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zhenek [66]
3 years ago
10

A baby is born with anencephaly, or absence of the entire brain above the brainstem. The brainstem is intact, which means that t

he baby can breathe and have a heartbeat and blood pressure, but there is no chance for any human brain function or cognition, due to this birth defect. The health care team begins to educate the mother, since children with this deficit generally die shortly after birth. However, the mother is devoutly religious, and her minister has told her that if she prays hard enough to God, that God will work a miracle and her baby's brain will heal itself. She is insistent that all possible care be given to her baby, including a month-long stay in the ICU, constant care by a caregiver, regular brain scans, and other expensive modalities. The hospital, finding her adamant, asks the court for guardianship of the baby, with the medical plan to provide only maintenance care with no life-prolonging techniques until the baby dies.
What are the ethical issues are involved? How do the principles of autonomy, beneficence, nonmalfeasance, and justice manifest themselves? If you were called as an ethical consultant, what would you do/recommend?
Medicine
1 answer:
Katen [24]3 years ago
6 0

Answer:

Explanation:

The ethical issues involved here are

Though the baby has no brain but spinal cord which can keep them surviving with artificial life support ,ceasing this will kill the baby . This can lead to ethical issue of killing a life after birth against the autonomy of the baby.

Here the autonomy of the mother can also be not acceptable in view of the poor prognosis

Beneficence will be an issue because doing something which can most benefit the child will definitely succumb to death in few days.

Supporting the child besides a deadly outcome is doing harm even after knowing the consequences by the healthcare professionals

It is unfair to end a life without a proper valid reason .Doing against the mother wish can be a great psychological disturbance or illness.

Being in the place of an ethical consultant, the first priority is to be given to the beneficence of a patient after autonomy .It should be always thought from the patient perspective to make the best decision which can ease a patient problem. This can clearly make one to focus which is best life or death with a particular condition.

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Levothyroxine is a synthetic hormone that is prescribed for patients with deficiency in the production of thyroxine, a hormone released by the thyroid gland. It is important that this medication is only used with prescription and medical monitoring, where the correct way to take the medication will be shown, solving the problem and decreasing the chances of side effects.

One of the main instructions on the intake of levothyroxine is that it should be taken when the patient has not yet eaten and is on an empty stomach. In this case, a patient who wishes to take the medicine after meals demonstrates the need for additional teaching about the medicine.

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5. The terms ac, al, ary, and ic are all
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When the patient has recovered sufficiently or can be properly treated somewhere else, he will be discharged from the hospital.

To determine when people should be discharged, the doctor assesses the risk of developing a problem due to hospitalization (such as contracting an infection) in relation to the benefits of being treated in the hospital.

If people can be treated appropriately outside the hospital, it is usually best for them to be at home, even if the disease that brought them to the hospital has not been completely resolved.

The patient may complete treatment outside the hospital if

They are able to receive food, water and medicines through their mouths.

They can get the prescription drugs.

Your pain is reduced to tolerable levels (but not necessarily completely relieved) by medications.

They can move around the residence and take care of themselves or get the help they need.

Your condition does not require advanced daily monitoring with hospital equipment.

Follow-up appointments with your doctors have been scheduled.

Prior to hospital discharge, team members can assess the patient's ability to move safely and ask questions to determine whether the patient is likely to need more help after discharge. A discharge planner or a social worker at the hospital can predict what problems are likely and make suggestions about them and provide the necessary home medical care services, which may include a home nurse, a home physiotherapist, and equipment such as a wheelchair or shower. However, people and family members should be involved in the plans to make sure they are appropriate.

If additional treatment is required temporarily or permanently after an hospitalization, the patient will usually be sent to another facility. The patient can go to a rehabilitation facility or a nursing home (a specialized care home).

Before leaving the hospital, persons or family members should make sure that they receive detailed follow-up treatment instructions and that they understand the instructions. They should obtain a written schedule for the use of all their medicines and for follow-up consultations. Unless this type of arrangement has been taken prior to discharge, the patient should call their usual doctor to make a follow-up appointment as soon as they arrive home. It is important that the patient informs the nurse or attendant that he/she is just discharged from the hospital and that he/she needs to make an appointment for the next three to ten days, to ensure that appropriate follow-up care is received.

If the patient is discharged to another facility, a written summary of his or her hospital evaluation and treatment plan (called a transition care record) should be sent with him and another copy should be faxed to the facility.

Regardless of whether people are discharged to another unit or home, they should receive documents that include the following information:

The reason for hospitalization

The main procedures or tests carried out

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The need for assistance devices such as wheel chair, a walk, crutches, a CPAP (continuous positive airway pressure) machine or oxygen

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If applicable, instructions on how and when to measure your temperature, blood pressure, blood sugar level or weight at home

A list of all symptoms that require contact with your doctor or return to the emergency department

Dates and times of follow-up appointments with your doctors

A list of current medicines, including what doses should be administered, how often per day doses are given, and how long the medicines should be given

Sometimes, after people are discharged, their clinical condition worsens, and they need to return to the hospital for additional care.

Get medicines

Most people receive prescriptions for new medications when they are discharged from the hospital. Sometimes people have difficulty getting these medications. For example, your preferred pharmacy may not have the drug in stock or your insurance may not cover the costs and they are unable to purchase the medications.

Sometimes people get their medications by mailing through the pharmacy, and it can take several days or a week for the drugs to arrive.

Explanation:

6 0
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