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HLT 312 Assignment Applying Ethical Decision Making in Health Care

HLT 312 Assignment Applying Ethical Decision Making in Health Care

 

Details:

In preparation for this assignment, read the assigned article, “Making the Case for Ethical Decision-Making Models,” and the following case study:

Case Study

Carrie, a 26 year-old female, is admitted to the hospital following a major motor vehicle accident. She is unresponsive and on life-support machines. The physicians and staff have expressed concerns regarding her ability to recover, as she is now in a persistent vegetative state with no brain activity. Her parents believe that she will recover given time and are insistent that she continue to

HLT 312 Assignment Applying Ethical Decision Making in Health Care

HLT 312 Assignment Applying Ethical Decision Making in Health Care

receive aggressive treatment. Carrie’s husband, Bob, is at her bedside. He is requesting that the physicians stop providing treatment and is adamant that keeping her on the machines is against her wishes. The patient does not have a living will or a medical power of attorney identified. As a member of the ethics committee, you have been contacted to determine the best course of action.

Assignment

Based on the article’s discussion, apply the four key aspects of decision-making models to the case study.

Write a 1-2 page letter to the attending physician and family in which you:

  1. Describe the ethical dilemma.
  2. Offer your recommendation for the best course of action.
  3. Provide rationale for your recommendation.
  4. Identify the ethical problem.
  5. Gather relevant facts and information, considering others in terms of impact, views, and opinions.
  6. Identify different possible options and choose and justify one option.
  7. Implement the decision.

APA format is not required, but solid academic writing is expected.

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You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

While procedural values inform the decision-making process, substantive principles inform the development of criteria for priority-setting. Substantive principles are foundational values that stakeholders consider when identifying criteria and implementing a priority-setting framework. Bedrock principles of biomedical ethics (beneficence/non-maleficence, autonomy, and equity/consistency) were included in the framework as they are principles familiar to the major users and stakeholders in the tool, namely physicians, health partners and the government. Although these principles are generally invoked in the context of patient-specific decisions, we found that they could, with appropriate specification, be rendered applicable to our context. These principles were nuanced over the course of several iterative meetings of CART to suit the context and to ensure that stakeholders had a shared understanding of the meaning of these terms.7 8 For example, an elaboration of the principle of autonomy was required; due to resource constraints, respect for autonomy was understood to imply empowering patients with the information needed to make decisions about their care options rather than offering access to all desired services. Stakeholders affirmed additional principles (many of which had been recommended by a ministry-led bioethics table) as relevant to our work in the context of the pandemic.

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