(Evangelium Vitae, encyclical letter on the value and the inviolability of Human Life)
What the Pope was referring to was the debate over the ethics of stem cell research, and cloning and to other related issues that deal with experimenting with human embryos and fetuses. In fact, today, embryos can be created in a Petri dish, through in vitro fertilization, and these embryos are used for stem cell extraction and research. It is the use of these embryos that the Church objects vociferously to, because the Church feels that human life is not being allowed to reach its full potential through these methods. However, stem cells can be extracted from the umbilical cord of the mother soon after the child is born, or even from adults, and there is no objection to this, because there is no perceived loss of life. The fear in legalizing such research is that abortion…… [Read More]
The tragedy is that, often those who wish most for the blessing of children are deprived of this privilege for whatever reason. An even greater charity is that, when the long-awaited life finally does arrive, it is damaged so badly that medical science can do very little but alleviate its suffering to some extent. The question is whether such a child should be kept alive, and whether the quality of such a life makes the effort worthwhile.
It is important here to remember that there are various points-of-view from which to see the issue. The mother for example will instinctively wish to keep her child alive for as long as possible. In certain cases, it could be possible to help a child enjoy what he or she has of life. Indeed, many parents having been through such experiences profess that their children brought them blessings and a sense of thankfulness…… [Read More]
What personal, cultural, and spiritual values contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice?
The personal values that contribute to my worldview and philosophy of nursing include: the ability to empathize with patients / their families, solving the needs of stakeholders and creating a positive atmosphere for everyone. Cultural values are based upon working with people and numerous demographics. In this case, I can use these experiences to easily relate to them and understand what they stand for. The spiritual values is focusing on my abilities to help the individual feel a sense of empowerment. This is taking place using encouragement and enabling them to see how their issues is a chance to look at their lives differently. (Merry, 2012)
Each one of these areas work together, to form the basic concepts I utilize as a part of…… [Read More]
acism and Ethics in Healthcare
The United States achieved significant advances in the second half of the 20th century to reduce the prevalence and impact of racism on minorities, after failing to address it adequately in the hundred years in between the formal emancipation of the African slaves in 1865 and the Civil ights Act of 1964 (Edwards, Wattenberg, & Lineberry, 2009). During that time, systemic racism was evident throughout American society and business, and it even extended to medical research in ways that also fundamentally conflicted with the Hippocratic Oath, such as in the infamous Tuskegee Experiments (Beauchamp & Childress, 2009; Goldfield, Abbot, Argersinger, et al., 2005). Today, it is inconceivable that American medical researchers could use human beings for experiments in which they were deliberately left without treatment or actually infected with diseases for research purposes. Nevertheless, racism is still evident in American health care, albeit more subtly,…… [Read More]
Organizational esponsibilityand Current Healthcare Issues
Organizational esponsibility and Current Health Care Issues
Michel Boileau, chief clinical officer for St. Charles Health System said that a hospital in Bend Oregon administered incorrect medication to a patient, Loretta Macpherson, 65, and she passed away shortly following the administration of a paralyzing agent usually made use of during a surgery instead of anti-seizure medication. The doctor said that the patient's breathing stopped and brain damage and cardiac arrest followed. Investigation done looked at the entire process of medication: from the process of making orders of the drugs from the manufacturers, the mixing at the pharmacy, packaging and labeling and how the nurses get it and the administration to the patient. Weaknesses or gaps in the process were looked into to note the possibility of human error. Doctors had determined that the patient required phosphenyton, an intravenous anti-seizure medication, but rocuromin was…… [Read More]
Ethics and Ethical esponsibilities in HealthCare
Beyond Cultural Competence: Critical Consciousness, Social Justice, and Multicultural Education
Kumagai, Arno K. MD; Lypson, Monica L. MD
Our world has become a global village, meaning that we live and work amongst people of diverse nationalities, races, religious inclinations, etc. In that regard, therefore, clinicians ought to be trained on how to effectively address not only the disparities in healthcare but also the needs of a society that is becoming more diverse each passing day. The article whose title I give above seeks to accomplish two key goals; that is, in addition to discussing the cultural competency notion, the authors of the article also:
propose that educating physicians skilled at addressing the healthcare needs of a diverse society involves not the fulfillment of a competency as some sort of educational nirvana, but the development of an orientation -- a critical consciousness -- which places…… [Read More]
Healthcare is one of the most important arenas for applied ethics and social justice. The concept of universal healthcare can be considered from a number of different ethical standpoints including consequential and deontological perspectives (Daniels 1). An ethical consequentialist approach could focus on the net gains to the society from offering universal healthcare coverage to all persons, or the net gains of improved overall quality of life in a more equitable society. Deontological ethics stress the importance of equal access as a fundamental human right.
Because the medical profession as a whole is comprised of individual doctors, each doctor or healthcare worker is required to perform pro bono service at some point during their career in order to promote the value of social justice in medicine. As Daniels points out, there is no way to ensure one hundred percent health equity, given that sociological factors impact health outcomes (1). A…… [Read More]
Unfortunately for Kate, a private faith-based healthcare institution in the United States generally has a legal right to refuse access to abortion based on the principle of conscientious objection (Levin, 2016; Fiala & Arthur, 2017). Conscientious objection refers to the health care provider (or in this case, the insurance provider’s) ability to refuse to take action based on religious principles or beliefs. In this case, and in all similar cases, the legal right to refuse treatment should be separated from Kate’s rights as a patient.
Ultimately, Kate’s rights to ethical treatment, medical justice, and autonomy far outweigh the hospital’s right to conscientious objection. The only compromise that can possibly be reached in this case would be for the institution to refer Kate to a nearby institution that could perform the procedure. If, however, no such institution existed then Kate must be able to access the abortion services through her primary…… [Read More]
Assuming all those issues are addressed, mandatory HPV vaccination may be a good idea for all children and the option should be made available to adults and funded, at least in part, by government funds and profit limitations on vaccine sales. EFEENCES
Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). etrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at http://www.corpwatch.org/article.php?id=14401
Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. etrieved March 26, 2008, from News-Medical.net…… [Read More]
Ethics in a Long-Term Healthcare Business
Ethics in the health care industry spans a wide spectrum of activities and most of the obligations are cast by law on the professionals and the second by the common practice and morals of the profession. Both are important to the progress of the institution and also the health care industry. Compliance of statutes is of primary importance.
There are many rules and statutes that must be complied with by all organizations and one such recent legislation is the hospital information access system. The HIPAA rules apply to all personnel in the system and extend to laboratory technicians, and lawyers and insurers. The culpability comes if the information was disclosed to a third party who did not have an association with the entity -- the clinic and was permitted to access the information. In such cases where the physician discloses information to another…… [Read More]
Ethics in Health Care
The medical industry is filled with professionals who must be competent in many aspects of interaction in order to be successful and allow for patients to heal themselves in a positive manner. Professionalism is noted by a certain ethical attitude that must permeate the environment if the efforts of these people are to be successful. The ethical approach within the medical industry is extremely important due to the nature of the job and the reliance that normal everyday people have on the professionals within this industry to make wise choices based on the best interests of the individual.
The four major ethical principles of autonomy, non-malfeasance, beneficence and justice are ideals that may be rightly or wrongly applied to a patients healing process within the health care industry. The purpose of this essay is to describe the ethical issue of patient non-compliance with treatment using these…… [Read More]
Allocating Healthcare esources
Allocation of Healthcare esources
It may seem that the resources that a healthcare organization has at its disposal is contained in a very small list, but for proper allocation of total resources every possible thing has to be considered. esources refers not only to the money that a business has on hand, but the people, buildings, land, recruitment of people, retention and finances. An organization is the sum of all of its parts and must operate within the framework of those resources. How those resources are allocated is an important function of the control of the organization also. This essay will discuss the resource acquisition and allocation processes in a healthcare organization with specific emphasis regarding those processes in allocating financial, operating, capital, human, recruitment, and retention resources.
esource Acquisition and Allocation
In one aspect a healthcare organization is no different from any other organization…… [Read More]
Health and Legislative Issues
All Americans have the desire of having a healthcare system which is capable of delivering world-class security together with financial security. The system in place should always be accessible and one that impacts the economy positively. Successful healthcare reforms will lead to a maximization of the choices available for consumers put a restrain to the ever increasing medical care costs and make healthcare accessible to more and more Americans. There are a number of organizations that have consistently urged the president and congress on building on the existing systems which strengths in order to achieve health reform solutions that are workable in a bipartisan manner. However, there are some healthcare legislative issues that come up and have effects on various stakeholders such as legislators, consumers and other healthcare professionals. This paper will look at one of the current health legislative issues, who is affected most by…… [Read More]
Accounting, Cultural Diversity and Healthcare Administration: Law, Ethics and Policy
The difference between the cash basis and accrual basis of accounting
The cash basis of accounting is applied when revenues in an income statement are reported in the period cash from the customers is received, and when all the expenses in an income statement are paid for (Warren, eeve and Duchac, 2014). For example, a payment for a service is recorded in the income statement once the fee from the client is received. Under this basis, the variance that arises from the expenses and revenues is the resultant net profit or loss at that particular period. This method is popular with small businesses that have few debtors and creditors.
The accrual basis of accounting reports revenue on the income statement in the period they are earned. The expenses are also reported once they occur. This method applies the matching principle,…… [Read More]
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences…… [Read More]
Information technology and computers have also begun to affect, in ways that are both bad and good, family life, community life, education, freedom, human relationships, democracy, and many other issues. By looking into the broadest sense of the word it can be seen that cyber ethics should actually be understood as a branch of applied ethics, and ethics should be something that is believed in by all that provide medical information, whether via the Internet or in some other way, since providing false or fraudulent information could be damaging and potentially deadly for many people.
This particular branch of ethics analyzes and studies information technology and what type of ethical and social impacts it has. Within recent years this new field has led to countless courses, workshops, articles, journals, and many other ways of expression. With the World Wide Web becoming so popular when it comes to health care information,…… [Read More]
Health Care ight or Privilege
Health Care ight Privilege
Whether health care is a right or a privilege is one of the most intensely debated social questions of the modern era, but phrasing it in this binary way of one or the other masks a deeper problem that is far more complex. The specific issue at hand is the rationing of scarce medical resources. If there were unlimited resources where everyone could achieve the maximum health all the time, we would not have to ask the question, but this is clearly not the case. Glannon argues this requires a theory of "distributive justice" (2005, p. 144), and outlines the four main theories that have emerged from the modern discussion, which are Utilitarian / consequentialist, Libertarian, Communitarian and Egalitarian.
Utilitarian, consequentialist theory is often invoked toward a solution of who deserves health care when there is not enough for everyone, and…… [Read More]
Integrity is a major issue for healthcare organizations because there are many avenues for fraud, and for people to demonstrate a lack of ethics. The problem is that the temptation is sometimes too great and despite the fact that there are laws in place to guard against these practices unethical behavior takes place anyway. The government, which supplies a lot of the money which goes for treatments through Medicare and Medicaid, has structured certain laws to make sure that the practices of healthcare organizations are ethical, but billions of dollars in fines are still doled out every year. The big drug companies complain of arcane and hard to decipher legalese, but the fact is that although they realize the issue and the penalty they continue to subvert the law. This paper looks at qui tam statutes and cases, Medicare and Medicaid admissions criteria, installing a corporate integrity program, and…… [Read More]
However, they contradict themselves trough supporting one's right to commit physician-assisted suicide, since this would virtually mean that the individual who is no longer willing to live is not provided with health care meant to prevent him or her from dying (Epstein, 1999, p. 1).
Among those opposed to the fact that health care is becoming increasingly better are those who are in their twenties and are obliged to work hard in order to pay for their own medical insurance and for that of the underprivileged (Bonner, 2010).
Contemporary health care is basically provided by groups forced to pay taxes in order for others to benefit out of the process. The fact that health care is a privilege and not a right was made obvious ever since the 1954 foundation of the Department of Health, Education, and elfare. The name contained the term welfare with the intention of highlighting how…… [Read More]
Health Care Situation: Medical Error Due to Doctors' Bad Handwriting
Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company.
I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into patients' medical records carries very dramatic risks for all above-mentioned interest bearers. It can result in severe health danger for the patient and - in extreme situations - even cause a patient's death. Doctors' bad penmanship has long been seen a problem within organized medicine and the patient safety movement. Three American Medical Association (AMA) policies dating back to 1992, urge doctors to "improve the legibility of handwritten orders for medications" and review all orders for accuracy and…… [Read More]
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems…… [Read More]
Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of Congressional action that was passed in 1997 in order to cut costs in the Medicare program, but have never gone into effect. There are also several hospitals, insurers, pharmaceutical manufacturers and advocacy groups that are withholding final support. Most of these groups have pledged support to health care reform in principle while working privately through lobbyists to protect their industries (Eaton and Pell, 2010).
Healthcare lobbyists range from very large companies and corporations to very small groups who are all looking…… [Read More]
S. Department of Health and Human Services, 2011). Furthermore, subpart C explains the privileges and the protections of confidentiality that is attached to the patient's record along with much exception (U.S. Department of Health and Human Services, 2011).
The penalty for anyone who breaks confidentiality is imperative. In "November, 23, 2009" was increased to $11,000 (U.S. Department of Health and Human Services, 2011). This goes for anyone in the medical field or has access to this information. A person has to follow HIPAA precisely or face a huge fine. If one thought of this ahead of time, whether or not they own a business, then no issues would arise legally. However, sometimes this does occur, especially for those who want to harm another person, yet in the medical field the goal is not to do this to any individual, regardless, otherwise he or she could face losing their license in…… [Read More]
In their move from a completely government-paid and -- operated healthcare system to a fees-based approach, the Chinese have greatly improved the efficiency, availability, and efficacy of their healthcare system (Wan & Wan 2010). This suggests that a combination of perspectives, rather than the market or single-payer perspectives that form so many healthcare systems, is most effective.
There are also, of course, healthcare systems that have developed in the same period as those mentioned above, but with far more negative results. The South African healthcare system, though effective in combating certain specific conditions, has many of the same failings as the United States' system, only on to a far more apparent degree. A lack of organization and responsiveness, exacerbated by an attempt to exert highly politicized and highly centralized control over healthcare provision, has plagued South African efforts to combat AIDS and many other problems the country -- and the…… [Read More]
While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.
10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.
Like other highly trained professionals, experienced nurses…… [Read More]
" (Arnold & Reeves, 2009). ith medical services price at the present time, illness or some kind of complicated to medical services may take people deprived of health insurance years to reimburse for bills that are medical. Furthermore, I believe that individuals who lost their jobs also are uninsured for the reason that their employer gave health insurance is no longer paying for them. I understand that based on the statistic; there are "way too many around 1 million workers that have lost their health reporting in the first three months of 2009. I think that helping people buy health insurance coverage with low-cost with offering the health plans options for the uninsured is the healthcare reform that is really needed now. In this way, individuals that are without health insurance will be able to afford paying their medical insurance to uphold their well-being.
In conclusion, with the increasing rapidly…… [Read More]
Health Care Access Ethical Dilemma
Access to health care services is not equitable in the United States. The 15% of Americans without health insurance coverage find it extremely difficult to access health care services (Trotochaud, 2006). This is an injustice that should be addressed. Patients going to rural health care facilities face myriad challenges that are occasioned by stigmatization. Stigmatization of illnesses that patients grapple with occasions ethical conflicts. In the process, patients' right to privacy and confidentiality are often violated. There are practical guidelines that can be used to minimize ethical conflicts. It is imperative that confidentiality and trust be made paramount under circumstances where healthcare professionals deal with patients with stigmatizing illnesses.
A typical example of confidentiality, overlapping relationships and lack of willingness to seek care can be attested to in a situation where a woman working at a local store finds out that her partner is HIV-positive…… [Read More]
The health of any single person is the most important and most limiting factor about that person's ability to complete physical tasks and live a useful and purposeful life. Healthcare is a term that is widely used but never discussed in how it can best be accessed. The purpose of this essay is to identify and describe a useful plan that helps solve the dilemma of people acquiring a proper and useful source of healthcare. The ethical component of the situation will also be introduced to help demonstrate how practical this plan can be.
To many, healthcare is often associated with doctors, nurses, hospitals, drugs and surgery. It seems that more people are sick or are diseased with some sort of affliction than ever before. Tanner (2008) made the point that "a closer look shows that nearly all health care systems worldwide are wrestling with problems of rising…… [Read More]
Healthcare Legislative Bill
The expanded and improved Medicare for all Acts
The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).
With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national…… [Read More]
Administrative boards routinely reevaluate general institutional compliance with federal and state legislative statutes and also with stated hospital policies. Ethics guidelines regarding procedures, treating minors, and admission to clinical research trials are only some of the legislative guidelines necessary when making healthcare decisions. Chains of command, appropriate disciplinary and appeals procedures, and health and safety guidelines for patients and employees are some examples of legislative functions a board may perform. Additionally, conduct between employees will also be governed, including sexual harassment policy, chains of command regarding institutional decisions, and human resource policies such as bonuses, performance reviews, and seniority.
The judicial roles of the administration involve evaluating specific individual's compliance with legislative policies, and the legality or wisdom of institutional policies in general. For example, an appeal might be made about the justice of certain guidelines, like the maximum amount of hours nurses may work, the institution's policies regarding…… [Read More]
Health Care -- Strategic Planning and Marketing
Strategic planning and marketing often wed customer-oriented issues with broader issues of public health, morality and survival in a highly competitive market. Consequently, a key issue set forth by the American Hospital Association and an issue of strategic planning/marketing are often two sides of the same coin. This work addresses the customer-oriented issues of Diversity and Emergency Planning that are mirrored in two key issues advanced by the AHA. These two issues are articulated in the first part of this work and answered in the second part of this work.
Customer-Oriented Strategic Plan
American society is increasingly ethnically diverse due to immigration, relocation, birth rates and other factors. Consequently, a 250-bed community hospital must hone its sensitivity to resulting changes in community health needs. n addition, there is a high level of competition among hospitals that requires sensitive, targeted marketing to attract…… [Read More]
Contracts with doctors often contain a clause which doesn't allow the doctors to discuss
Health care 7 with their patients financial incentives to deny treatment or about treatments not covered by the plan (Glazer, 1996). This has caused many consumers, especially those with chronic illnesses, to form organizations with the American Medical Association and physician specialty groups to promote legislation forbidding "gag rules" (Glazer, 1996). One group, Citizen Action, has 3 million members and "has been lobbying in state legislatures for laws that would require plans to disclose how they pay their doctors; give patients the right to choose specialists outside the plan; and provide appeals for patients who get turned down for expensive treatments" (Glazer, 1996).
The doctor-patient relationship is also affected if a patient must switch to a new doctor under managed care. Having a longterm relationship with a primary doctor is important because he or she is…… [Read More]
Universal healthcare is the only saving formula for this nation, which is doomed in a health care crisis of unprecedented proportions. There is a urgent need to transform healthcare from its present state of commercialism towards the humanitarian approach which guarantees 'healthcare for all' independent of their social or financial circumstances. A shared and collective responsibility of healthcare management is the only viable formula for America. It is high time we learn from Canada, UK and other European nations and restructure the current broken state of our healthcare. The successful passing of the USNHC act (H.R. 676) is the only way for America to wake up from its healthcare nightmare. Will the powerful insurance industry hold its ground yet again and resist this awakening leaving all the citizens doomed? This is an important question for all the citizens of our country.
1) Science Daily, 'American Values lamed for U.S.…… [Read More]
The relationship between the doctor and a possible patient is established when the physician asks the person for the first time as how he could be of possible help. This direct and simple enquiry is the beginning of the trust of the patient that has to be put in the physician for any treatment to proceed. The patient is in need of help at that time, and has to trust the professional for getting the help and the patients want to do it. They need a person to take care of them during their period of suffering from illness. This relationship between the patient and the physician in the financial sphere also involves the same amount of reliance, confidence and trust, as otherwise, not treatment can be undertaken. This makes it essential that the physicians clearly mention to the patients when there is any conflict of interest in…… [Read More]
Futile medical care is the ongoing provision of medical treatment or care to a patient who does not show any hope of recovery. It is either that his condition is not curable and therefore the treatment that he is receiving is of no benefit. The common examples of these are that a surgeon is performing a surgery on a patient with terminal cancer. Patients who have terminal cancer have gotten the cancer spread all throughout their body. It is only until time that their organs will go into failure and they will pass away. Another example is of keeping brain dead people on life support for other reasons. As it would be expected, this is quite a sensitive area and it would involve arguments with the patient's relatives and friends.
It is understandable that the loved ones do want to do anything they can to keep the patient in front…… [Read More]
Defined as the philosophical study of right and wrong action, Ethics is a predominant subject of concern in nursing (Michael Dahnke, 2006). Being presented with various situations, the ethical and cultural problems are a serious concern faced by the nursing and healthcare staff which needs to be catered to day in and out. There is no time tested methodology that can be applied here, since the every patient is different, with a different background history, therefore the ethical and cultural implications of each decision would also vary.
Importance of Ethical Theory to Nursing
Defining what is right and wrong is a very subjective approach and even that can change from scenario to scenario. Therefore it is important to have some form of umbrella under which the functioning of nurses takes place. It is under this rationale that the importance of ethical theory emerges in front of us.
In…… [Read More]
Many of the chapters relate to medical research as well as medical procedures, with the informed consent issue in particular affecting both human beings involved in medical research and those facing a medical crisis and wanting to now what their treatment will entail.
Throughout, the authors present ways of thinking about these ethical issues and also encourage medical personnel to consider these matters and to have a means for making decisions in mind at all times and to follow certain procedures in analyzing a situation and making a determination as to what behavior is acceptable and what is not. Some of the issues discussed are more controversial than others, with abortion being perhaps the most controversial and so the most in need of an ethical structure to decide between competing interests. The death and dying issue is another with two clear positions polarizing the argument and with a range of…… [Read More]
Health Care -- Ethical Issues in Evaluation Research
Ben is a professor and Alyssa is his graduate student in health sciences. Ben is the program chair for a conference with publications that are "refereed" or reviewed by an expert board of editors before publication. The conference has a policy that accepted papers must be presented by their authors but Ben does not mention this policy to Alyssa. He suggests that Alyssa submit a paper to the conference and that he will present it because the conference is being held abroad and he cannot support her trip to the conference. Alyssa writes the paper entirely with her own research while funded by an external fellowship, and submits it with herself as the sole author. She gives several drafts to Ben, who does not comment on any of them. Alyssa's paper is accepted by the conference, she is then advised of their…… [Read More]
Healthcare Administration: Healthcare Law, Cultural Diversity, And Principles of Accounting
Cities, Suburbs, And ural Areas
ural areas are geographic areas located away from suburbs and cities, often characterized by a small population and abundant natural resources. Currently, in the U.S., rural residents make up 16% of the entire population - as compared to 17% in 1910. This implies that poor job opportunities and lack of skills that are evident in these areas have pushed people into towns and cities. Suburban areas are residential areas often situated on the outskirts of major cities. Although they have more residents, they have fewer resources as compared to rural areas. The current population in the suburbs has increased to 51%, something that has never been witnessed before. Cities in the U.S. are the largest areas of settlement and are often congested due to high population. The National Center for Education statistics reported that 33%…… [Read More]
edu). While this example just discusses one manner in which a given policy can empower a healthcare marketing strategy, social marketing is currently so engrained in our culture that its powers are truly widespread. Social marketing allows products and brands to have more flexible and sensitive pricing as their prices can be changed at any minutes and consumers alerted, given the instantaneous nature of social marketing. The same goes for service as well -- any changes or enhancements that are made to services can be alerted to the public immediately. Likewise, social marketing is a two-way process: it allows consumers to chat their thoughts, ideas and concerns to marketers, giving them immediate and constant feedback. Social marketing can impact large groups of people at once, as readily seen by campaigns used by the AHA or the FDA (Kotler et al., 2008).
Social networking can also be a means of social…… [Read More]
The article states, "The enormous human and economic costs associated with occupational stress suggest that initiatives designed to prevent and/or reduce employee stress should be high on the agenda of workplace health promotion (HP) programs" (Noblet, LaMontagne, 2006, p. 346).
Along with the article's assertion that reducing employee stress should be beneficial to both the individual and the company, the article also documents the many problems that can occur due to stress in the workplace. The article espouses, "For employees, chronic exposure to stressful situations such as work overload, poor supervisory support and low input into decision-making have been cross-sectionally and prospectively linked to a range of debilitating health outcomes, including depression, anxiety, emotional exhaustion, immune deficiency disorders and cardiovascular disease" (Noblet, p. 347). Many of these illnesses are debilitating and can be long-term which adds to the company's cost due to employee absence(s) directly affecting the company's bottom line.…… [Read More]
1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.
Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.
11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?
In terms of policy implementation and organizational philosophy, the human resources function…… [Read More]
Informed consent signifies one of the protections in studies on mental illness. Consent is a procedure that permits for the free choice by a knowledgeable and competent person to or not to partake in investigative procedures. Capacity for consent is not a stationary experience. It can transform with the circumstance of the person. The theory of informed consent was established on two distinctive legal philosophies. Every patient has the right to figure out what will or will not be completed on them and in regards to a fiduciary character of the patient physician affiliation it has to be articulated with the main purpose of endorsing individual self-rule while endorsing balanced decision formulation.
This article was very easy to read and attempted to break the subject matter down into everyday language in order to maintain clarity. It gave a very good overview of psychiatric drug testing on children and how…… [Read More]
The family is the earliest source of an individual's moral beliefs and principles (Dunn & Woodard, 2003). Essentially, children are not born with a set of moral principles -- they acquire a sense of what is wrong/right by observing how others react to their behavior. As a child, for instance, I was forbidden, right from my formative years, from taking something that belonged to someone else without their consent. The rule became instinctive, such that I considered the forbidden behavior wrong, and had to look out to see if I was being observed before engaging in the same. On a similar note, children learn by example - by observing the behavior of their parents or adults close to them, and are predisposed to take on their beliefs and principles (Dunn & Woodard, 2003). As they grow and interact with a larger section of the community, the society -…… [Read More]
While freedom of religion absolutely guarantees the right to refrain from choosing to submit to stem cell-based treatment, the same freedoms and the concept of separation of church and state absolutely preclude religious beliefs about when life "begins" (or about anything else) from dictating laws that affect other people who may not share those particular beliefs (Dershowitz, 2002).
Beneficence and Non-malfeasance
Certainly, both the concept of beneficence and non-malfeasance absolutely prohibit the use of fetal stem cells from any fetus that is sufficiently developed to be considered a "person" as well as from any fetus that is sufficiently developed to sense pain. Medical authorities may debate where the exact point is where "personhood" first becomes an issue, but in principle, that characterization must be a function of objective criteria and never subjective beliefs of laypeople, especially based in religion (Dershowitz, 2002).
Both beneficence and the duty to avoid malfeasance prohibit…… [Read More]
..above all - its situation." (Ibid)
II. Leadership Strategy for Transition or Change
Watkins proposes 'Five Fundamental Propositions' in his work and the first is which that the "root causes of transition failure always lie in a pernicious interaction between the situation, with its opportunities and pitfalls, and the individuals with his or her strengths and vulnerabilities." Or otherwise stated no superheroes exist and the leadership is not a complete failure but the combination of the two determine the direction of the organization. The second proposition is that "there are systematic methods that leaders can employ to both lessen the likelihood of failure and reach the breakeven point faster." (2003) There are however proven and reliable methods that leaders must use to ensure success or at least minimize possibilities leading to failure. Third Watkins proposes that "overriding goal in a transition is to build momentum by creating virtuous cycles that…… [Read More]
Legal Aspects of Health Care Administration
Please answer the question below:
Give and support two arguments for and two arguments against Euthanasia. (Note: Pages 430 to 433 in Pozgar's textbook will provide some background on the issue).
In modern medical practice the meaning of euthanasia is an action that assists dying in someone who has requested it and countries such as Belgium, where it is a legal practice, require that the person must be older than 18 years, be in unbearable physical or psychological pain that is medically permanent and without hope of recovery, the request must be made by his or her own self-will, and the person must have thought about it and made the request several times (Gulsah, Gursel, & Nazan, 2007). These requirements by themselves imply the kinds of arguments that can be made for the practice.
The obvious argument for euthanasia is to alleviate…… [Read More]
More area is dealt by Human esource Management than people originally thought of. Some may explain it as the exchanges between boss and worker in the time period between which a worker is employed, until they are eliminated. It is true human resources management starts even before this, with the strategies that are formed by the institution, and the laws that govern workplace institutions. Human esource Management is the procedure of working with people so that they and their organizations attain full potential even when change accelerates the necessity to get new talents, take up new tasks, and develop new relationships, as per an article by L. Dobb abd P. Dick of 1993. (Blessinger, Human esource Management)
Human esource Management is projected as that part of management, which deals with plans, decisions, issues, ethics, process, routines, work, performance and system associated with the management of people as workers…… [Read More]
They also reject the argument that public support for transplantation will endure something bad if it becomes known that donated organs are being used for alcoholics.
There is an extensive reluctance to consider people with alcoholic cirrhosis for liver transplantation. The authors of this article do a good job of presenting both sides of the argument about whether alcoholics should be eligible for liver transplants. They present both a moral argument and a medical argument and compare and contrast both sides before drawing their conclusion. They illustrate the screening and selection process for liver transplant contenders in a concise manner. At the end the authors dissect the objection to the moral argument and the medical argument of not allowing alcoholics to receive liver transplants. They reply to both of these objections with the reasons as to why alcoholics should be allowed to receive transplants. In the end they conclude that…… [Read More]
ABC Hospital Incident Report
Follow Up Requested: Yes? Nox
What happened? Time: 5 PM Date: 8 Feb 2015 Location: Treatment Room
ABC Hospital has been always known for upholding the highest of ethical and moral standards since my time being employed as a nurse in this organization. The code itself is based on the Hippocratic Oath which directs and aligns the clinical practices of this organization with directed set of principles based on the ancient teachings of Hippocrates, the first Western Healer. The code suggests that patients are to receive our best efforts as healers, leaving no reasonable excuse for failure. Patients are treated as real people with real problems and the need to ensure their protection and safety is no doubt a primary concern.
The code of conduct here at ABC appears to have been violated with the recent problems with MS. Patient X and here misdiagnosis…… [Read More]
GBMC Healthcare Hospital. The main issue relates to privacy and confidentiality issues considered essential components of fostering trust between healthcare consumers and providers. The issue arose the GBMC hospital did not strictly follow the rules of privacy and confidentiality. Because of its lack of complete control on the privacy issues, many pieces of private information of patients were stolen and compromised.
Although GBMC hospital has been committed for 75 years to ensuring patient healthcare information is used to fulfill appropriate needs as provided by consent or law, but with the advent of the electronic health record and the transfer of an individual's health information through electronic media, including the Internet, the need for privacy and confidentiality protection takes on new meanings and challenges for the GBMC.
As medical science and technology continue to mature, and new data is being created that, when accessed, could be used to discriminate against an…… [Read More]
Healthcare: Clinical Integration
What is clinical integration
History of clinical integration
Goals of clinical integration
Importance of clinical integration
New payment models
Barriers to clinical integration
Lack of practitioner alignment
Lack of interoperability
How to achieve success in clinical integration
The future of health care systems
Physician acquisitions vs. clinical integration
HIEs -- solution to clinical integration?
Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the manner of health care delivery in the U.S.; and that anything less would only alter the system's edges - with little or no substantial effect on cost-control, innovation-promotion, effectiveness of reward incentive schemes, coordination and coverage (AHA, 2010). Clinical integration has been found to be crucial to the change needed for the achievement of the aforementioned goals (AHA, 2010). Despite…… [Read More]
Diversity of Aging Population -- Innovative Healthcare
Over the past several decades there has been an avalanche of research and scholarly narratives focusing on the aging of millions of Americans -- among them the "baby boomers" that were born between 1946 and 1964 -- including their numbers and their health vis-a-vis the impact on the sometimes struggling healthcare system. But there has been a dearth of research on how American healthcare services will respond -- and is currently responding -- to an increasingly diverse older population when it comes to racial, cultural and ethnic identities. This paper points to the numerous issues and challenges that not only face an increasingly diverse older American population when it comes to healthcare, but also the challenges that the healthcare system itself faces as these Americans move into the twilight of their lives.
hat should be the Vision and Mission of Healthcare Professionals in…… [Read More]
Healthcare Administration Mission Viejo Executive Summary
Over the last several years, the healthcare delivery environment has been continually evolving. This is because consumers are demanding efficient ways for receiving a variety of services. That is focused on reducing costs and enhancing quality. The result is that the entire system is continually changing to keep up with them. In the case of Golden Age Hospital (GAH), they are reaching a crossroads with rising number of seniors locally and nationally. This is in response to the rising demographic and many local facilities feeling overwhelmed. The new location can be utilized as an integrated business model that will achieve these larger objectives. In the long-term, this will make them more competitive and able to respond to changes in the way industry is operating. Those who are able to do this will see their employee turnover rates decrease and they can enhance the care…… [Read More]
health care in the United States has been the source of heated debate for a number of years. Although the publicity surrounding the issue has been considerable and made to look like it is a recent problem facing the nation, the problem, in reality, has been on the horizon for nearly a century. During President Woodrow Wilson's administration, efforts were unsuccessfully made to pass national legislation regarding the delivery of health care in the United States and the issue has appeared periodically on the national agenda ever since (Lepore, 2009). Finally, on March 23, 2010, among massive controversy, the Affordable Care Act, through the massive efforts of the Obama administration, became law.
Despite the passing of the Affordable Care Act, health care in the United States remains dismal for a large percentage of American citizens. Although there were a number of significant provisions in the Act that took effect nearly…… [Read More]
Ethical Analysis of Healthcare Rationing
The topic of health care rationing has been the subject of debate in the U.S. The last few years as government expenditures on health care have far exceeded budgeted levels. Central to the concern is the ethical issue over whether it is better if fewer Americans profit with a greater amount of health resource allocation or if the majority benefit to a lesser degree for an equity in health care benefits. In the essay, "We've Got To Ration Health Care," (author unknown) the position is taken that America would fare better to follow the course of health care action seen in other western countries, where it is considered better to ration medical procedures to the extent that a system provides "the highest possible level of basic health care that can be delivered to all the people." With the growing concern over health care rationing, and…… [Read More]
Aaron, H.J. 1994. Thinking About Medical Costs. Health Affairs, 13, 5 (winter): 8-13 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Acs, G. And John S. 1995. Trends in Out-of-Pocket Spending on Health Care, 1980-1992. Monthly Labor eview, 35-45 in Hong, G-S and Kim, S.Y. (2000). Out-of-Pocket Health Care Expenditure Patterns and Financial Burden across the Life Cycle Stages. Journal of Consumer Affairs. 34. 2.
Cote, J. And Latham, C. (2003). Exchanges between Healthcare Providers and Insurers: A Case Study. Journal of Managerial Issues. 15, 2.
Health, United States. (2003). Chartbook on trends in the health of Americans. HHS, Centers for Disease Control and Prevention (CDC). National Center for Health Statistics in Lesnik, J. (2006). Community Health Centers: Health Care as it Could Be. Journal of Law and Health. 19, 1..…… [Read More]
These needs are only beginning to be addressed in Canada and while there do not appear to be many well-established initiatives there is a growing recognition of the need for such if Canada's healthcare sector is to gain and retain the necessary workers to deliver optimal healthcare in Canada.
Polls & Research (2006) Health Care, Environment Top Issues in Canada. 1 Nov 2006. AngusReid Global Monitor. Online available at: http://www.angus-reid.com/polls/view/13653
ack, Chris (2008) Current and Emerging Trends: Occupational Health and Safety in the C Healthcare Sector. 19 Sept 2008. Prepared for the OHSAH Stakeholder Meeting. Online available at: http://www.ohsah.bc.ca/media/240-OHS-Current-and-Emerging-Trends-full.pdf
Canadian Institute for Health Information, Workforce Trends of Registered Nurses in Canada, 2006 (Ottawa: CIHI, 2007).
Canadian Nursing Advisory Committee, Full-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession, February 15, 2002.
Canadian Health Services Research Foundation, What's Ailing our Nurses? A…… [Read More]
Ethics in Health Care
The role of ethics within the medical profession is extremely important and it is extremely necessary to abide by a high standard of ethical behavior while working in this industry. The trust that patients and people place within the medical profession dictates this high level of ethical behavior. The purpose of this essay is to examine the influence of individual ethics on decision making the health care industry using the ACHE self-assessment test as a guide to highlight key issues regarding this approach.
The ACHE self-assessment provided some, but not much guidance on the way medical professionals should conduct their business. Many of the questions were quite superficial and did not really hit at the true ethical issues that are present within the medical field. For me, ethics cannot be standardized to the extent where there are automatic responses to challenging situations. ather, the ethical approach…… [Read More]
healthcare practices and history of nursing in the Jewish culture.
There are several healthcare practices within the Jewish culture. According to the rabbinic lore, no aging process existed until the time that Abraham was born. No disease also existed until the time when Jacob came to existence.
The connections of Jews to the healing process at patients as well as physician level is noted to be ancient with a deep root in history and theology (MyJewishLearning.com, 2011).In most religions, the idea of medical treatment was largely an anathema. In most traditional religions, disease, deformity and accident were regarded as parts of God's creation that those of human beings. Anything to do with medical treatment was largely considered to be a process of meddling with the Creator's (God's) work and will. Judaism however, views the concept of medical treatment in appositive light. It views medical treatment as an obligation on the…… [Read More]