Case Of Ethical Dilemma In Healthcare - Free Essay Example

Sample details Pages: 4 Words: 1109 Downloads: 3 Date added: 2019/05/18 Category Health Essay Level High school Tags: Ethical Dilemma Essay Did you like this example? Research about patient confidentiality Patient confidentiality means keeping information that is personal to them and their situation away from any third party member. This issue can be a very controversial issue at times. Doctors are required to do all they can to protect, but sometimes protecting people will require them to break a patients confidentiality. Don’t waste time! Our writers will create an original "Case Of Ethical Dilemma In Healthcare" essay for you Create order For example, someone who has been identified with the HIV virus may choose not to let others know about their status, putting others at risk. In this situation, the healthcare professional is placed in an ethical complication (Wong-Wylie 35). If the professional chooses to keep the patients status private, others may be in harms way. If he notifies the third party members, however, the patient may lose trust in the doctor and terminate their connection; it is really a stick issue (Wong-Wylie 37). The American Psychological Association (APA) talks about this topic in their ethical standards 5.05. It says professionals should keep the patients information private unless doing otherwise is ?mandated by law or where permitted by law for valid purpose such as . . . to protect the patient or client or others from harm (APA, 1992, p. 1606) (Wong-Wylie 37). APA rules from 1991 concerning this also state that professionals in these situations arent to be forced to warn others, but if they make the decision to do so, they will be defended from action against them (Wong-Wylie 37). The Canadian Counseling Association (CCA) has three exceptions to disclosure they use: the first is when it is needed to keep the patient and others safe, when legal regulations demand it, and when it is needed to keep minors safe (Sumarah et al 16). Breaking a patients trust can harm their sense of hope, which is crucial to personal satisfaction and recovery. It may even cause the patient to avoid getting any more help with their issue at all (Wong-Wylie 38). This is a definite negative to breaking promises of confidentiality. If the issue is one that can be avoided by sensible people, then maybe an alternative action, such as counseling them about being responsible and the risks they may carry with them (Wong-Wylie 39). When dealing with younger patients, trust may be more valuable because they tend to rely and depend on it more than adults do and tearing that trust may cause greater internal pain for the younger patients (Blunt 3). A study performed in the late twentieth century showed that patients through their information should be kept private but understood when revealing some of it in a professional way would benefit public health and safety (Blunt 6). Another situation that can be examined is if a minor has revealed to a counselor or such that they are abusing drugs. The minor will expect to have this kept secret, yet shouldnt the counselor notify the someone such as the parents? Breaking the minors trust will cause harm to the patient but possibly keep them from harming themselves or others in the future (Blunt 6). The two sides of this argument are that doctors should be able to break patient confidentiality if needed and that doctors should not be able to break their confidentiality under any set of conditions. The pro-revealing side would see keeping that keeping a patients confidentiality when it couldve been sacrificed to save others as a bad choice while the other side would see that as the necessary action. Lets present the case referenced earlier concerning a patient with HIV/AIDS. If a patient who has this disease decides not to disclose the fact that they have this disease to others and puts them in danger, should the healthcare professional interfere and let people in possible danger know (Wong-Wylie 35). Application of consequence-based ethics (act utilitarianism) to my ethical dilemma Premise 1: Doctors must do whats best for their patients. Premise 2: Doctors must do whats best for the public health. Premise 2.1: Keeping the fact that the patient has HIV confidential poses substantial risks to public health. Premise 3: Patients have a right to know that their information is private. Premise 3.1; Revealing the patients information breaks the patients trust. Premise 4: Doctors should prevent the spread of pathogens and viruses if possible. Premise 4.1: Revealing the patients status may prevent HIV/AIDS from spreading further. Conclusion: Therefore, the doctor should break the patients confidentiality because it will possibly save people from contracting HIV/AIDS. It will also prevent the further expansion of HIV. The patients trust may be broken, but more people are helped with this route and the disease is quelled. But even afterwards, the patient may realise that it was for the greater good, so it may lessen the pain. Application of duty-based ethics to my ethical dilemma Premise 1: Doctors have a duty to protect people Premise 2: Doctors have a duty to keep a patients confidentiality. Premise 3: Doctors have a duty to prevent the spread of disease. Conclusion: Therefore, the doctor should break the patients confidentiality and disclose the information because doing so will protect more people and fulfill more of the duties than the opposite option will. His duties require him to choose to disclose the information. Application of virtue ethics to my ethical dilemma Premise 1: Choosing to break the patients confidentiality will allow the doctor to be redeemed personally. Premise 2: Knowing that he is preventing the spread of HIV/AIDS by breaking the patients confidentiality is good for his moral character. Premise 3: Knowing that he lost the trust of his patient by breaking the patients confidentiality is bad for his moral character. Conclusion: Therefore, the doctor should break the patients confidentiality because he will get more out of it morally than keeping the information private. Application of rights to the ethical dilemma Premise 1: The patient has a right to privacy. Premise 2: The public has a right to be able to avoid contracting HIV/AIDS. Premise 3: The public has a right to not have to worry about an increasing yet preventable disease. Premise 4: Right to life. Conclusion: Therefore, the doctor should break the patients confidentiality because it protects the most rights. It only breaks the patients right to confidentiality. Keeping the information private may even threaten some peoples right to life by allowing them to contract this slow yet deadly disease. Application of medical principles to the ethical dilemma Premise 1: Breaking a patients confidentiality violates his autonomy. Premise 2: Breaking the patients confidentiality is a beneficent act for the public. Premise 2.1: Breaking the patients confidentiality is not a beneficent act for the patient. Premise 3: Breaking the patients confidentiality is the least harmful choice. Premise 4: Breaking the patients confidentiality is a just act because it provides the most good for the most people. Conclusion: Therefore, the doctor should break the patients confidentiality because it promotes the most medical principles positively.

The Challenges to Henry VII Security Between 1487 and the...

The Challenges to Henry VII Security Between 1487 and the end of 1499 Henry VII faced many challenges to his throne from 1487 to the end of 1499. These included many rebellions and pretenders to his throne. To what extent was the success he dealt with them differs although the overriding answer is that by the end of his reign he had secured his throne and set up a dynasty, with all challengers removed. Lambert Simnel challenged Henry’s security when Richard Symonds passed him off as Warwick. Simnel was taken to Ireland, which had become the centre of Yorkist plotting. Margaret of Burgundy provided money and an army of 2000 mercenaries. They landed in Ireland in May 1487. Henry paraded the real†¦show more content†¦The success of the win was therefore undermined, as he did not have the full loyalty of his men at the battlefield. However, all in all, by using a large army to deal with the rebels demonstrated to other challengers the strength Henry had at his hands and this must surely be a success. Simnel was put to work in the royal kitchens. This was a successful way of dealing with Simnel as it showed Henry to be a merciful and forgiving man. Henry called a Parliament in November 1487. The nobles and gentry who had supported the rebellion were attainted and their lands were confiscated by the crown. This was successful as it made examples of these men to warn off other contenders or rebels. In addition, by attainting them and confiscating their lands, this meant that if a noble was to get involved in a rebellion not only would he be affected but so too would his family, heir and subjects. This was surely a lot more threatening then death. Henry quickly tried to mend relations with Maximilian. A new treaty in January 1488 restored friendly relations with close trading ties between England and Burgundy. As soon as Henry found out about the Simnel conspiracy he

Working in the Shadows Ch 4 Free Essays

Justin Falcone October 19,2012 Homework # 5 Chapter # 4 Journal In reading chapter 4 in working in the shadows we have seen that Gabriele is on his last week of training. Gabriele is giving the job to cut the four rows of lettuce that are in the path of the machine where the lettuce is stored in the boxes. Gabriele is realizing that 4 rows is a lot and his has to get them done. We will write a custom essay sample on Working in the Shadows Ch 4 or any similar topic only for you Order Now In this chapter you as the reader really realize all the courage, ambition and strength that Gabriel has. Gabriele has started cutting the lettuce the first day Gabriele couldn’t cut 25 heads before having to stand straight up and relax and stretch his back. Gabriele stayed strong and kept up with his cutting and as the days went up Gabriele has cut thousands of lettuce and was on his way to finish up his rows. In this chapter it tells us that Gabriele starts working with the rest of the group and tells us all the struggles that Gabriel is going threw. Between the aches and pains and the soreness, Gabriel needs to stay strong, it really allows us as the reader to wonder how hard these immigrants are working. As Gabriele goes on with his workdays no matter how hard he is working he is getting yelled out to work harder even though he believes that he is keeping up with the rest of the workers. Something that caught my eye that I feel this chapter was manly about was the immigrant worker towards the American workers in the United States. On a Sunday morning Gabriel went to visit Mateo, and the comments Mateo where making for me as an American worker in the United States take it personal. Basically trying to say that Mexican and immigrant workers work much harder where they work in there country, and that us Americans only sit in offices and work on computers all day. Something that was left out in this chapter could have answered these comments for me and for Mateo that we as Americans work harder then these immigrants think we do. Gabriele could have given stories or even experiences he had with working to back up us Americans. At least explain that the reason why immigrants get into the United States and take the labor jobs from many American workers is because immigrants allow the low pay and the extra hours of work, because it isn’t anything new for them. As seen in lettuce picking with the extra hours and the low pay, these immigrants don’t have a choice they need to take these jobs. Towards the end of the chapter Gabriele is explaining how hard this job is for him, one of the hardest and Gabriel has taking 2 days off to relax his body. This job I making Gabriele dream about it that how much he thinks about it and worries about going to work every day. After all in my eyes Gabriel realizes that this job is putting a number to him, but he will not quite, he will work threw pain and suffer no matter what. How to cite Working in the Shadows Ch 4, Essay examples

Robert Schlosser reinventing the audience Essay Example For Students

Robert Schlosser: reinventing the audience Essay Any salesperson knows that the best product is one that sells itself. Its this kind of sellers good fortune with which Robert Schlosser, audience development director for Los Angeless Center Theatre Group (which includes the Mark Taper Forum and the Ahmanson at the Doolittle), is well acquainted. If the recent bevy of successful productions at both the Taper (from Robert Schenkkans The Kentucky Cycle to Tony Kushners Angels in America) and the Doolittle (Neil Simons Lost in Yonkers) had anything in common, it was their built-in attractionsfrom Angels event status to Simons playwright-as-star durability. But Schlosser also knows how foolhardy it is for theatre people to think they are above selling their productnamely, plays, which must compete with home video, prime-time TV and the movies for the ever-crimped entertainment dollar. I operate by the philosophy that theres no excuse not to come to the theatre, says Schlosser, and part of my job is to remove as many impediments as possible that people put between themselves and entering the theatre. Name your strategy As the Tapers point man for coordinating ad campaigns, bringing in new audiences and hatching inventive schemes to make theatregoing as affordable as possible, Schlosser is in that rare positionperhaps only matched on the Tapers staff by artistic director Gordon Davidson himselfof keeping one foot in the artistic realm and the other in business reality. He has been able to witness virtually the entire history of the development of American nonprofit theatre, beginning in the early 60s with the famed San Franciscos Actors Workshop as subscription and box-office manager. When Actors Workshop co-directors Herbert Blau and Jules Irving took over Lincoln Centers Repertory Theatre in 1965, Schlosser followed them east and became their audience development director. In his 20 years at the Taper, one would assume that Schlosser has used every strategy to lure crowds to the Ahmanson at the Doolittle and the Tapers ivory palace at the Music Center on downtown Los Angeless Bunker Hill. But with Anna Deavere Smiths solo new work, Twilights Last Gleaming: Los Angeles, 1992, opening June 3, the selling of a Taper show presents Schlosser with new challengesand opportunities. As he tells it, the development of an audience for Twilight involves a creative approach that goes far beyond that used for many recent productionsfor Angels in America, Schlossers sales plan included papering gay bars with flyers for the play. Were building on what we learned from the past, attracting diverse audiences for everything from Zoot Suit at the Taper to Sarafina! at the Doolittle. Dry run for Smith Indeed, the 1991 Sarafina! project was in some ways a dry run for Smiths show. The South African musical moved into the Doolittle shortly after Davidson had assumed directorship of the Hollywood-based theatre, which has been serving as the home for plays intended for the Ahmanson (booked for over four years with the long-running Phantom of the Opera). But while the Ahmanson subscription base is one of the countrys largest (over 44,000 this year), its mostly Anglo makeup made it a difficult match with the Third World rhythms of Sarafina!. Traditionally, the Ahmanson crowd was drawn by the star name. Gordon wanted to develop a broader audience while keeping the Ahmansons more commercial side. Sarafina! had a big rep with the theatre community, but not with the general public. We got the word out through churches, and places in the African-American community where people came together. The shows box office started quietly, but by the end, with a larger African-American audience, the grosses were very high. .uca695c7b7cd07fe12688167512e39aee , .uca695c7b7cd07fe12688167512e39aee .postImageUrl , .uca695c7b7cd07fe12688167512e39aee .centered-text-area { min-height: 80px; position: relative; } .uca695c7b7cd07fe12688167512e39aee , .uca695c7b7cd07fe12688167512e39aee:hover , .uca695c7b7cd07fe12688167512e39aee:visited , .uca695c7b7cd07fe12688167512e39aee:active { border:0!important; } .uca695c7b7cd07fe12688167512e39aee .clearfix:after { content: ""; display: table; clear: both; } .uca695c7b7cd07fe12688167512e39aee { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uca695c7b7cd07fe12688167512e39aee:active , .uca695c7b7cd07fe12688167512e39aee:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uca695c7b7cd07fe12688167512e39aee .centered-text-area { width: 100%; position: relative ; } .uca695c7b7cd07fe12688167512e39aee .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uca695c7b7cd07fe12688167512e39aee .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uca695c7b7cd07fe12688167512e39aee .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uca695c7b7cd07fe12688167512e39aee:hover .ctaButton { background-color: #34495E!important; } .uca695c7b7cd07fe12688167512e39aee .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uca695c7b7cd07fe12688167512e39aee .uca695c7b7cd07fe12688167512e39aee-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uca695c7b7cd07fe12688167512e39aee:after { content: ""; display: block; clear: both; } READ: The characters in the play EssayTo ensure that this diverse audience would return for such productions as August Wilsons The Piano Lesson, Schlosser asked Chay Wafer, his community liaison at the time, for ideas. Schlosser instituted Wafers suggestion: pay-what-you-can and public rush ($10 a ticket, purchased minutes before curtain). Every resident theatre offers subscription, perhaps a pass or coupon offer, and group sales. But there was great resistance to pay-what-you-can and public rush among theatre business managers, who think that such offers take away from single, full-priced ticket sales. Weve disproved that. A couple last year told me that they had $80 budgeted f or theatre-going, which at the Doolittle would mean one show, $40 apiece. With public rush, they can come to four shows, and more important, they get into the habit of going to the theatre. Ticket deals, though, arent enough. Outreach into the citys widespread communities, says Schlosser, is absolutely crucial. Weve come to see it as our responsibility to put a lot of effort into engaging the people who are being dramatized on stagemuch as Smith has been doing, he notes, in the process of creating Twilights Last Gleaming. Employing the same process she used in her acclaimed Fires in the Mirror, Smith has interviewed scores of residents from diverse Los Angeles communities since August for the material from which she builds her text. The long list of contacts even created a community task force with broad ethnic representation to organize a word-of-mouth campaign for the show. It wasnt true a few months ago, but now, if you ask people in South-Central or Koreatown who Anna Deavere Smith is, they know her. Shes been with them, Schlosser points out. The challenges of luring people away from the safety of the living room and the tube never cease, however. The Tapers subscriber base has dropped to 24,000 this year from 27,000 three years ago, a trend Schlosser calls concerning. Thats a significant drop-off, he suggests. Were doing everything we can to build it back up again. But everyone is hurting in this recession. Besides, Schlosser knows that there is nothing like a play by Neil SimonJakes Women playing at the Doolittle/Ahmanson this springto make up for bad times.