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¶ … Tummy-Ache Debate
A woman complains of abdominal pain and is rushed to the hospital. After an examination, the physician informs the woman that she needs a kidney transplant. However, based on the managed care organization's utilization management review, a nurse practitioner decides to deny the procedure for this patient. The woman eventually dies as a result of not having the transplant.
I personally feel that managed care organizations should provide the best possible care that they can and should have provided treatment to the woman after the physician after her diagnosis. However, on the other hand, it should be noted that there are also many factors that could be entirely relevant that are not specifically outlined in the scenario. For example, there are not typically enough livers that are available to treat every patient that is in need of one at the time. Therefore, there has to be some way to determine which patients receive these vital resources and which do not, and these can be difficult ethical conundrums for anyone involved. Unfortunately for many managed care patients, there is often a financial aspect to such decisions that often leave them in a weakened position to negotiate for the approval of the treatments. For example, while there is typically...
Deciding where to ration care due to limited resources is a perplexing moral and ethical challenge in many situations, and one that is more common than most people think. For example, this type of decision is not only limited to patients who are in critical care positions. Recent studies into nursing care rationing indicate that nurses always ration their time and care, resulting to serious threats to the quality of care and patient safety; for example, patient mobilization, hygiene, feeding, communication, patient support, teaching and discharge planning, surveillance and care documentation are regularly lacking or omitted (Papastavrou, 2013).
Therefore, while my first impression of the case would be to recommend that the nurse practitioner approve the procedure based on the…
Works Cited
Jones, T. (2015). A Descriptive Analysis of Implicit Rationing of Nursing Care: Frequency and Patterns in Texas. Nursing Economics, 144-154.
Papastavrou, E. (2013). The ethical complexities of nursing care rationing. Health Science Journal, 346-348.
Papastavrou, E., Andreou, P., & Vryonides, S. (2014). The hidden ethical element of nursing care rationing. Nursing Ethics, 583-593.
Health Assessment Perform a health history on an older adult. John is 74 years old. He runs his own business with his wife Pam. They have three children i.e. Susan, Debbie and Henry. In the last thirty years, John has been dealing with major health issues to include: colitis, having his gallbladder removed and two separate liver transplants. When John was in his 40s, he was sent to the hospital with an
Bioethics: Transplant Case Study thorough examination of any "real life" ethical question involves the examination of all of the issues at hand. It is no different for issues of problematic bioethics. Thus, in consideration of the famous "botched heart transplant story," one must ask the salient questions, "what went wrong," "what should have been done," and "what can one do to insure that this issue will be less likely to
In theory, such evaluations could be useful, but as is, they are fairly useless. Plus, the validity and necessity of evaluations are up for debate themselves, besides the actual results from the evaluations being up for debate. Thus, the bioethical dilemma in those who abuse their bodies before and after receiving organ transplants lies not necessarily just with the recipients, but also with society, and with the medical field with
Based on etiologic differences, male-to-female ratio is 1.5-3:1. Primary biliary cirrhosis accounting for only 1.5% of deaths from cirrhosis is mostly found in females and ethanol-related cirrhosis is greatly found in males. Age-specific death rates in the United States tend to be greatest in the older age groups, topping at 49 per 100,000 males aged from 65-74 years and at 26.7 per 100,000 women of the age group from
hepatitis of the liver and how they are transmitted to how we can find a remedy to slow down the deterioration process if not cure it completely. Hepatitis Hepatitis A Hepatitis B Causes of hepatitis B Transmission of hepatitis B Symptoms Tests for hepatitis B Self-protection Hepatitis C Risk Factors for HCV Infection Consequences of HCV Infection Diagnosis Hepatitis is the disease connected with the inflammation of the liver. This disease was not discovered too long ago, however doctors and researchers have
Antiviral treatment is used in some cases, especially for treating Hepatitis C, but many of the side effects of this treatment are similar to the symptoms of hepatitis itself, and can become so life threatening that such treatments must be discontinued in some cases. In cases where treatment is absolutely needed but antiviral treatments either will not adequately address the cause of the disease or is deemed too dangerous,