Dis 3 Topic 1: Because Of The Pain Medication Gladys Gwynn M

Dis 3topic 1 Because Of The Pain Medication Gladys Gwynn May Not Be

Dis 3topic 1 Because Of The Pain Medication Gladys Gwynn May Not Be

Dissertation topics often involve complex ethical, medical, and legal considerations. In the scenario involving Gladys Gwynn, who is under the influence of pain medication and unable to speak for herself, the question arises whether it is appropriate for Dr. Johnstone to make surgical decisions on her behalf. Given her incapacity and lack of relatives to advocate for her, the question extends to whether she had previously designated a healthcare proxy through a Power of Attorney when she moved into Sunny Meadows. These situations probe the importance of advance directives and the legal authority granted to designated individuals to make healthcare decisions when patients are incapacitated.

When a patient is unable to communicate or make decisions, healthcare providers often rely on legal documents like Power of Attorney for Healthcare, which appoints a trusted person to make decisions aligned with the patient's wishes. If Mrs. Gwynn had such a document, Dr. Johnstone should consult it before proceeding. Conversely, in the absence of a legal directive, the healthcare team must weigh ethical principles like beneficence, non-maleficence, and respect for autonomy. The decision to proceed with surgery without explicit consent involves careful consideration of the patient's best interests, potential benefits, and risks. Medical practitioners must also adhere to institutional policies and legal statutes which emphasize patient rights and safeguards for vulnerable individuals.

Paper For Above instruction

In the case of Gladys Gwynn, the ethical and legal considerations surrounding decision-making when the patient cannot speak for herself highlight the significance of advance directives, such as a Health Care Power of Attorney. The primary concern is whether Dr. Johnstone should proceed with surgery without explicit consent, considering her current incapacitated state due to pain medication. If Mrs. Gwynn had previously designated a healthcare proxy, it is ethically appropriate and legally necessary for her to be consulted before making such critical decisions. This ensures respect for her autonomy and aligns medical intervention with her preferences, even if she cannot articulate them at present.

When no such directive exists, healthcare providers are guided by ethical principles and legal statutes designed to protect vulnerable patients. Beneficence and non-maleficence require that the intervention be in the patient's best interests, while respecting autonomy emphasizes the importance of prior wishes and legal authority. In such cases, a multidisciplinary team, including ethics consultations if necessary, can help determine the most appropriate course of action. This decision-making process underscores the importance of patients establishing advance directives before incapacitation and of healthcare institutions ensuring that such directives are documented and accessible when needed. Overall, respecting patient autonomy, even posthumously or in incapacity, is foundational to ethical medical practice, supported by legal frameworks that safeguard individuals' rights.

References

  • Beauchamp, T. L., & Childress, J. F. (2019). Principles of Biomedical Ethics (8th ed.). Oxford University Press.
  • Caplan, A. L., & Morain, S. (2006). Disclosing Medical Errors. Journal of Medical Ethics, 32(2), 102-106.
  • Gordon, J. (2017). Advance Directives and Decision-Making Capacity. Journal of Palliative Medicine, 20(11), 1182-1187.
  • Hicks, L. K. (2020). Legal Aspects of Medical Decision Making. AMA Journal of Ethics, 22(2), 162-167.
  • Jox, R. J., et al. (2014). Surrogate Decision-Making and Advance Directives. The Lancet, 383(9917), 2081-2082.
  • O'Neill, O. (2019). Some Limits of Advance Directives. European Journal of Health Law, 26(4), 413-421.
  • Silka, L. (2016). Ethical Considerations in Surrogate Decision-Making. The Journal of Clinical Ethics, 27(3), 228-234.
  • Steinberg, J. S., & Berman, A. (2020). Legal and Ethical Issues in Advanced Medical Decision-Making. Medical Law Review, 28(2), 308-324.
  • Wilkinson, D., & Savulescu, J. (2018). Surrogate Decision-Making and the Law. Journal of Medical Ethics, 44(10), 658-661.
  • Yong, P. L. (2019). Respecting Autonomy in Medical Decision-Making. Bioethics, 33(6), 690-697.