Monday, May 20, 2019
Analysis or Current Ethical Dilemma in Health Care
There are many types of ethical dilemmas that plague the medical exam field however never is a dilemma more important than when dealing with life and death. In situations such as these, unmatched must follow their own moral compass. When the case involves an entire infirmary going against their religious mandates for the life of a woman, the closing becomes that much more difficult. This paper will contemplate the situation one Phoenix hospital found themselves in and the repercussions it suffered because of it decision. St. Josephs Hospital and Medical stub in Phoenix, Arizona is a hospital internationally recognized for their neurology department. They ware treated full(prenominal) profile patient ofs such as Brett Michaels and Muhammad Ali, but neither has gained the hospital quite the publicity as a woman seeking treatment in November 2009. Alongside neurology, St. Josephs Hospital also has a state tocology department and this is where the woman was treated. In late N ovember 2009, a terminally ill woman came to the obstetrics unit suffering from pulmonary hypertension. She was 11 weeks pregnant.During the racetrack of diagnosis, it was found that the pregnancy was exacerbating her illness by worsening her hypertension to the point of placing the patient in immediate danger of death. Doctors determined the only course of action to save the woman was to abort her pregnancy. With St. Josephs being a Catholic hospital, this decision went against their guidelines. The decision was taken before an ethics committee which trenchant to proceed with the procedure. The rationale for the committees woof was that they were seeking specifically to save the womans life, non to end the pregnancy. (Clancy, 2010, p. 1) As a conduce of performing the procedure, the hospital was stripped of its Catholic status. The problem identified in this situation good deal be posed in one question does the religious affiliation of a hospital have the just to dictate the care of a patient? Had the ethics committee gone the other way and decided not to abort the pregnancy, this would have prohibited the womans decent to live. One should take into accounting system that the patient sought treatment at a Catholic hospital and she should have been aware of their popular opinion system.However one doesnt know if the patient came to this specific hospital because of its Catholic mission or whether she had no choice in the matter. In either case, is it not a hospitals first duty to give the best care feasible for their patients? The best care for this patient was to abort her pregnancy but the guidelines of the hospital would rather have seen the patient die trying to save both. My personal set and ethical point in this case lead me to side with the hospital. I have always been a proponent of the pro-life ideal and this instance is no exception.The principles I advocate for the strongest are respect for the patients autonomy and beneficence. Keepin g these principles in mind, the patient made an informed decision about her care and the hospital needed to respect that decision. As far as beneficence, the cost to benefit ratio was analyzed and a conclusion was reached that benefited the patient most. Utilitarianism is a theory I would apply to this case. Doing the greatest good for the greatest amount of people and saving those you can save.Sometimes the end does justify the means. This not to say that religion plays no part in treating patients, but it is my firm belief that if the Catholic guidelines had prohibited the patient to receive the abortion, two lives would have been lost. When making a serious choice in a case like this, it is important to factor in substitute resolutions. The first alternate resolution is the most obvious and would have had the highest priority transfer the patient to a facility that has no abortion restrictions.This would have been the best case scenario however the patient was not still enough to be relocated and may have died in transit. Another alternate decision would have been to attempt to wait out the patients condition and treat her medically. Do to patient confidentiality, the specifics of the patients condition are not known. Based on the testimony of doctors at St. Josephs, the woman was in critical condition and had this approach been followed, the consequences would have been fatal to both mother and child. This information makes medical focus the lowest in alternative priority.When faced with difficult ethical dilemmas, it is best to have a formulate of action to assist in decision-making. A step by step approach often whole works best because it allows the decider to breakdown a stressful choice into workable parts. First one must light upon the problem and ask the appropriate questions What? Who? How? The second step is to identify ones own personal values toward the dilemma. The third, fourth and fifth steps include coming up with reasonable alternativ e, examining them and then predicting the possible outcomes of those decisions.In the sixth step, one should prioritize the alternative choices to better identify the most acceptable one. The one-seventh step is where the final decision is made based on all the information gathered and a plan is created. The plan is then implemented in the eighth step. The final ninth step is when one evaluates the end result and determines if the decision made was the sort out thing. In evaluation of this particular ethical dilemma, the right thing was done. The decision to forsake the values of Catholicism to save the womans life was the right thing to do.The hospital agrees and therefore lost its Catholic status because they stated that they would have made the identical choice again. (Kurtz, 2010) Dealing with ethics can be a tricky thing to navigate which is why it is paramount to have a good sense of ones own moral compass. This is not the last dilemma this hospital will face but following s olid ethical values and principles, they should feel confident in their ability to provide the best care to the patients they treat.