Ethical Dilemmas In Million Dollar Baby
1. View Lecture slides on Autonomy
2. View the movie “Million Dollar Baby” (if you are short on time view from the fight scene to the end) and answer the following questions:
a. What kind of burden does it place on society or members within society, such as significant others of patient’s, when health care providers do not honor or attempt to find out the patient’s wishes regarding end of life care? (2.5pts)
When a patient is not advised of his or her rights under the Patient Self-Determination Act of 1990 (i.e., a lack of written explanation regarding their rights upon admission), the right to make both informed decisions and devise advance directives concerning health care is not supported (patient autonomy); the patient becomes vulnerable; …show more content…
85). Equally important, Westrick enforces that guardianship intrudes on a patient’s autonomy and diminishes their privacy and that the primary aim is to protect the patient and his or her assets. Indeed, as a patient advocate, it is up to the nurse to carefully assess for any potential client-surrogate abuse (p. 89). The patient has the legal right to choose a proxy (family member or friend) with whom a trusted relationship/bond has been cultivated, first and foremost, an individual who knows the patient well enough to have had discussions involving end-of-life decisions and treatments choices (p. …show more content…
Access to emergency services.
Expeditious conflict resolution.
Right to take on new responsibilities.
Right to establish an advance directive and be informed consent (Westrick, 2014, pp. 73–76).
Some additional inaccuracies in health care include some of the following:
Nasal feeding tube was in place with no enteral nutrition infusing. A patient who has already received a tracheostomy generally has a gastrostomy tube for enteral feedings.
Decubitis ulcerations occur more often at pressure points or bony prominences (e.g., occipital region, scapula, sacrum, heels), not on the forearm.
Halo vests are typically the preferred choice for neck stabilization for complete cervical vertebrae (C1–C2) injury, not cervical collars.
When Frankie administered the epinephrine intravenously, instead of immediate asystole, there would have been a rapid increase in heart rate and then a likely fatal arrhythmia.
Amputation and gangrene in a 32-year-old quadriplegic is not a common occurrence.
e. Explain one idea you can take with you after viewing this video as part of our discussion of the principle of autonomy. (1.5
2. View the movie “Million Dollar Baby” (if you are short on time view from the fight scene to the end) and answer the following questions:
a. What kind of burden does it place on society or members within society, such as significant others of patient’s, when health care providers do not honor or attempt to find out the patient’s wishes regarding end of life care? (2.5pts)
When a patient is not advised of his or her rights under the Patient Self-Determination Act of 1990 (i.e., a lack of written explanation regarding their rights upon admission), the right to make both informed decisions and devise advance directives concerning health care is not supported (patient autonomy); the patient becomes vulnerable; …show more content…
85). Equally important, Westrick enforces that guardianship intrudes on a patient’s autonomy and diminishes their privacy and that the primary aim is to protect the patient and his or her assets. Indeed, as a patient advocate, it is up to the nurse to carefully assess for any potential client-surrogate abuse (p. 89). The patient has the legal right to choose a proxy (family member or friend) with whom a trusted relationship/bond has been cultivated, first and foremost, an individual who knows the patient well enough to have had discussions involving end-of-life decisions and treatments choices (p. …show more content…
Access to emergency services.
Expeditious conflict resolution.
Right to take on new responsibilities.
Right to establish an advance directive and be informed consent (Westrick, 2014, pp. 73–76).
Some additional inaccuracies in health care include some of the following:
Nasal feeding tube was in place with no enteral nutrition infusing. A patient who has already received a tracheostomy generally has a gastrostomy tube for enteral feedings.
Decubitis ulcerations occur more often at pressure points or bony prominences (e.g., occipital region, scapula, sacrum, heels), not on the forearm.
Halo vests are typically the preferred choice for neck stabilization for complete cervical vertebrae (C1–C2) injury, not cervical collars.
When Frankie administered the epinephrine intravenously, instead of immediate asystole, there would have been a rapid increase in heart rate and then a likely fatal arrhythmia.
Amputation and gangrene in a 32-year-old quadriplegic is not a common occurrence.
e. Explain one idea you can take with you after viewing this video as part of our discussion of the principle of autonomy. (1.5