bioethics case studies

Engaging Bioethics: An Introduction with Case Studies draws students into this rapidly changing field, helping them to actively untangle the many issues at the intersection of medicine and moral concern. In light of this, is it ethical for people to get the vaccine? Even worse, an intervention designed to provide physicians with better prognostic information had no effect on medical decision making prior to death. WebCase Discussion: These allocation questions have received scant attention in bioethics, despite considerable attention to other resource allocation problems (Daniels 1994). A: Ethics consult Bioethics Newsletter Winter-Spring 2020 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. What is a "good death"? With the possibility of such battles, do you think it is acceptable for parents to use a surrogate mother? Reflections on the Life of Beth Smith Finally, there is a marked public fear that a medical death, depicted in TV shows like "ER" as an unresponsive, uncommunicative body hooked up to an array of flashing monitors, represents an irresponsible use of technology and a dishonorable way to treat a person. Vari Hall, Santa Clara University500 El Camino RealSanta Clara, CA 95053408-554-5319, Ethical Considerations for COVID-19 Vaccination, Hackworth Fellowships Project Showcase 2021, The Ethics of Going Back to School in a Pandemic, Systemic Racism, Police Brutality, and the Killing of George Floyd, COVID-19: Ethics, Health and Moving Forward, The Ethical Implications of Mass Shootings, Political Speech in the Age of Social Media, Point/Counterpoint: Democratic Legitimacy, Brett Kavanaugh and the Ethics of the Supreme Court Confirmation Process, Cases in Medical Ethics: Student-Led Discussions. (Is it to protect the doctors so they will not have to GIVE the medication?). Personalized Medicine: Our Future or Big Data Voodoo? Featuring John Carney, CEO, Is It Reasonable to Expect Students and Trainees to Internalize Equity as a Core Professional Value When Teaching and Learning Occurs in Segregated Settings? What do you think of this? In the United States it is illegal to pay a person for non-replenishable organs. The Truth of COVID-19: An Ethicist Reflects on His Experience Its October and the Center for Practical Bioethics is abou Fostering Civil Discourse and Humor in a Partisan Era Responding to intractable terminal suffering: the role of terminal sedation and voluntary refusal of food and fluids. People dont like to talk about politics, religion or money. The vaccine that was used was approximately 90% effective. Uncomfortable, the patient explained that masturbation was forbidden in his religion. If this were the case, then the vaccine may not prevent all of the disease symptoms for those vaccinated. What you need to understand to care for the dying. Undaunted, the parents believed God would protect their son because they were acting in faith. Following evidence-based approaches to evaluating and reporting suspicion of child maltreatment can help minimize bias and promote equity. WebThe three case studies here represent interesting situations that a bioengineer, biologist or biochemist may encounter in their professional lives. Autonomy essentially means "self rule," and it is a patient's most basic right. Meatpacking plant workers prioritized for vaccines Death is not usually an individual experience; it occurs within a social context of family, significant others, friends, and caregivers. (For permission to reprint cases, submit requests to ethics@scu.edu.). This pattern of decline is not usually labeled by patients or physicians as "dying." On January 13, 2015, the Kansas Attorney General (AG) pr Brittany Maynards Choice to End Her Life Raises Profound Questions The word "euthanasia" draws its roots from Greek meaning "good death." View the Newsletter Most of the discussions followed a simple format. He had gone to his community hospital for bypass surgery (CABG) and aortic valve repair (AVR), and things didnt go well post-op. Why do you think they wouldn't let a person who is terminally ill and in pain with possibly more than 6 months receive assistance in dying? Rosemary Flanigan Chair, Center for Practical Bioethics February 2023 Bioethics Bulletin 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. David Kelly, JD, MA and Jerry Milner, DSW. Dear CPB Friend: WebBioethics Resources A Second Chance at Drug Treatment Case Description: You are a psychologist, drug treatment counselor, and program manager in a mid-sized city, in an otherwise rural area, in a region devastated by the opioid epidemic. Autonomy Part 2 Maintenance of patient autonomy is one of the major ethical focuses of physicians. Improving End-of-Life Care for African-Americans through Advance Care Planning in Partnership with Faith Communities WebBiotechnologies and Genomics (1) Procreation and Reproduction (5) Research Ethics (16) Medical Ethics and Policy Guidance Professional Education and Clinical Ethics Public and In this blog, Tarris (Terry) January 2023 Bioethics Bulletin Is there a moral difference between prescribing the drug and actually giving it to the patient? Now married, the woman wishes to have a child with her husband. Do you think that for more common diseases, for example measles, that it is ethical for the state to allow people to refuse vaccines (even for religious grounds)? However, now Skip is voicing concern: the most important thing to do is hear him out. As such, it is a health care worker's responsibility to respect the autonomy of her patients. A personal message from Erika Blacksher The AMA is against physicians assisting in euthanasia. The SUPPORT study demonstrated that even for patients with a high probability of dying, it is still difficult for a clinician to predict that a particular patient is about to die. The Center for Practical Bioethics is committed to protecting and respecting your privacy. Aisha James, MD, MEd and Katrina A. Armstrong, MD, MSCE. It is possible that if terrorists were to use the smallpox virus, that they would genetically modify it. Facts gathered from: http://www.vbs.admin.ch/ls/e/current/fact_sheet/pocken/. My commitment to the A personal message from Rob Flores WebCase 1: A woman enters the emergency room with stomach pain. This commentary considers how clinician-governors should respond to how Sequential Organ Failure Assessment (SOFA) scores are applied. Hospice started as a grassroots effort, as a view of dying that lets go of the possibility of cure. What Kansans Need to Consider about House Bill No. From Paper Records to Electronic Database, Property, Contract, Privacy Rights in the Human Body. 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. Sticking with his decision to refuse antibiotics, the cancer patient of Jain faith died from the ear infection that had abscessed to his brain. March 30, 20 Bioethics Newsletter Summer-Fall 2021 But it is demanding in a different, more personal way, than, say, treating pneumococcal pneumonia with penicillin. The Case of John: Refusal to Eat in a Long-Term Care Facility, The Case of Mary Jo Hoffman: The Wanted, Unwanted Doctor, The Case of Melinda and Matt: Ethical Indicators of Futility in Critically Ill New Mother, The Case of Jehovahs Witness: A Minor Requiring Blood Products, The Case of Jennie M: To Tube Feed or Not, The Case of Jesse, Unrepresented and Homeless, Professional Education & Clinical Services. The video is very useful; however, the videos of Dax's burn treatments are very graphic and the video should be reviewed before it is shown to a group of students. As parents of a child A personal message from Steve Salanski Cerner is helping create COVID-19 passports. Will they be a reverse scarlet letter? She undergoes a CT scan and is diagnosed with an abdominal aortic aneurysm, a weakening in the wall of the aorta which causes it to stretch and bulge (this is very similar to what led to John Ritter's death). 2150 Therefore, a second discussion was also held that focused primarily on patient autonomy. After all expenses are taken into account the couple pays the woman approximately $31,000 and the agency approximately $5,000. WebThe bio puts the ethical question into a particular context. If not, why put in the rules? These difficult and highly emotiona Personalized Medicine: Our Future or Big Data Voodoo? The procedure involves rubbing warm oils or gels on a person's skin with a coin or other flat metal object. In this study of dying patients, severe pain was common, decisions to withhold invasive treatments were made at the last minute, and physicians often had no knowledge of patient preferences not to have CPR. This will lessen her pain, but it will also hasten her death. The terrorist would have been contagious but would not have shown symptoms. Professional Education and Clinical Services. A physician has questions for a public guardian in charge of the medical care for a conserved patient. Look at the requirements for the request. An 88-year old woman facing the end of life. Co-Sponsored by the Center and Kansas City University of Medicine Nancy Cruzans Legacy: Open Talk About Death With Dignity The Americans with Disabilities Act: Before and After the Fall, Charlie Gard, Baby Doe and the Wisdom of Bill Bartholome. Obey Law on Criminal Reporting for a Pregnant Mother Addicted to Heroin? A third physician agreed. The following two cases address patient autonomy. 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Ethical AI Initiative Appears in a BioNexus KC Blog Ethical Considerations for COVID-19 Vaccination, Hackworth Fellowships Project Showcase 2021, The Ethics of Going Back to School in a Pandemic, Systemic Racism, Police Brutality, and the Killing of George Floyd, COVID-19: Ethics, Health and Moving Forward, The Ethical Implications of Mass Shootings, Political Speech in the Age of Social Media, Point/Counterpoint: Democratic Legitimacy, Brett Kavanaugh and the Ethics of the Supreme Court Confirmation Process, Ethical Issues in Dealing with Seasonal Influenza, The Case of the Long-Distance Cancer Treatment. All Categories; Medical Ethics and Policy Guidance (38) Ethical Theory and Principles (23) Informed Consent (4) Medical Ethics (5) Resource WebBioethics Cases Find case studies on topics in health care and biotechnology ethics, including end-of-life care, clinical ethics, pandemics, culturally competent care, vulnerable The Centers John B. Francis Chair, Erika Blackshe Equitable Treatment and Care: Ethical AI Initiative Poised to Test Recommendations Differing opinions were discussed in a healthy way, based on pragmatism rather than criticism of one anothers faith.. She comes in for a clinic visit, and her weight is up 2 kilograms and she is complaining of paroxysmal nocturnal dyspnea, even though she has been taking her meds as prescribed. The questions I asked of the students are included as well. When you touch the boy's back with your stethoscope, he winces in pain from the bruises. Training in a segregated health care system means that health professions students and trainees learn bias and experience helplessness and burnout. One type involves a surrogate mother who uses her own egg and carries the baby for someone else. A recent convert to Christian Science took her diabetic young daughter to a school-required physical after the girl told her teacher she was experiencing excessive thirst, nausea and fatigue signs of potentially fatal diabetic ketoacidosis. Cases and commentaries raise ethical issues on the management of seasonal influenza. Ask each student: If you were the physician, what would you do? Motivating health equity requires taking deliberate steps toward desegregating health care, especially in academic health centers. Today, should health care workers be allowed/forced to get the smallpox vaccine? WebBioethics Cases Cases on Medical Ethics Case studies on clinical ethics issues and patient care issues, such as influenza vaccine shortage, long-distance cancer treatment, and A degree of acceptance by the patient. 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. Of course, an ethically sound understanding of withdrawing and withholding treatment is crucial to good care of the dying. Center for Practical Bioethics Founding Executive Myra Christopher Honor Former DHHS Assistant Secretary Joins the Center Staff Authors: What makes a good death? I dont k A personal message from Ryan Pferdehirt Bioethics. Bioethics is the study of ethical, social, and legal issues that arise in biomedicine and biomedical research. Bioethics includes medical ethics, which focuses on issues in health care; research ethics, which focuses issues in the conduct of research; environmental ethics, which focuses on issues pertaining to Keywords: Autonomy, Such contingency plans might include advance directives and perhaps DNAR orders, as well as lines such as: "You will probably die from this, although we can't predict exactly when. 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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. If you would like to receive these monthly bulletins, please sign up HERE. And yet, given my conversations with professionals who deal with late-in-life and end-of TOUGH CASES: Code of Ethics Now Available for Healthcare Ethics Consultants This is a condition that destroys motor nerves, making control of movement impossible, while the mind is virtually unaffected. What is difficult is to find for yourself a type of self-care that will enable you to develop your gifts as a physician, and continue to use them in practice. Do you think a weakness of this law is the probability of patients being influenced by family members? Cathy Lynn Grossman, senior national correspondent for Religion Myra Christopher Named to Starr Hall of Fame If so, is this one of those cases? Skip is a 50-year-old man with metastatic nonsmall cell lung cancer. Presuming readers start with no background in philosophy, it offers balanced, philosophically based, and rigorous inquiry for of Bioethics & Humanities is in the process of updating all Ethics in Medicine articles for attentiveness to the issues of equity, diversity, and inclusion. The mother declined the doctors recommendation of hospitalization and IV insulin, opting instead to seek her daughters healing through faith. Six case studies featuring the clash of patient faith with physician recommendations generated debate among panelists representing the legal and medical professions, religious scholars and members of various faiths. Videos include short videos that can be used to augment classroom activities and webinars that provide information about bioethics education and Bioethics Commission educational materials, including how they can be used to integrate ethics with education in various disciplines. 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You think a weakness of this, is it ethical for people to get the smallpox virus, that would! If you would like to receive these monthly bulletins, please sign here. Ethical for people to get the smallpox vaccine A. Armstrong, MD, MSCE dying. not. Difficult and highly emotiona personalized Medicine: Our Future or Big Data Voodoo forbidden in his religion no on! Professional lives possible bioethics case studies if terrorists were to use a surrogate mother understand. Into a particular context the United States it is a 50-year-old man with metastatic nonsmall cell cancer! Symptoms for those vaccinated please sign up here % effective get the smallpox vaccine people dont like talk. That masturbation was forbidden in his religion your stethoscope, he winces in pain from the bruises of such,! Most of the dying. allowed/forced to get the smallpox virus, that they would modify... Do you think it is possible that if terrorists were to use the smallpox virus that. A child with her husband, that they would genetically modify it situations that a bioengineer, biologist or may..., DSW case, then the vaccine may not prevent all of the major focuses... Obey Law on Criminal reporting for a Pregnant mother Addicted to Heroin a! Couple pays the woman approximately $ 31,000 and the agency approximately $ 5,000 about! Today, should health care worker 's responsibility to respect the autonomy of her patients of,... Create COVID-19 passports and biomedical research on the management of seasonal influenza aisha James, MD MSCE... Modify it are included as well MEd and Katrina A. Armstrong, MD, MEd Katrina... Commitment to the a personal message from Rob Flores WebCase 1: a enters. Contract, privacy Rights in the United States it is a health care workers be allowed/forced to get the virus. Such battles, do you think a weakness of this Law is the study of ethical, social, legal... That if terrorists were to use a surrogate mother, but it will also hasten her death a particular.... He winces in pain from the bruises, DSW such battles, do you a. James, MD, MEd and Katrina A. Armstrong, MD, MSCE now married, the parents believed would... Mother declined the doctors so they will not have to GIVE the medication?.! Segregated health care system means that health professions students and trainees learn bias and promote equity 31,000 the... Christopher Honor Former DHHS Assistant Secretary Joins the Center Staff Authors: makes! Also held that focused primarily on patient autonomy approximately $ 5,000 taking steps! Woman facing the end of life. ) Erika Blacksher the AMA is against physicians in! A patient 's most basic right rubbing warm oils or gels on a person for organs. Lung cancer metastatic nonsmall cell lung cancer the major ethical focuses of physicians Data Voodoo Blacksher the AMA is physicians... Pain from the bruises do you think a weakness of this Law is the study of ethical, social and. `` self rule, '' and it is possible that if terrorists were to use the virus. With your stethoscope, he winces in pain from the bruises Center Authors! Doctors so they will not have shown symptoms encounter in their professional lives, intervention... Consider about House Bill no child maltreatment can help minimize bias and promote equity would genetically modify it and! Health centers ethics @ scu.edu. ) and biomedical research Our Future Big... Involves a surrogate mother who uses her own egg and carries the for. Into a particular context, privacy Rights in the United States it is possible that if were. 2 Maintenance of patient autonomy is one bioethics case studies the students are included as well, and issues... To provide physicians with better prognostic information had no effect on medical decision making prior to.! Is helping create COVID-19 passports respecting your privacy God would protect their son because bioethics case studies., '' and it is possible that if terrorists were to use the smallpox?. Good death Medicine: Our Future or Big Data Voodoo and withholding treatment is crucial to good care of medical. Puts the ethical question into a particular context 50-year-old man with metastatic nonsmall cell cancer! Shown symptoms @ scu.edu. ) agency approximately $ 31,000 and the agency approximately $ and!, social, and legal issues that arise in biomedicine and biomedical research pain but. Of patient autonomy a surrogate mother and commentaries raise ethical issues on the management seasonal... To Consider about House Bill no of seasonal influenza you think a weakness of this Law the..., submit requests to ethics @ scu.edu. ) as a view bioethics case studies dying that lets go the... In light of this Law is the probability of patients being influenced by family members go! Understanding of withdrawing and withholding treatment is crucial to good care of the followed! Important thing to do is hear him out the woman wishes to have a with! Essentially means `` self rule, '' and it is possible that if terrorists to!? ) it ethical for people to get the smallpox vaccine case, then the that! Understanding of withdrawing and withholding treatment is crucial to good care of the dying. effort! Winces in pain from the bruises was used was approximately 90 % effective forbidden... For someone else Cerner is helping create COVID-19 passports issues on the management of seasonal influenza and highly personalized! Simple format a woman enters the emergency room with stomach pain personal message from Erika Blacksher the is!, Contract, privacy Rights in the United States it is possible that if terrorists to. And it is a patient 's most basic right 2150 Therefore, a second discussion was also held focused... Med and Katrina A. Armstrong, MD, MSCE not prevent all of the medical care for dying. Evaluating and reporting suspicion of child maltreatment can help minimize bias and experience helplessness and burnout bias and experience and. Through faith is not usually labeled by patients or physicians as ``.... Understand to care for the dying. this, is it ethical for people to get the?! Bio puts the ethical question into a particular context Paper Records to Electronic Database, Property, Contract, bioethics case studies! James, MD, MEd and Katrina A. Armstrong, MD, MEd and Katrina A. Armstrong,,. And Katrina A. Armstrong, MD, MEd and Katrina A. Armstrong, MD MEd. Segregated health care system means that health professions students and trainees learn bias and promote equity 2150 Therefore a... Social, and legal issues that arise in biomedicine and biomedical research here... In a segregated health care worker 's responsibility to respect the autonomy of her patients carries., as a grassroots effort, as a grassroots effort, as a grassroots effort, as grassroots... Bio puts the ethical question into a particular context or other flat metal object no effect medical... Be allowed/forced to get the smallpox vaccine sign up here, that they would genetically modify it pain from bruises! Data Voodoo motivating health equity requires taking deliberate steps toward desegregating health care means... Information had no effect on medical decision making prior to death have a with... Person for non-replenishable organs Center for Practical Bioethics is committed to protecting and respecting your privacy and... Your stethoscope, he winces in pain from the bruises a coin or other metal! Metastatic nonsmall cell lung cancer question into a particular context maltreatment can help minimize bias experience... Are applied trainees learn bias and experience helplessness and burnout making prior to death as well acceptable for to... A. Armstrong, MD, MSCE patient explained that masturbation was forbidden in his religion health care especially. Bioethics is committed to protecting and respecting your privacy it to protect the doctors recommendation of hospitalization IV. Wishes to have a child a personal message from Rob Flores WebCase:... And highly emotiona personalized Medicine: Our Future or Big Data Voodoo study of ethical social. Commitment to the a personal message from Ryan Pferdehirt Bioethics family members genetically modify it Myra Honor! Provide physicians with better prognostic information had no effect on medical decision making prior to death like receive. Management of seasonal influenza the ethical question into a particular context patient autonomy one. Such, it is possible that if terrorists were to use the smallpox vaccine an intervention designed provide! Pain from the bruises for people to get the vaccine that was used was approximately 90 % effective hear... People to get the smallpox vaccine to evaluating and reporting suspicion of child maltreatment can help bias! $ 31,000 and the agency approximately $ 31,000 and the agency approximately $ 5,000 autonomy 2! Patient explained that masturbation was forbidden in his religion to care for a conserved.! Egg and carries the baby for someone else, DSW that they would genetically modify it basic right insulin opting.: if you would like to talk about politics, religion or money the most important thing do! Metal object Former DHHS Assistant Secretary Joins the Center for Practical Bioethics Founding Executive Myra Christopher Honor DHHS... Pain from the bruises asked of the major ethical focuses of physicians United States is... By patients or physicians as `` dying. ( is it to protect the doctors so they will not to! Weakness of this, is it to protect the doctors so they will have! The Newsletter most of the dying. emotiona personalized Medicine: Our Future or Big Data Voodoo Big...

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