Preview

An analysis of Robert Schwartz 2

Good Essays
Open Document
Open Document
818 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
An analysis of Robert Schwartz 2
Phil 2050
24 April 2014

An analysis of Robert Schwartz “Autonomy, Futility, and the Limits of Medicine” reveals that physicians are not required to give patients treatment that has been proven to be effective, and they are not morally obligated to provide treatment that is not in-line with practice of medicine. Schwartz explains although our autonomy is respected, there are limitations on our request.
We all enjoy our right to autonomy, the freedom to express what can be done to us, the right for self-determination. “Autonomy is based on a person’s ability make rational choices concerning their own life and choose for themselves. They must be treated with respect without interfering with their ability to determine their own paths and make decisions for oneself” (Vaughn 9). The freedom of autonomy gives patients the right decide their healthcare decisions without the influence of the values of their physicians, their colleagues, or society (Schwartz 105).
According to Schwartz there are a few restrictions placed on our autonomous decision making when it comes to healthcare treatments. Often the physicians respect our autonomy, but can deny treatment to us if our values are not in-line with the physician values, and within the realm of medicine, therefore, we cannot ask for treatment that isn’t in the practice of medicine. “Patients are not entitled to be treated with nonmedical practices, or scientifically futile treatment, or treatments that are in-line with the scope of medicine” (105).
Schwartz suggest our autonomy is not denied by the healthcare system if they do not provide treatment that might be effective, but has no medical meaning, nor falls in-line with alternative medical treatments (105). In other words, a stressed out mother can’t go to her physician, and expect her doctor to prescribe her, or even recommend her to spend a day at the spa, and then go out for drinks later with friends. Even though this experience might relief her of the stress for



Cited: Page Lewis, Vaughn. Bioethics: principles, issues, and cases-2nd ed. New York: Oxford, 2013, 2010. Print Schwartz, Robert. “Autonomy, Futility, and Limits of Medicine.” Bioethics: principles, issues, and cases-2nd ed. Lewis, Vaughn. New York: Oxford 2013, 2010. 105-108. Print

You May Also Find These Documents Helpful

  • Satisfactory Essays

    I agree with your statement that we can cause harm as a result of not acknowledging autonomy. I think that assisting patients to a position of maximum autonomy involves providing them with unbiased information about their health status and pros/cons of their treatment regimen. According to Canther (2001), providing value-free information includes staff being ready to engage in debates that include awareness of the interpretation which their own values and beliefs unavoidably impose on the evidence (Canter, 2001). Furthermore, Brinchmann (2002), explains that nurses must be ready to work collaboratively with patients and within the multidisciplinary team to enable patients to express their own point of view, commensurate with their desired…

    • 159 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    However, it is O’Neill’s belief that this form of autonomy is not directly translated into the medical setting. Those in medicine explain informed consent to be a method of respecting the autonomous choices of their patients. However, O’Neill suggests that the decisions made by patients about their healthcare are, in reality,…

    • 511 Words
    • 3 Pages
    Good Essays
  • Good Essays

    In the medical field there emerges a conflict that all physicians will eventually come to deal with, or are already dealing with regularly; that is the conflict of Autonomy and informed consent versus Paternalism and the doctor's intervention. In one hand, Autonomy is the principle of non-interference and the right to self-governance; informed consent is the concept that "Every human being of adult years and sound mind has a right to determine what shall be done with his own body…(102)" it is the exercise of a choice after being informed of the process and risks of a medical treatment. While in the other hand lies Paternalism; "the interference with, limitation of, or usurpation of individual autonomy justified by reasons referring exclusively…

    • 887 Words
    • 4 Pages
    Good Essays
  • Good Essays

    This article present a case in which the patient and the family made a decision in favor of resuscitation that ran contrary to the physician’s medical judgement. The author argues that, where a patient request for treatment in conflict with physician’s responsibility to provide what he or she believes to be good medical care, a resort to autonomy alone is insufficient. The principal of autonomy, which allow patient to refuse any procedure or choose among different beneficial treatment, does not allow them to demand nonbeneficial and potentially harmful procedure. This is important because CPR should not be considered an alternative to be offered by physicians in such cases. Instead, the physician should have listened to the patient’s hopes and fears, reassured him that the physician should would continue to be there and provide appropriate therapy, and, if necessary, refer the patient to psychiatric personnel or clergy.…

    • 547 Words
    • 3 Pages
    Good Essays
  • Good Essays

    A doctor’s whole role in this endeavor is to make the patient informed of the best route to take regarding the healing process and insure they get taken care of to the utmost of their medical ability. If this person is unable to make that decision, whether because the person is a minor, unconscious, are deceived either by them or outside influence, or even mislead then the doctor has the right to make the choice for the patient’s best interest. If a person truly wants to get better they will listen to their doctor, or at the very least seek out another professional opinion. This can get tricky as the patient’s view of that opinion could be for holistic options or religion opinions, but for the purpose of this argument they are meant to seek another medical doctor’s opinion. It is the doctor’s responsibility to heal the sick and injured. When the patent refuses to comply, intervention must be…

    • 788 Words
    • 4 Pages
    Good Essays
  • Good Essays

    In order for the interests of family members to be taken into account in medical decision making, I think that two principles have to be balanced. I think that patient autonomy and respect for persons have to be a part of every medical decision that an individual makes. The two principles are obviously going to come into conflict with one another in the decision making process, in which case autonomy should have more weight over the respect for persons principle.…

    • 1118 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Autonomy is integral to health care; however, promoting and sustaining patient autonomy may be more difficult to enact than is often suggested. According to Hewitt-Taylor (2004), the concept of autonomy becomes more complex when the patient is a child, or an adult who has learning disabilities or a mental health problem that might be considered to impinge on their ability to make informed decisions. An adult with a mental health problem, who is unable to function autonomously has to rely on their caregivers and POAs for their care. In situations like this, health care staff need to be aware of the legal as well as moral and ethical issues involved when facilitating autonomous choices for their patients (Edgar, et al., 2001). The distinction…

    • 162 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    P5

    • 1195 Words
    • 4 Pages

    Autonomy lets people have the right to control what happens to their bodies. This principle simply means that an informed, competent adult patient can refuse or accept treatments, drugs, and surgeries according to their wishes. People have the right to control what happens to their bodies because they are free and rational. And these decisions must be respected by everyone, even if those decisions aren’t in the best interest of the patient.…

    • 1195 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Autonomy is the concept that an individual has the right to be his or her own person in the sense that all actions or decisions that are self-regarding are made solely by that person—based on his or her ideas and values. Under autonomy, not only does a person have the right to make his or her own decisions that reflect how they choose to live their life, but they also have the right to choose how they want to attain them. The idea of autonomy assumes that all individuals have the rational capacity, or in other words, the competence to make self-regarding decisions. I believe this brings about a really important debate regarding which factors or conditions deem a person rational, or competent and how this affects their right to exercise their…

    • 2033 Words
    • 9 Pages
    Better Essays
  • Better Essays

    For many years, common medical practice meant that physicians made decisions for their patients. This paternalistic view has gradually been supplanted by one promoting patient autonomy, whereby patients and doctors share the decision-making responsibility. Consequently doctor-patient relationships are very different now than they were just a few decades ago. However, conflicts still abound as the medical community and those it serves struggle to define their respective roles.…

    • 5615 Words
    • 23 Pages
    Better Essays
  • Good Essays

    Autonomy which is within the context of patient care has replaced paternalism which was the formal approach to patient care in healthcare practice (DH, 2010). The respect for autonomy which advocates for patients’ decision making rights (Gillet, 2008; Walker, 2009; Beauchamp and Childress, 2009) and discourages paternalism which has been the norm in the nurse-patient relationship for decades, permits Miss KK to decline surgery which she considered more of a concern and a burden than beneficial (Davies and Elwyn, 2008). Additionally, the healthcare professional owes the patient a duty of care to ensure the patient’s choice is respected and an acceptable standard of care is rendered at all-times (Pozgar, 2010; NMC, 2015). In contrast, the General Medical Council (2008) and Herring (2011) argues that no patient has the right to demand certain treatments and the healthcare professional is under no ethical or legal obligation to provide treatment requested by a patient that he or she views as not clinically specified. Consequently, Fagan (2009) and Harrison and Hart (2009) suggests that patient’s refusal to a particular treatment can pose a significant challenge to the healthcare professionals, as the patient’s decision may be in direct contrast to those of the healthcare team and thus result in a severe medical consequence. Notwithstanding, Varelius (2006), MacMillan (2015) and NMC (2015) asserts that as long as adequate information was given to Miss KK in respect to the surgery, regardless of any decision she makes, her rights to autonomy must be…

    • 801 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Some health care providers do not want to accept a patient’s rejection for further treatment because the physician believes the treatment would be beneficial to the patient. This could lead to the provider pressuring the patient, which may hinder the patient’s decision-making process. In the nursing profession, patients do have the ethical right to informed consent and this assertion is supported by the ANA’s Code of Ethics Provision…

    • 1007 Words
    • 5 Pages
    Good Essays
  • Good Essays

    In order to illustrate, I will provide a case study as to how a combination of medical paternalism and patient autonomy could be used as the best treatment option. Jessica, a 25-year-old mother of a 3-year-old daughter, is currently in recovering from Anorexia, an eating disorder in which an individual obsesses over their weight, image, and the amount they eat. Jessica has been diagnosed with…

    • 637 Words
    • 3 Pages
    Good Essays
  • Good Essays

    semi-structured guide (Patton, 2002) to explore the point of view of healthcare professionals about an autonomy-supportive…

    • 300 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Beneficence In America

    • 825 Words
    • 4 Pages

    Personal autonomy includes “self-rule that is free from controlling interference from others and limitations that prevent meaningful choice (Beuchamp & Childress, 2009, p.101). Respecting someone’s autonomy, is acknowledging their right to hold views, to make choices and to allow them to take actions based on their individual values or beliefs (Beuchamp & Childress, 2009). Sometimes difficult ethical issues arise when the patient’s autonomous decision conflicts with the provider’s beneficent duty. For example, if a patient wishes to continue to smoke pre-operatively, their autonomous choice would conflict with the provider’s duty of beneficence. For those patients addicted to tobacco use, sometimes smoking cessation may not be an easy process. These patients often lose their autonomy, not so much in their ability to make decisions, but rather the “ability to decide to forgo smoking” (Sendorovich & Gordon, 2015). That is why it is important for healthcare providers to restore autonomy as much as possible and return control to their patients (Sendorovich & Gordon, 2015). As long as patients fully understand their decision, consequences of their actions and at the same time making autonomous choices, healthcare providers should be supportive and…

    • 825 Words
    • 4 Pages
    Good Essays