Table of Contents Introduction......................................................................................................................................3 Case study 1 summary.....................................................................................................................3 Ethical issues...................................................................................................................................4 Recommendation.............................................................................................................................6 Conclusion.......................................................................................................................................7 Reference.........................................................................................................................................8
Introduction Healthcare ethics is a set of beliefs, moral principles, and values that guide in making the best possible choices in the medical care. At the very core of the healthcare ethics is the sense of wrong and right and also include the beliefs of the rights that people possess and the duties that people render to one another. Thinking carefully and judging the events in a careful way is the important part of healthcare decision and involves choices that are just, fair, good and right. The ethical duties that the health professionals owe to the patients are the justice, nonmaleficence, beneficence and autonomy. All these 4 principles are considered to be effective all the time and in theory, each has a weightage or importance (Emmerich, 2013). This study focuses on a case study and analysis of the ethical issues that arose in the case study with respect to the human dignity, human rights and the professional codes of conduct and ethics, relevant professional legislation and policies and the principles of healthcare ethics. Case study 1 summary Case study 1 is selected for this study and it includes a school student whose name is Amos and his school and his temporary residence are both located in Malawi. Amos does not stay in the boarding facilities that are provided by the school authorities, however, his other classmates preferred to stay in the boarding facilities provided by the school. One day, during the school hours it was noticed that a nearby hospital reported that many students of this school got admitted with a wide array of symptoms. The symptoms that were highlighted by the hospital authoritiesareirritability,restlessness,musclecramps,thirst,vomiting,profusewatery diarrhoea, abdominal pain. The staffs of the reported that the students of that school were suffering from the cholera outbreak. Amos too was affected by cholera and like most of the students was unwell and admitted himself to the hospital. The on-duty doctors and the triage
nurse realised that they do not have the requisite amount of the medical supplies for everyone’s treatment. Thus, the hospital authorities decided to treat only the students that are residing in the school boarding. Here, arises the major violation of the human rights and also the violation of the professional code of ethics. The hospital authorities held the argument that the students that reside outside the school premises are not eligible to receive the healthcare and treatment. This created multiple human rights violation. Amos also being one of the students argued his aspect and he was sent away without treatment. Amos thus decided to return to his home for the sake of treatment and by the time he reached home, he got severely dehydrated and went into shock and died within hours of his arrival. Ethical issues The major areas where the ethical issues are raised are the instances where the hospital authorities denied to serve the healthcare facilities and treatment facilities to Amos and the other students that were staying outside the premises of the school. The major ethical that took place within this purview is the violation of the human rights, the violation of the professional codes of conduct/ethics, the violation of the healthcare ethics. Thehealthcare ethicsclearly states that the when working with the young people, the healthcare professionals must respect the basic human rights. The individuals also must be respected for the right to self-determination. It is also important to acknowledge the activities and the relationships with the young people and decisions are taken based on the consent of the concerned person (Department of Health Ethical principles, 2018). Considering the ethical principles, the workers in the health and welfare industry must align their work according to the
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ethical principles. First of all, the denial of the hospital authority to provide the healthcare and treatment facilities to Amos and other students that do not reside within the school premises is a violation of the ethical principles. Theprofessional code of ethicsfor the healthcare professional's states that the assessing the condition of the patient and taking into account the views of the patient. The shared responsibility making states that the before making any vital decision regarding the healthcare of a patient, the patient can include his carer, family. The decisions about accessing the healthcare state that the patient's access to the healthcare must be free from any kind of biases and discrimination. The good medical implies that the patients must be treated with respect all the time. The doctors must uphold their duty towards the patient and it involves not to discriminate themongroundsofdisability,race,sex,andreligion(Medicalboard.gov.au,2018).The treatment of the emergencies involves the doctors to take in to account the range of issues which is good and suits the best for the patient. The good medical good medical practice involves serving assistance during the emergency and it takes into account the doctor’s own safety, doctor’s own skills, the other options available and the probable impact it will have upon the patients. The other provision also includes providing the emergency care support to the patient untilserviceisnolongerrequired.Whenworkingwiththepatients,thedoctor-patient partnership is, to be honest, compassionate, respectful and courteous. Each patient must be treatedasanindividual.Discussingwiththepatientregardingtheirconditionandalso consideringthemanagementoptionsavailablefortheavertingthepotentialharm (Medicalboard.gov.au, 2018). Thus it is important to note that both Amos and the other students residing outside the school premises are denied the treatment facilities due to biased towards the school students living in the school boarding.
Human rights or right to health is the last right which got violated due to the actions are taken up by the hospital authorities. The article clearly depicts right to health and this mentions that every individual has the right to enjoy the highest attainable standard of the mental and the physical health. The state must ensure prevention, treatment and control of the occupational, endemic and epidemic diseases (Humanrights.gov.au., 2018). Considering the case study, Amos has the right to receive the healthcare facilities due to his ill health along with the other students. It can be seen that the decision of the hospital authority to provide the treatment facilities to only the school's students residing in the school premises. Recommendation The professional practice considering the case study was insufficient to deal with the ill health of the students. Thus, it is necessary to provide explicit recommendation so that the treatment is delivered properly to the patients. The specific hospital mentioned in the case study must have an inventory of medicinesandemergencyprovisionsinordertodealwiththeemergency situations. If a situation arises where the hospital is not capable to take in more patients, then the hospital management must on an urgent basis must contact with the other hospitals in the locality to admit the remaining amount of patients. The case study mentioned about the death of Amos due to dehydration, thirst and shock. Thus it is important to note that if patients cannot be provided with the full treatment facility, then the hospital management must arrange the basic healthcare provisions in order to improve the medical condition of the patient (Montagu et al. 2016).
Considering the professional code of ethics, healthcare ethics and the human rights the hospital management, the doctors and the nurses must treat the patients with respect and dignity. The case study has mentioned about the gross violation of the human rights, professional code of ethics and healthcare ethics violation. Thus, such actions on the part of the hospital management may attract legal measures. Conclusion From the above study, it can be concluded that the health care ethics is the branch of the ethics speaks about the science, medicine, healthcare and health. It also deals with the relationships of the healthcare professionals and those that serve the programmes, structures and systems so that the healthcare is to the targeted population. In this study, the case study has highlighted the various forms of violations of the health care violation, professional code of ethics violation and human rights violation. Thus, the study demands certain recommendation which can effectively avert the similar kinds of situation mentioned in the case study.
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Reference Department of Health Ethical principles. (2018). Department of Health | 4.1 Ethical principles. Retrievedfromhttp://www.health.gov.au/internet/publications/publishing.nsf/Content/ drugtreat-pubs-front11-fa-toc~drugtreat-pubs-front11-fa-secb~drugtreat-pubs-front11-fa- secb-4~drugtreat-pubs-front11-fa-secb-4-1 Emmerich, N. (2013). For an ethnomethodology of healthcare ethics.Health Care Analysis, 21(4), 372-389. DOI:https://doi.org/10.1007/s10728-012-0202-7 Humanrights.gov.au. (2018). Right to health | Australian Human Rights Commission. Retrieved fromhttps://www.humanrights.gov.au/right-health Medicalboard.gov.au. (2018). Medical Board of Australia - Good medical practice: a code of conduct for doctors in Australia. Retrieved fromhttp://www.medicalboard.gov.au/Codes- Guidelines-Policies/Code-of-conduct.aspx Montagu, D., Goodman, C., Berman, P., Penn, A., & Visconti, A. (2016). Recent trends in working with the private sector to improve basic healthcare: a review of evidence and interventions.Healthpolicyandplanning,31(8),1117-1132.DOI: https://doi.org/10.1093/heapol/czw018