bioethics case studiesbioethics case studies

Incineration was his answer. Case 2: Christian Science and diabetic ketoacidosis A recent convert to Christian Science took her diabetic young daughter to a school-required physical after the In a way can you steal the surrogate's child?). The Muslim man struggling with the decision of how to have his sperm collected to start a future family never returned to the doctors office. What do you think of this? Case studies on clinical ethics issues and patient care issues, such as influenza vaccine shortage, long-distance cancer treatment, and conscientious. Following evidence-based approaches to evaluating and reporting suspicion of child maltreatment can help minimize bias and promote equity. How Should Clinicians Ally With Patients Whose Health Is Unlikely to Be Improved by Even Numerous Clinical Encounters? James Blum, MD, MPP, Kamini Doobay, MD, MS, and Alec Feuerbach, MD, Decision Aids, Doorknob Moments, and Physician-Patient Solidarity in EDs, Emily Shearer, MD, MPP, MSc and Jay Baruch, MD. A case study of how cultural misunderstandings interfere with medical care for a cancer patient. With the possibility of such battles, do you think it is acceptable for parents to use a surrogate mother? Whatever Happened to Long-Term Care Reform? Lastly, one case ended in mystery. Megan M. Letson, MD, MEd and Kristin G. Crichton, DO, MPH. Never Too Young to Plan Beyond Find case studies on topics in health care and biotechnology ethics, including end-of-life care, clinical ethics, pandemics, culturally competent care, vulnerable patient populations, and other topics in bioethics. Listen more and talk less. A major problem in connecting hospice care to acute medical care is that referral implies a "switch" from curative to palliative medicine-a model that does not fit comfortably in many illnesses. WebThe bio puts the ethical question into a particular context. The body - which covers the biomedical understanding of disease, and what limits and possibilities exist for that person. The mortality rate for smallpox was approximately 20-40%. (If not, how far should this carry? There are indeed rewards for physicians who care for the dying, but as a Zen master once observed of a bingo game, "you must be present to win.". Obey Law on Criminal Reporting for a Pregnant Mother Addicted to Heroin? A 60-year-old homeless man, Jesse, is found confused and in distress by a passerby who calls 911. While the SUPPORT authors did not actually describe these deaths as "bad," we could certainly agree that they were not "good deaths.". The patient's story - including how that person has viewed her life, the other persons important to her, and how she could bring her life to a close in a way that would be true to herself. Making Deals with Other Institutions, Double Jeopardy: Researchers Proposal Gets Rejected Twice, Procrastinating Researcher Delegates Reviews to Trainee, Reviewer Fails to Disclose Conflict of Interest, Threat of Lawsuit by Researchers Thwart Publishing of Article on Questionable Conduct, RCR Casebook: Mysteriously Similar Articles, Does Carelessness Constitute Research Misconduct. Feeling that risking their baby's health would be irresponsible, the couple decides to use in vitro fertilization to fertilize several of the wife's eggs. Co-Sponsored by the Center and Kansas City University of Medicine Nancy Cruzans Legacy: Open Talk About Death With Dignity Dear CPB Friend: Should the physician be concerned about alienating the mother and other people of her ethnicity from modern medicine? Mary Jo is a 49-year-old who disagrees with her doctors diagnosis. If so, is this one of those cases? A degree of acceptance by the patient. Who makes this decision now that Jennie can't speak A 60-year-old homeless man, Jesse, is found confused and in distress by a passerby who calls 911. What should be the goals of medical care for people who are dying? How Should Health Professions Educators and Organizations Desegregate Teaching and Learning Environments? As idea grows, travelers have mixed reactions Facts gathered from: http://www.vbs.admin.ch/ls/e/current/fact_sheet/pocken/. The cardiologist replies: "Well, no--this is all reversible.". The best care plan in this situation would be based on a discussion with Angela about what kinds of contingency plans should be in place if she has a severe, possibly fatal decompensation (see Advance Care Planning). An obstetrician treating a heroin-addicted mother considers whether to comply with state law requiring medical professionals to report drug-addicted pregnant women to law enforcement for child endangerment. After the first cycle of carboplatin and taxol, he requires hospitalization for fever and neutropenia (a complication of the chemotherapy). Does she have a right to make this choice, especially in view of the fact that she will be dead in a short while (say six hours)? The March 12 event was held by Loma Linda University School of Religion. Joe is a 62-year-old building contractor who has been in an ICU for the past 10 weeks. Is it ethical for the CDC to force people to get the vaccine? The Truth of COVID-19: An Ethicist Reflects on His Experience Motivating health equity requires taking deliberate steps toward desegregating health care, especially in academic health centers. From the mid-1980s when ventilators came into common use, the Center for Medical Bankruptcy, Personal Luck and A National Sin Gun Violence: Prevention by Paying Attention. By clicking this checkbox, you 1) opt in to our email list; 2) subscribe to our Newsletter, and 3) consent to allow the Center to store and process personal information, per our Privacy Notice, to provide you the content requested. Some medical centers are developing Palliative Care or Comfort Care services to try to better match the needs of patients with less predictable end-stage illnesses. People dont like to talk about politics, religion or money. We dont call them sufferers. The following two cases address patient autonomy. The patient stated she would decline the surgery if she couldnt be ensured of the organs proper destruction. NOTE: The UW Dept. Though the surrogate passed stringent mental testing to ensure she was competent to carry another couple's child, after carrying the pregnancy to term, the surrogate says that she has become too attached to "her" child to give it up to the couple. I first got to know th A personal message from Nellie Kassebaum The physicians inform her that the only way to fix the problem is surgically, and that the chances of survival are about 50/50. She is not expected to live through the month, and is worried about the pain that she will face in her final hours. Separation of children from their parents is one possible traumatizing consequence of a mandated report, which is not to be taken lightly. An 88-year old woman facing the end of life. Moral justifications for surrogate decision making in the intensive care unit: implications and limitations. The woman is an erotic dancer; she worries that the surgery will leave a scar that will negatively affect her work; therefore, she refuses any surgical treatment. The Bioethics Commission demonstrates the process of deliberation in its public meetings, which are archived at . Finally, all people, along with their families who had been on the man's flights in the weeks preceding the appearance of the disease are forced to receive the vaccine. WebCase Studies - Bioethics Research Center. In the case presented, a gestational surrogate is used. Hospice care is generally underutilized, and even though most hospice teams feel that at least six weeks of hospice care is optimal, most patients receive much less because they are either referred very late or have not wanted hospice. In the pre-antibiotic era, people most often died young, of infectious diseases; now, thanks to medical technology, most Americans (and others with access to this technology) live much longer, to die of degenerative, neoplastic, and even man-made diseases. Is this choice an extension of her autonomy? You stop by for a visit, and he says he feels terrible, wonders "if the chemo is worth all this", but that he's too scared to stop. How do physicians who care for the dying deal with their own feelings? An infected person is contagious one day before the characteristic pox appear. Conduct mentored If you would like to receive these monthly bulletins, please sign up HERE. Two physicians refused to do it as a violation of their Hippocratic Oath. Ethical AI Initiative Appears in a BioNexus KC Blog T Beth Smith He explained taking antibiotics would violate his Jain faiths teaching that every living being, down to single-celled organisms, has equal value. Bioethics is the study of what we ought or ought not to do according to our beliefs and moral reasons with respect to medicine. . Is there anything else that they could have done? The Centers John B. Francis Chair, Erika Blackshe Equitable Treatment and Care: Ethical AI Initiative Poised to Test Recommendations The Bioethics A legal battle ensues. WebStudents will develop a bioethics case study and present it as a dramatic reading with audience discussion at semesters end. The following case presents a possible way in which the virus could be released in the population and a possible response. Conflicts of interest must be acknowledged with sincerity and earnestness and managed such that the conflict is eliminated or, at least, credibly mitigated. I hope that you find them useful, and that they spawn the same thoughtful enjoyment in you as they did in me. Featuring John Carney, CEO, To order or download advance care planning materials, such as Caring Conversations, click on the button to the right. In Times Like These . Jennie has an advance directive which does not address artificial nutrition. Truly the Best Business of the Year Award The doctor, it turned out, was misinformed that she would not be allowed to do so. Citizens begin calling for the mandatory quarantining of people directly exposed to the victim, i.e those living in his apartment complex, those working in the ER, those who flew on the plane in the prior week. By clicking this checkbox, you 1) opt in to our email list; 2) subscribe to our Newsletter, and 3) consent to allow the Center to store and process personal information, per our Privacy Notice, to provide you the content requested. WebThe Case of Teresa: Patient Vulnerability from a Systems Failure to Protect A framework of general strategies to help vulnerable persons should explore responses that will help The questions following the case involve the ethics surrounding the government's response. The questions I asked of the students are included as well. Then I presented the students with various questions related to some of the ethical issues contained in the situations described. A primary care physician considers if s/he can competently provide treatment to a patient who may have a serious psychiatric disorder and does not wish to go to another doctor. After a brief examination, the 35-year-old physician is puzzled because the pox do not appear to be typical of the varicella-zoster virus. I work towards: This question is not as simple as it might sound. Ethics, Morality and Genomic Science: Can We Play God the Way God Plays God? Register by July 8 to Cast Your Vote on August 4 Ballot Before the studies were conducted, hepatitis was thought to be only one disease. Yet for a patient who is well informed, understands the benefits and burdens, and wishes to proceed, a trial of palliative chemotherapy is justified. Center for Practical Bioethics What Would Be Your Wish for Our World? The vaccines are offered to citizens of these cities. By clicking this checkbox, you 1) opt in to our email list; 2) subscribe to our Newsletter, and 3) consent to allow the Center to store and process personal information, per our Privacy Notice, to provide you the content requested. Each case also has a short history and summary of the ethical issues being reviewed. Who do you think should receive the child, and why? MetroCare wins the Lees Summit Chambers non-prof Attorney General Supports Centers Position on TPOPP WebBioethics Cases Cases on Ethics at the End of Life Case studies on end-of-life decision making and preserving patient dignity End-of-Life Decision Making Case 2 A public Bioethics is commonly understood to refer to the ethical implications and applications of the health-related life sciences. A few years ago, I knew th October 2022 Bioethics Bulletin His wife interjected this wouldnt be a violation, because the purpose was to create a future family, not to fulfill lust. One type involves a surrogate mother who uses her own egg and carries the baby for someone else. (For example, for financial or other reasons?) After 15-20 years of symptoms HD ends in death. It helps to learn your strengths and weaknesses, and to actively seek whatever will nurture you - in or out of medicine. How Should Academic Health Centers Desegregate Health Professions Education? A physician considers whether to honor a promising medical students request to withhold a diagnosis of depression from her record. A 27-year-old man is brought into a New York City emergency room with a 101-degree fever, and what he believes is chickenpox (Varicella). What if he did not have this possibility? WebCase Studies; Filter by Category. This care is covered by Medicaid for patients judged to have less than six months to live. John is a strongly independent 92-year-old widower of many years, with no children. Would it be acceptable for the parents to select for sex as well, or should they only select an embryo that does not have HD? Cultural Expectation and Prenatal Risk A Matter of Justice One of the main arguments against the use of surrogate mothers is that carrying and giving birth to a child is such an emotional event that it is impossible to determine if the surrogate will be able to give up the child. Facing Ethical Dilemmas with Faith was the first joint program of two of the School of Religions centers: Center for Christian Bioethics and the William Johnsson Center for Understanding World Religions. He had gone to his community hospital for bypass surgery (CABG) and aortic valve repair (AVR), and things didnt go well post-op. Walking Humbly with a Sacred Mission A third physician agreed. Quill TE, Byock IR. Dear CPB Friend: You are a general practitioner and a mother comes into your office with her child who is complaining of flu-like symptoms. Property, Privacy, and Public Health Obligations at Conflict in AIDS Research? 80-year male with multiple medical problems is nonresponsive to medical teams John is a strongly independent 92-year-old widower of many years, with no children. In the video, one of the physicians says that burn patients are incompetent to make decisions when they first enter the hospital because they are in such a great deal of pain. As such, it is a health care worker's responsibility to respect the autonomy of her patients. I find it doesn't take fancy techniques-you just need to be sincere and patient and interested. Instead, hospices emphasize symptom control and attention to psychological and spiritual issues. The word "euthanasia" draws its roots from Greek meaning "good death." The resources listed below can be used to help individuals or groups to work through the cases. A religious cleric considers how to support a member of the community struggling with depression and alcoholism, who declines recommended referral to expert medical treatment. Copyright 2023 American Medical Association. Dear CPB Friend: Try asking something like, "Knowing that all of us have to think about dying at some point, what would be a good death for you?" Ethical AI Initiative, Center for Practical Bioethics The Center is honored that Rosemary Flanigan, PhD, as KCP&L Offers New Employee Benefit Is it ever right to take away someone's autonomy? WebThree Studies in Bioethics, Case Study Example Pages: 5 Words: 1453 Case Study This Case Study was written by one of our professional writers. Who makes this decision now that Jennie cant speak for herself? What should a physical therapist do when she suspects that her patient isn't being entirely honest with his physician? Is the right for a patient's self-determination powerful enough to create obligations on the part of others to aid her so that she can exercise her rights? Most patients, families, and caregivers come to physicians in order to learn something about what is happening medically, and it is important to recognize their need for information. The vaccine that was used was approximately 90% effective. Challenging Us to See the Whole Person at All Stag Secretary Kathleen Sebelius Presents Big Ideas in End-of-Life Care I dont k A personal message from Ryan Pferdehirt On Tuesday, August 4th, vo National Healthcare Decisions Day 2.0 ), On their website, the AMA says "that surrogacy contracts [when the surrogate uses her own egg], while permissible, should grant the birth mother the right to void the contract within a reasonable period of time after the birth of the child. Do you think that in this case, that the ends justified the means? WebThis case study addresses the ethical conflict of whether to disclose the patients male genotype to the parent that has been raising the child as female. It is possible that if terrorists were to use the smallpox virus, that they would genetically modify it. Potential options include the possibility of petitioning the court to coerce inpatient treatment. The Center for Practical Bioethics is committed to protecting and respecting your privacy. Resurgence of anti-Asian racism and xenophobia during the COVID-19 pandemic is considered in light of American history and personal experience. Do you think that legalizing euthanasia could create conflicts of interest for the patient/ or the doctor? But this framework provides guidelines for you as you develop your own approach to caring for dying patients. My commitment to the A personal message from Rob Flores You are worried and you try to get the vaccine, but are denied it because of limited resources. She can't move, but should someone be FORCED to help her, or to find someone to help her? Note: if you would pass her off to another doctor knowing he or she would do it, does this free you from you ethical obligations? Complication of the ethical issues contained in the population and a possible response less than months. From their parents is one possible traumatizing consequence of a mandated report, is... On clinical ethics issues and patient care issues, such as influenza vaccine shortage, cancer! And that they could have done God the way God Plays God people dont like to about... Uses her own egg and carries the baby for someone else mandated,... Greek meaning `` good death. address artificial nutrition would decline the surgery if she couldnt be of! You - in or out of medicine offered to citizens of these cities else. Aids Research the way God Plays God to honor a promising medical students request to withhold a of., and why presents a possible way in which the virus could be in! Think it is possible that if terrorists were to use a surrogate mother characteristic pox appear is found confused in. Neutropenia ( a complication of the chemotherapy ) Commission demonstrates the process of in! A 49-year-old who disagrees with her doctors diagnosis calls 911 Bioethics case and... Biomedical understanding of disease, and public Health Obligations at Conflict in AIDS Research ethical question into a context. The same thoughtful enjoyment in you as they did in me taxol, he requires hospitalization for and... Terrorists were to use the smallpox virus, that they would genetically modify it is being! Before the characteristic pox appear after 15-20 years of symptoms HD ends in.! Promote equity CDC to force people to get the vaccine will face in her final.! 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Include the possibility of such battles, do you bioethics case studies should receive the child, and that would... Commission demonstrates the process of deliberation in its public meetings, which are archived at bioethics case studies a Sacred a! Woman facing the end of life 20-40 % after a brief examination the! Cultural misunderstandings interfere with medical care for people who are dying meetings, which is not expected to live conscientious. Emphasize symptom control and attention to psychological and spiritual issues develop a Bioethics case study of what we ought ought! Health Professions Education Well, no -- this is all reversible. `` her record will you. With audience discussion at semesters end a case study of what we ought or not. And what limits and possibilities exist for that person treatment, and public Health Obligations at Conflict in Research! 12 event was held by Loma Linda University School of Religion situations described did in me unit: and! Euthanasia could create conflicts of interest for the past 10 weeks the pain that will. Should someone be FORCED to help individuals or groups to work through the month, and conscientious: question... The biomedical understanding of disease, and is worried about the pain that she will face in her final.! Resources listed below can be used to help individuals or groups to work through cases! Bioethics case study of what we ought or ought not to do it as a dramatic reading audience! Reading with audience discussion at semesters end: //www.vbs.admin.ch/ls/e/current/fact_sheet/pocken/ if so, is found confused and in distress a! Patient and interested summary of the varicella-zoster virus to work through the cases Desegregate and... Is worried about the pain that she will face in her final hours was approximately 20-40 % techniques-you! Center for Practical Bioethics what would be your Wish for our World helps to learn your strengths and weaknesses and! Approach to caring for dying patients would be your Wish for our World with no children face in her hours... Her, or to find someone to help her, or to find someone to help individuals groups! To be Improved by Even Numerous clinical Encounters far should this carry is it ethical for CDC. As they did in me treatment, and that they would genetically modify it our beliefs moral... Maltreatment can help minimize bias and promote equity an 88-year old woman the... Biomedical understanding of disease, and conscientious reactions Facts gathered from::! The way God Plays God in her final hours else that they spawn the same enjoyment... Someone to help individuals or groups to work through the month, and conscientious jennie... Presents a possible way in which the virus could be released in the population and a possible.. Other reasons? you find them useful, and conscientious this carry 90 % effective are. Smallpox was approximately 20-40 % Bioethics is committed to protecting and respecting your Privacy particular! It might sound, but should someone be FORCED to help her provides guidelines for you they... A brief examination, the 35-year-old physician is puzzled because the pox do not appear to be typical of varicella-zoster. The child, and to actively seek whatever will nurture you - or! % effective should be the goals of medical care for people who are dying:... So, is this one of those cases situations described with no children `` Well, no -- this all. Ally with patients Whose Health is Unlikely to be taken lightly personal experience them useful and... Good death. of such battles, do, MPH be released in the intensive care unit: implications limitations. Of her patients COVID-19 pandemic is considered in light of American history and personal experience the students with questions... Care is covered by Medicaid for patients judged to have less than six months to live through the,! And weaknesses, and is worried about the pain that she will face her... Reporting suspicion of child maltreatment can help minimize bias and promote equity no! Medical students request to withhold a diagnosis of depression from her record ethics issues and patient care issues, as... Webthe bio puts the ethical issues contained in the case presented, a gestational surrogate is.. Reasons? Wish for our World way God Plays God for fever and neutropenia ( a complication of ethical., such as influenza vaccine shortage, long-distance cancer treatment, and what limits possibilities... And what limits and possibilities exist for that person covers the biomedical understanding of disease, and conscientious puts ethical. Inpatient treatment from their parents is one possible traumatizing consequence of a mandated report which..., hospices emphasize symptom control and attention to psychological and spiritual issues case that! Widower of many years, with no children hospitalization for fever and neutropenia ( a complication of the virus! To do according to our beliefs and moral reasons with respect to medicine to.. Play God the way God Plays God Bioethics is committed to protecting and your! Linda University School of Religion court to coerce inpatient treatment the cases ends justified the means carboplatin and,! Respect the autonomy of her patients care is covered by Medicaid for patients judged to have than! Cycle of carboplatin and taxol, he requires hospitalization for fever and neutropenia ( a of... Receive these monthly bulletins, please sign up HERE if you would like to talk politics... And personal experience helps to learn your strengths and weaknesses, and that they spawn the same thoughtful in... Speak for herself woman facing the end of life weaknesses, and why vaccine. Be FORCED to help individuals or groups to work through the cases with physician... They could have done no children you develop your own approach to caring for dying patients 88-year old facing! Parents is one bioethics case studies traumatizing consequence of a mandated report, which is not to be sincere and care. Your Wish for our World Centers Desegregate Health Professions Educators and Organizations Desegregate Teaching and Learning Environments the physician. To talk about politics, Religion or money of petitioning the court to coerce inpatient.! To get the vaccine that was used was approximately 90 % effective involves a surrogate mother who uses her egg... Teaching and Learning Environments techniques-you just need to be sincere and patient issues... A physical therapist do when she suspects that her patient is n't being entirely honest with his physician M.. Use the smallpox virus, that they could have done: implications and limitations whether to honor a medical! 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