Ethical issues and their implications in healthcare What is ethics Principles of right and wrong Who should practice ethical behavior Is there such a thing as ethical behavior among friends ID: 934139
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Slide1
Ethical Boundaries and Practices
Ethical issues and their implications in healthcare.
Slide2What is ethics?Principles of right and wrong.Who should practice ethical behavior?
Is there such a thing as ethical behavior among friends?
When was the importance of ethics in health care first recognized?
Slide3HippocratesWhat do you know about Hippocrates?
Greek
Physician
Lived 2500 years ago
Wrote Hippocratic Oath, which is still taken by physicians today.
Slide4Codes of EthicsProfessional associations write codes of ethics.Purpose: Set standards of professional conduct that promote the welfare of patients and assure high quality care.
Is there a professional code of ethics for your future health profession?
Slide5AAMA Code of EthicsRender service with full respect for the dignity of humanity.Respect confidential information obtained through employment.
Uphold the honor and high principles of the profession.
Seek to continually improve the knowledge and skills of medical assistants for the benefit of patients and colleagues.
Slide6Ethics and the LawLaws are based on ethical principles.Most laws enforce ethical standards.Sometimes laws are in conflict with a person’s ethical principles.
Healthcare workers should act in the best interest of patients and support legal standards for patient care.
Slide7Ethics and the LawAs a future healthcare professional, do you think you will ever be put in a position where your personal ethics are in conflict with the requirements of your profession? What will you do?
As a healthcare professional, will you be able to disengage your emotions when dealing with ethical conflicts?
Slide8Guiding PrinciplesEthical principles for healthcare workers and the corresponding laws that were created to support them.
Slide9Guiding Principles
Preserve life
Do good
Respect autonomy
Uphold justice
Be honest
Be discreet
Keep promises
Do no harm
Slide10Healthcare Ethics: EuthanasiaResults in death to alleviate suffering or when there is no hope for recovery.
Many healthcare professionals
feel euthanasia
is contrary to their professional ethics.
Regardless of their beliefs, healthcare workers should follow state laws.
Slide11Healthcare Ethics: Organ Transplants
Organ donations come at a time of crisis when somebody dies.
Healthcare workers should ask about donation.
Illegal to transplant organs without patient or family permission.
Slide12Healthcare Ethics: ConceptionIVF – In vitro fertilization
Egg and sperm donation
Surrogates
Fertility drugs
What are the ethical considerations?
Slide13Should there be limits to IVF?Should obese people be allowed to have IVF?
Should a couple be approved for IVF if they both smoke?
Should a single person who is unemployed be a candidate for IVF?
Slide14Codes of ConductEthical responsibilities include respecting the cultural, social and ethnic differences of patients and other healthcare workers.
“Scope of practice” helps define the code of conduct for healthcare workers.
Performing skills outside the scope of practice is illegal and unethical.
Ethical codes of conduct are based on moral standards and society’s expectations.
Slide15Ethical DilemmasAdvances in health care have created ethical dilemmas for healthcare providers.
There are no easy answers when addressing ethical dilemmas.
The question is – what is the responsibility of healthcare providers when addressing ethical dilemmas?
Slide16Ethical DilemmasShould family members be allowed to discontinue life support?Do parents have a religious right to refuse life-saving blood transfusions for their child?
Should people be allowed to sell organs for use in transplant?
Should human beings be cloned?
What should be done with fertilized frozen embryos when the parents no longer want them?
Slide17Incident ReportsTo ensure prompt reporting and documentation of all incidents resulting in injury or having potential adverse affects to patients, employees, or visitors.
To accurately document threats or actions of violence and environmental emergencies.
To accurately document incidents of property damage.
Slide18Incident ReportsFollow your agency’s policies in filling out and submitting incident reports.
Focus on the facts.
The purpose of the incident report is for legal record keeping – NOT punishment.
Can you think of examples of when an incident report might be completed?
Slide19Electronic Incident Reports
Slide20Ethics CommitteeMost hospitals have ethics committees that examine ethical issues related to patient care.
They can advise patients, families and healthcare providers.
A hospital ethics committee might decide the best action to take for a terminally ill patient on a respirator.
An ethics committee might also be asked to pass judgment on the actions of a healthcare provider.
Slide21Professional PracticeUse the approved methods when performing procedures.
Obtain proper authorization before performing any procedure.
Identify the patient.
Observe all safety precautions.
Slide22iRespond Question
A41A12CA-7A23-0348-8FAD-8EE377CABCB3
Multiple Choice
Most codes of Ethics that govern the behavior of healthcare Professional are written by::
A.) Licensing Agencies
B.) State Boards of Health
C.) Professional Organizations
D.) Health Science Textbook companies
E.)
F
Slide23iRespond Question
1A114535-6810-834F-BA96-051FDED34D20
Multiple Choice
Hippocrates wrote standards for the ethical behavior of physicians 2500 years ago in:
A.) Rome
B.) Florence
C.) Venice
D.) Greece
E.)
F
Slide24iRespond Question
8AA2257C-EDA7-3D4C-AD42-7C9A0EA4D7CC
Multiple Choice
What statement about euthanasia and healthcare professionals is true?
A.) The decision to employ methods of euthanasia is exclusively the physicians
B.) Most HCW feel that euthanasia is contrary to their professional ethics
C.) HCW shoul always follow their ehtical beliefs, regardless of what the physician orders or patient requests
D.) Euthanasia is always illegal and unethical
E.)
F
Slide25iRespond Question
68EA2EAB-70B2-F747-878A-89FE7A4CD369
Multiple Choice
A grief stricken family in an ER have just been notified of the death of their child, who was hit by a car. What should the physician ask regarding organ transplantation?
A.) Do not ask as the family is grief stricken and cannot make an informed decision
B.) Wait 5 or 6 hours until the family has had time to absorb their loss, then ask about organ donation
C.) Immediately ask the family for permission to donate the childs organs for transplantation
D.) Start the process of removing the organs, and hope that the family will give permission when asked
E.)
F
Slide26iRespond Question
88C80110-4B5F-DB48-BDEF-7C6F14433150
Multiple Choice
A couple wishes to have their own biological child, but the wife had a hysterectomy for medical reasons when she was 25. What option would give them the best hope for having a child?
A.) Genetic counseling and fertility drugs
B.) Artificial insemination with sperm from a sperm bank
C.) Implantation of 5-10 frozen embroys
D.) IVF of their own eggs and sperm with implantation in a surrogate
E.)
F
Slide27iRespond Question
7E552552-0AD4-1A4A-8D6F-4C64EA3EA4B1
Multiple Choice
A nursing assistant refuses a request by the charge nurse to take a pain pill to a patient. The assistant believes that giving the pain medication would be a violation of his/her
A.) Scope of Practice
B.) Religious Beliefs
C.) Reasonable Accomodation
D.) Rights under OSHA rules
E.)
F
Slide28iRespond Question
D82E4D6B-84A2-8047-907C-2B00CF5B725C
Multiple Choice
What MOST LIKELY would be the task of a hospital ethics committee?
A.) Approve discontinuatiuon of life support on a terminally ill patient
B.) Allow the hiring of a physical therapist whose license has been revoked
C.) Termination of an employee with excessive absences
D.) Discipline of a physician who is dating a laboratory technician
E.)
F
Slide29iRespond Question
3044E348-1463-484C-A1F3-DE42C722F6ED
Multiple Choice
Which of the following is an ethical dilemma that an ethics committee would be asked to consider?
A.) Removing a terminally patient
from
a respirator
B.) Following through on a DNR request
C.) Transplanting an organ into a patient who is
first
on the transplant list
D.)
Patient
who is opting for a less invasive treatment when an invasive procedure is available
E.)
F
Slide30iRespond Question
01BC9960-BE0A-BD4D-89FD-EDBD144D8251
Multiple Choice
Dr. North went to a meeting with other physicians and spoke about a patient he had, Mrs. Kennedy. He was telling jokes about some odd complaints that she had made. One of the physicians was a personal friend of Mrs. Kennedy's, who informed her about what Dr. North had said.
What ethical principle has Dr. North violated?
A.) Be honest
B.) Preserve Life
C.) Be discrete
D.) Unhold justice
E.)
F