Ethics Around The Globe Project For Healthcare Studen 911933

Ethics Around The Globe Project For Health Care Studentsreview The Sc

Review the scenario below. Throughout the course, you will be referring to this scenario, coming up with an appropriate solution, and reflecting on your thinking process. Your 82-year-old patient is in kidney failure and requires hemodialysis but this sort of medical intervention goes against her religious beliefs. Without this treatment she will certainly die. With the treatment she can expect to live a relatively normal life for years to come. She has no other diseases or conditions.

Part 1: In such serious situations it is important to have a good foundation for your perspective. Consider the patient’s decision to refuse the treatment and respond to the following: 1. Define the problem using your own words. 2. What do you think someone following Kant’s moral perspective would say about the patient’s decision? 3. How do you feel about this patient’s decision? Should patients have the right to refuse reasonable treatment? Your assignment should be 1-2 pages and in APA format.

Part 2: In the first part of this project you defined the problem outlined in the scenario. Now you will consider possible solutions based on different ethical perspectives. 1. What would someone do from the perspective of Aristotle’s virtue based ethics? Explain why. 2. What would someone do from the Buddhist ethical perspective? Explain why. 3. What would you do in this situation? Why? Your assignment should be 1-2 pages in APA format.

Part 3: In providing healthcare to individuals you will encounter many different perspectives and some you will disagree with. Specifically, you will encounter patients and their family members who will have different opinions about what they should do for their own or a loved one’s wellbeing. 1. Consider the idea of pluralism. How would you balance your own belief in what was good for the patient with his or her own wishes? 2. Reflect on your responses in the previous parts of this project and the other theories covered in this course. Of all of the theories covered in the course which one most closely matches your own ethical perspective on this issue? Explain your stance. 3. Now, consider a new patient. This patient is being treated for a life-threatening illness. The patient’s family wishes that treatment be stopped. But, you feel that the patient has a chance of recovery if treatment continues. What would you do? Use the theory you chose in response to the previous question to respond/frame your response to this question. Your responses to these questions should total 3-4 pages and be in APA format.

Paper For Above instruction

The scenario presented involves a complex ethical dilemma centered on an 82-year-old woman with kidney failure who requires hemodialysis but refuses treatment due to her religious beliefs. This situation raises important questions about patient autonomy, ethical principles in healthcare, and cultural sensitivity. Addressing this scenario requires an understanding of various ethical perspectives, including deontological ethics, virtue ethics, Buddhist ethics, and the importance of pluralism in healthcare decision-making.

Part 1: Defining the problem and evaluating Kantian perspectives

The core problem in this scenario is whether a patient's religiously motivated refusal of medical treatment should be respected, especially when that refusal results in death without intervention. The ethical tension lies between respecting patient autonomy and the healthcare provider's obligation to preserve life. From the patient's perspective, her spiritual beliefs prohibit life-sustaining treatments like hemodialysis, yet without this intervention, death appears inevitable. The healthcare provider must balance respecting her autonomy and religious beliefs against the moral obligation to save lives.

From a Kantian moral perspective, the emphasis is on respecting rational beings as ends in themselves and acting according to universal moral laws. Kantian ethics mandates respecting the patient's autonomy as an expression of human dignity, provided the decision is rational and autonomous. Kant would argue that if the patient makes a rational choice based on her own moral reasoning (her religious beliefs), then her decision must be respected. Kantian ethics also underscores that individuals should be treated as ends rather than means, meaning the healthcare team must honor her autonomous choice, even if it results in death. However, Kant’s emphasis on moral duty may also conflict with the healthcare provider’s duty to preserve life, creating a nuanced tension in this context.

Personally, I believe that patients should have the right to refuse reasonable treatment, particularly when the decision stems from well-considered personal or religious beliefs. Respecting autonomy is fundamental in healthcare ethics, and patients are the best decision-makers regarding their own values and beliefs. Nonetheless, such decisions can be deeply challenging, especially when they lead to death, and must be approached with compassion and cultural sensitivity.

Part 2: Exploring alternative ethical perspectives

From Aristotle’s virtue ethical perspective, the focus is on character traits and moral virtues that guide ethical behavior. A person guided by virtue ethics would consider what a virtuous individual would do in this situation. Virtues such as compassion, prudence, respect, and courage are central. An Aristotelian approach would encourage healthcare providers to act with compassion and respect towards the patient's religious beliefs while also demonstrating prudence by balancing beneficence with respect for autonomy. Such a provider would seek a compassionate dialogue, perhaps exploring alternative treatments or palliative options that align with the patient's values. Virtue ethics emphasizes developing moral character to navigate complex dilemmas compassionately and wisely.

From a Buddhist ethical perspective, the emphasis is on compassion, mindfulness, and the interconnectedness of all beings. Buddhism advocates for alleviating suffering and acting with kindness. In this scenario, a Buddhist approach would prioritize reducing suffering while respecting the patient’s spiritual beliefs. It would encourage mindfulness, nonattachment, and compassion, aiming to honor the patient's spiritual refusal while exploring ways to comfort and support her. Communicating with empathy and understanding her spiritual reasoning are key, emphasizing that the healthcare provider's role is to serve with compassion rather than solely pursuing life extension at all costs.

In my own stance, I believe that respecting the patient's autonomy and spiritual beliefs is paramount, provided the decision is well-informed and voluntary. I would strive to foster open dialogue, educate her about the consequences, and explore whether there are alternative treatments or supportive measures that align with her values while providing comfort.

Part 3: Navigating pluralism and conflicting wishes

Healthcare providers routinely encounter differing perspectives. Pluralism recognizes the diversity of moral and cultural values and advocates for balancing respect for individual autonomy with cultural and religious considerations. To respect the patient's wishes while ensuring her well-being, I would prioritize open communication, attempt to understand her beliefs deeply, and explore culturally sensitive options. This might involve involving spiritual advisors or cultural mediators, fostering trust, and ensuring decisions are made collaboratively, honoring both her autonomy and her cultural context.

Reflecting on the theories discussed, I find that virtue ethics aligns most closely with my personal ethical perspective. I believe that cultivating virtues such as compassion, respect, and prudence leads to morally sound and empathetic healthcare practice. Virtue ethics emphasizes moral character and holistic understanding, which I find essential in respecting diverse beliefs and making ethically sound decisions.

In a situation where a patient's family wishes to stop treatment, but I believe the patient has a chance of recovery, I would rely on the theory of virtue ethics. Acting with prudence and compassion, I would advocate for continued treatment, ensuring that the patient's right to autonomy is respected and that her hopes for recovery are explored. I would communicate openly with the family, explaining the patient's condition, prognosis, and the potential benefits of continuing treatment, all while showing empathy and understanding. If, after thorough discussion, the patient insists on continuing or discontinuing treatment, I would respect her autonomous decision, emphasizing the importance of honoring individual moral agency in healthcare.

References

  • Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics (7th ed.). Oxford University Press.
  • Kant, I. (1785). Groundwork of the Metaphysics of Morals.
  • Aristotle. (n.d.). Nicomachean Ethics. Translated by W. D. Ross.
  • Gyatso, T. (2009). The compassionate life. Thubten Chodron.
  • Harvey, C. (2013). Buddhism and bioethics. Cambridge University Press.
  • Shaw, C. (2014). The virtue ethics approach. Routledge.
  • MacIntyre, A. (2007). After Virtue: A Study in Moral Theory. University of Notre Dame Press.
  • Koenig, H. G., & Cohen, H. (2012). The role of religion in healing. Springer Publishing.
  • Levine, A. (2020). Respecting autonomy and cultural diversity in healthcare. Journal of Medical Ethics, 46(8), 502-507.
  • Strauss, A., & Corbin, J. (1998). Basics of Qualitative Research. Sage Publications.