Preview

The Patient Autonomy: The Case Of Bobby

Good Essays
Open Document
Open Document
974 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
The Patient Autonomy: The Case Of Bobby
In the case of Bobby, the moral issues regarding whether or not Bobby should receive the chemotherapy treatment after going through the process once already, is determined by Autonomy. As a young boy, Bobby may only be thinking of the pain that comes along with chemotherapy and not the outcome that could be life changing. Bobby is practicing his right to Autonomy which is a self-governing act; this allows Bobby to make decisions based on desires that are directed by his own self. Patient autonomy is a simple concept to follow, but it is becoming more challenging to practice, as expectations from the patient and role of the physician is changing, physicians are practicing what is the best course of action in a certain case and ruling out the …show more content…
Autonomy means to have freedom to make choices regarding issues that may affect one’s life or not. Patients are given the right to exercise this act through self-determination. Autonomy is a human right and it’s the duty of a healthcare provider to respect it. In the case of Bobby, Children’s Aid Society forbid Bobby from exercising his rights and forcefully treated him with chemotherapy against his will and his parents. Not only is Autonomy being exercised in this case, Paternalism is playing apart, where a health care provider and CAS are restricting the act of autonomy, paternalism gives a physician authority in order to protect someone from harm, and this is what had been done in this case. Bobby’s medical desires were disregarded and medical decisions were being made for him as his decisions did not match up with his physicians medical recommendations. Bobby has gone through chemotherapy once, and it caused enough pain where he did not want to experience such thing ever …show more content…
As far as my parents have taught me, my moral reasoning in this case would be to stand by Bobby’s decision and let him refuse the chemotherapy treatment. Bobby may or may not be given a chance at life again but it’s the quality of life that may not be the same as it once was. Chemotherapy treatments can decrease one's quality of life and it can cause one to obtain other diseases as it reduces the strength of your immune system, along with many more side effects. It is better to live a short but enjoyable life rather than one that is long and problematic. Forcing Bobby to undergo chemotherapy treatments has only caused more pain to him, putting someone’s life in that state is immoral. Whether Bobby was only given an extra five months to live without chemotherapy treatments, he wanted to do so in the peace of his own home. It was morally wrong to stop Bobby’s parents from coming to visit him, his father wanted the best for him and seeing his child almost dying during his last chemotherapy treatment, could not prepare him to go through that all over again. If Bobby was my child, I would do the same thing his father did, and agree with Bobby’s decision as he is cognitive enough to know what is at

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

    unit 4 project

    • 572 Words
    • 2 Pages

    5. Does the patient in this case have a right to refuse treatment? Why or why not?…

    • 572 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Unit 4 Assignment

    • 486 Words
    • 2 Pages

    5. Does the patient in this case have a right to refuse treatment? Why or why not? Yes the patient in this case have a right to refuse treatment because he has the choice to make the decision himself and on top of that he does not believe in modern day cancer treatments.…

    • 486 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Dnr Ethical Dilemmas

    • 515 Words
    • 3 Pages

    Patient Preferences: The patient has not been involved in the decisions regarding her current treatment, and did not have a DNR in place or an advance directive in place regarding situations such as this. The family who had been acting as surrogates, were ready to stop treatment and place a DNR based on the prognosis given about the patient. As of now no one has fully assessed the patient's decision making capacity or asked the patient about her preferences, despite her regaining consciousness and her improved mental state.…

    • 515 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

    Autonomy, that means they need to ensure consent is given by patient or their families.…

    • 760 Words
    • 4 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

    Promoting patient’s autonomy is showing a sense of respect the patients. This can be violated very easy, it is the nurse responsibility to provide some sort of safety to prevent this from occurring. By educating the patients is recommended in all healthcare environment. When these patients understand that they have the right to their medical information, and also they have right to make any decision, they will be able to advocate themselves and prevent it. Educating the patient as a preventive measure that will also prevent any ethical dilemma advanced practice nurses’ moral distress. As a result, this can be done by explaining to the patient all the legal aspect while they are in the hospital. Another recommendation that could be made to prevent the violation of patient veracity and autonomy which may resolve advanced practice nurses’ moral distress in the dilemma, the healthcare providers should always encourage patients to seek care that promotes the individual patient’s medical interests. It might be thought that this approach fails to respect patient autonomy.…

    • 249 Words
    • 1 Page
    Good Essays
  • Powerful Essays

    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;…

    • 1404 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    At issue in the controversy over medical paternalism is the problem of patient autonomy. Medical paternalism can be defined as interfering with a patient’s freedom for his or her own well-being; patient autonomy means being able to act and make a decision intentionally, with understanding, and without controlling influences (Munson, 38 & 39). The principle of informed consent has come to be essential to any philosophical analysis of the tension between medical paternalism and patient autonomy in healthcare decision-making. However, despite the obligatory duties physicians have to their patients, patient involvement and informed consent should be valued in certain medical cases.…

    • 1189 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Patient autonomy is universally known as self-governance. This furthermore means a patient’s informed decision based on the information divulged by a doctor to the patient. The proper definition of an informed decision can only be made if all the information known by the practitioner is laid out on the table. A basic human right that is given is autonomy. Within the medical world, there are three models of disclosure of information which include: the professional standard, reasonable patient standard, and subjective standard.…

    • 1217 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Patient autonomy is one of the rising problem in medical industry as it is creating boundaries between doctors and their patients, harming the relationships between those two. The movements of the 1960s and 1970s such as Civil right, women suffrage sets up the foundation and led to patient autonomy rights as they follow same goals and mindset. Movements like Civil rights and women's suffrage were arose for equality issues whereas patient rights were side effects of these movements. Patient autonomy is also a human right as it allows an individual to have their own views and decisions, but these decisions have created issues in medical industry. Therefore, throughout this essay, I will argue against the patient autonomy as it is one of the major and underlying cause of…

    • 529 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Taking away an individual’s autonomy that is above the age of eighteen is an unacceptable decision, even when suffering constant, extreme pain. If there is one thing sacred about medical dilemmas, it is the right of autonomy. Open and honest communication between health care providers, nurses, and patients is necessary when discussing effective care. The most critical role of a nurse is as a patient advocate.…

    • 676 Words
    • 3 Pages
    Good Essays
  • Good Essays

    In this case weak parentalisim is exhibited. When using parentalisim one needs to understand that the patient is autonomous and self-self-determining is having his wishes refused. “Autonomy is a term used to describe a person's or government's ability to make decisions,…

    • 718 Words
    • 3 Pages
    Good Essays
  • Good Essays

    There are many ethical issues that affect nursing facilities. These issues may range from every day to end of life issues. Some of the most important ethical issues these personnel face every day is patient autonomy, personnel needs to be trained on how to provide patients a sense of autonomy and respect. It is essential to avoid any problematic issues. Another is the patient’s right to choose his/her treatment program and when to terminate the program. The Patient Self-Determination Act of 1990 provide rights to the patient to be informed of the care provided and make adjustments according to his/her wishes via power of attorney, living will, and advance directives. It is the personnel’s responsibility to respect the patient’s wishes even if the personnel do not agree with the…

    • 820 Words
    • 4 Pages
    Good Essays