a one chance out of sixteen for a real recovery. In addition, she could not come to grips with exposing her family to the risk of having a mother who would be a burden and not a help.
Can a patient with serious obligations, such as a family, refuse treatment? What odds of recovery would be good odds?
Mrs. S., an 85-year-old housewife, becomes aware of breathlessness and is easily fatigued. She is known to have had a heart murmur for 2 years. She consents to come to a research hospital for cardiac catheterization, which confirms the presence of severe, calcific aortic stenosis with secondary congestive heart failure.
Because of the unfavorable prospect for survival without surgical intervention, the recommendation at the combined cardiac medical-surgical conference is for an operation. The physician explains the situation to Mr. and Mrs. S. and recommends aortic valve replacement. It is noted that the risk of surgery is not well known for Mrs. S,’s age group, and that early mortality is usually around 10 percent, with 80 percent achieving good functional results after 3 years. Her lack of an obvious disease makes her a relatively good candidate for a successful surgical outcome, despite her age.
Mrs. S. appears to understand the discussion and recommendation, but requests deferral of the decision and shows signs of denial of the problem. She has no other medical problems, her husband is in good health, and their marriage appears to be happy. They are financially secure and enjoy a full set of social and recreational activities. She returns on three subsequent occasions for simple, supportive attention. The physician decides not to employ psychiatric assistance or other measures to reduce her denial and begins to use conversation to reduce her anxiety associated with her decision.
Does Mrs. S.’s apparent denial of her condition make informed consent impossible? Is the physician ethical in reducing her anxiety about her apparent refusal of treatment when the physician believes treatment is medically indicated?
Paper should be 3 to 5 pages with at least 3 references in APA format
At 111papers.com, we value all our customers, and for that, always strive to ensure that we deliver the best top-quality content that we can. All the processes, from writing, formatting, editing, and submission is 100% original and detail-oriented. With us, you are, therefore, always guaranteed quality work by certified and experienced writing professionals. We take pride in the university homework help services that we provide our customers.
As the best homework help service in the world, 111 Papers ensures that all customers are completely satisfied with the finished product before disbursing payment. You are not obligated to pay for the final product if you aren’t 100% satisfied with the paper. We also provide a money-back guarantee if you don’t feel that your paper was written to your satisfaction. This guarantee is totally transparent and follows all the terms and conditions set by the company.Read more
All products that we deliver are guaranteed to be 100% original. We check for unoriginality on all orders delivered by our writers using the most advanced anti-plagiarism programs in the market. We, therefore, guarantee that all products that we submit to you are 100% original. We have a zero-tolerance policy for copied content. Thanks to our strict no plagiarized work rule, you can submit your homework to your professor without worrying.Read more
TThis is one of the most cherished courtesy services that we provide to help ensure that our customers are completely satisfied with our finished products. Delivering the best final product to our customers takes multiple inputs. 111papers.com prides itself on delivering the best university homework help services in the writing industry. And, in part, our free revision policy is how we do it. What’s more, all our revisions are 100% free without any strings attached.Read more
Client privacy is important to use. We know and understand just how important customers value their privacy and always want to safeguard their personal information. Thus, all the information that you share with us will always remain in safe custody. We will never disclose your personal information to any third party or sell your details to anyone. 111 Papers uses the most sophisticated, top-of-the-line security programs to ensure that our customers’ information is safe and secured.Read more
Placing your order with us means that you agree with the homework help service we provide. We, in turn, will endear to ensure that we do everything we can to deliver the most comprehensive finished product as per your requirements. We will also count on your cooperation to help us deliver on this mandate. Yes, we also need you to ensure that you have the highest-quality paper.Read more