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Moral Duty of Care

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Moral Duty of Care
Moral Duty of Care 1

MORAL DUTY OF CARE

Moral Duty of Care 2 There are so many challenges when dealing with a sick loved one. But it can even more difficult when they are unable to speak for themselves, uninsured and an illegal immigrant. In this paper we will determine the best possible solution to this ethical dilemma by applying the model for making moral decisions we will explain the moral duty of the hospital. As the director of respiratory care I will review the case by gathering all the facts that relate to this patient diagnosis as well as prognosis with consideration of her other comorbidities so that the family and other members of the meeting will get a clear understanding of what challenges we are facing in this situation. But we must also take into consideration some of the risks, by looking at the whole patient. Therefore, by beginning with the end result in mind we will be able to count our costs (Matthew 7:24-25). I will present to the family a plan of care for the patient based on the whole patient not just the diagnosis. Some things to consider when deciding plan of care would be, the age of the patient, his or her education level, economic status, race and mental status. Given the diversity of ethnic and religious beliefs it is clear that we are facing an ethical dilemma by wanting to move an 85 year old Hispanic patient in the AICU (adult intensive care unit) to the stroke unit on another floor. Other than being comatose, on a ventilator and with a recent diagnosis of early stage of liver cancer the patient is stable. The first thing we must consider is that the patient is on a ventilator and when patients stay on a ventilator for more than 48 hours



References: Alp, E., and Voss, A. (2006). Ventilator-associated pneumonia and infection control. Annals of Clinical Microbiology and Antimicrobials, 57. Dam Schroder, L., Forman, J., Kaufman, S. R., Kowalski, C.P., Krein, S.L., & Saint, S. (2008). Illingworth, P., & Parmet, W. (2006). Ethical health care. Upper Saddle River, NJ: Pearson. Kulik, U., Framke, T., Grosshenning, A., Cevlan, A., Bektas, H., Klempnauer, J., & Lehner, F. (2011) Surgery, 35(9), 2063-2072. Rae, S. (2009). Moral choices, an introduction to ethics. (3rd ed.) Grand Rapids, MI: Zondervan. Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. (2013). Integrating Quality and Strategy in Health Care Organizations Shaw, D. (2012). A direct advance on advance directives. Bioethics, 26(5), 267-274.

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