Paul Starr (The Social Transformation of American Medicine [Library of Congress Cataloging in Public Data, 1982], pp. 14-15) describes medical paternalism, as fulfilling an authoritative role to make judgments on the needs of clients. In the case of Henrietta Lacks, this form of paternalism transformed into a violation of her health; Henrietta told her doctors several times that she believed her cancer was spreading, but they found nothing wrong with her. Henrietta returned to John Hopkins three months after her delivery, complaining of a knot in her womb, but her doctors had not noted anything about a tumor during her delivery, or her 6-week visit. It seems unlikely her doctors missed it; they chose not to tell her. In her medical records, there is no indication she questioned her doctors. She was susceptible, as most patients were at this time, to what Skloot describes as “benevolent deception”. This was when doctors would withhold vital information from their patients. This was done to prevent patients from being hurt or confused with unfamiliar terms. In this era of medical paternalism, it was believed that doctors knew what was best, and to question them in any way was to gamble with your own…
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.…
In his essay, The Refutation of Medical Paternalism, Alan Goldman states his argument against a strong doctor-patient role differentiation, in which the doctor may act against a patients’ immediate will in order to carry treatment in the patients’ best interest. Goldman frames his entire argument around the single assumption that a person’s freedom to decide his future is the most important and fundamental right as he claims “the autonomous individual is the source of those other goods he enjoys, and so is not to be sacrificed for the sake of them.”[1] He claims that the majority of people would agree that they are the best judges of their own self-interest and that there is innate value in the freedom to determine one’s own future. On this foundation, he begins by describing the criteria under which paternalism might be justified.…
Are doctors allowed to act unethically if their immoral research and inhumane actions are for the benefit of society? Is informed medical consent necessary if the lack of it does no harm to the patient? Does skin color correlate to medical bias? Doctors have taken a Hippocratic Oath since the dawn of medicine which implies they are to act ethically as the healers of mankind; the reason why there is a large amount of trust placed by patients in their physicians. The concept of informed consent is relatively…
There have been concerns raised surrounding informed consents obtained during the hospitalization of James Roberts. Consents must be obtained from the patient or person authorized to consent on the patient’s behalf (Pozgar, 2016, p. 326). The following is a review of the surgical consents obtained during the recent admission.…
In another time period, many of the patients in One Flew Over the Cuckoo's Nest probably would not have been institutionalized. Throughout the story, Chief describes the hospital as a place where society threw all of the nonconformists. McMurphy told the other patients, “I don't think you fully understand the public, my friend; in this country, when something is out of order, then the quickest way to get it fixed is the best way.” In this case, the quickest way was having one institution for a wide range of conditions, and pressuring those who did not kowtow to admit…
This assignment is being submitted on August 19, 2012, for Carol Taylor’s M230 Medical Law and Ethics course.…
This research paper is being submitted on March 3th, 2013, for Milo Sampson’s M230/HSC2641 Section 04 - Medical Law and Ethics class.…
This paper is being submitted on July 29, 2012 for Carol Taylor’s M230 Medical Law and Ethics course.…
In order to provide culturally appropriate care, an examination of one's personal views, beliefs, and prejudices must be examined. The first portion of this paper will examine my personal values, beliefs, biases, and prejudices. The remaining paper will analyze the African American culture relating to the Ginger and Davidhizar's Transcultural Assessment Model cited in Hood (2010). This model uses six key cultural elements that include communication, space, social organization, time, environment, and biological variations. This model provides a systematic approach for assessing culturally diverse clients. I will also discuss an aspect of care that I would advocate a change in my clinical practice for the African American population.…
This paper is being submitted on June 17, 2014, for Susan Finneman’s Medical Law and Ethics class.…
In the article by Martindale, Chambers, and Thompson, we learn that informed consent and confidentiality. A person should be informed of their right to confidentiality and the treatment they are consenting to in the therapeutic relationship. This study is significantly important because we are shown that there has been not very much previous research done on how well we manage consent, how informed the patient is, how honest they are, and what they actually know about the policies of the provider.…
Maier-Lorentz, M. (2008 Journal Of Cultural Diversity). Transcultural nursing: its importance in nursing practice. Journal Of Cultural Diversity, 37-43. .…
“Human Subject Research Legislation in the United States.” Wikipedia. Wikimedia Foundation, 9 Dec. 2012.Web. 8 Mar. 2013.…
The rise in autonomy can be seen as a social reaction to a “paternalistic” tradition within healthcare. Never-the-less there are conflicts between autonomy and beneficence when patients disagree with the recommendations that health care professionals believe are in the patients best interest. In the case of a patients interest conflicting with the patients welfare, many different societies would handle in a variety of ways ( Brody, 1988). For example, western medicine generally defers to the wishes of a mentally competent patient to make his own decisions, even in most cases where the medical team believes that he or she is not acting in his own best interests. However, many other societies prioritize beneficence over autonomy. An example would be when a patient such as June in this case…