The Case of Jahi McMath Today many nurses, doctors, and other health care professionals encounter ethical dilemmas on a daily basis. An ethical dilemma can be defined as when there is more than one reasonable solution to a specific scenario. No one solution is more right than the other. In fact, they may both feel wrong, but a decision must be made (Butts & Rich, 2016). In the healthcare setting, nurses should be prepared to think critically and make ethical decisions. There are many factors that contribute to the process of ethical decision making such as ethical perspectives, principles, theories, and guidelines. Ethical decision making is to be rational and systematic. The selected case to be discussed is the case of Jahi McMath, …show more content…
In this paper I will discuss the ethical dilemma faced in the Jahi McMath case, followed by an ethical principle applied to the dilemma, different perspectives related to the dilemma, and how the ANA Code of Ethics for Nurses provides guidance in decision making.
Description of Case Scenario and Ethical Dilemma
After declaring Jahi McMath brain dead, the doctors at the Children’s Hospital ordered her to be taken off mechanical ventilation. Her mother, Latasha Winkfield, refused to accept that her daughter was dead and incapable of recovering (du Toit & Miller, 2016). Winkfield believed her daughter was still alive because McMath was breathing and her heart was still beating (du Toit & Miller, 2016). McMath’s family disagreed with the doctors’ report and filed a lawsuit to prevent life support from being discontinued (Paola, 2014).
In the case of Jani McMath, her parents, family, the court, as well as the medical staff, are all faced with the ethical dilemma of whether or not to pull the plug. Who has her best interest in mind? How do we know? We would assume her family because they are the closest ones to her, but the truth is that McMath is incapable of making the decision for herself; therefore, whether her life is preserved or not is left in the hands of others. She could have wanted the plugged pulled; then again, she could have wanted her family to be strong and continue to fight for her life.
Analysis of Ethical Dilemma
Perspectives
From the
Hello all, my name is David Jamison, MHA. I am representing Marion General Hospital as the committee chairman of the ethics committee. I am currently reviewing the case involving female patient Margie Whitson. The patient is a 95 year old patient whom wishes to have her pace maker “turned off”, due to her unwillingness to live. The death of her only remaining son was the last event that, that had forced her to contemplate the reason why she still lives. Mrs. Margie Whitson is no stranger to loss. When she was younger, she lost her youngest son to a severe motor vehicle accident that took his life at the early age of 30. She injured herself over 10 years ago, and received a hip fracture. Her most recently bout was
Conflicting obligations arises when the nurse is supposed to make ethical decisions between what to be done versus what not to be done, making it difficult to choose between the two. There are several factors that brings about ethical dilemmas such as, increase in consumer demands, shortage of resources, truth telling, withholding information, withdrawing
Moreover, an emphasis is imposed on the rights of a single patient to commit an act or decision even though it is in contrast with the views of the others. In regards to the ethical dilemma, a nurse could not justify the morality of the two possible choices based on their results and consequences. The Deontological approach would encourage the health care staff as well as the patient to ask themselves the most righteous choice for their situation. With this in mind, a combination of ethical theories can also be employed to give light to the dilemma. In view of this, another ethical approach could be applied to solve the issue, and this is the Right-based approach. This theory also aim to promote the rights of every person, and that, they are indispensable just to make ends meet. However, not all ethical theories can be incorporated in every dilemma in a health care setting because their foundations would contradict one another. In order to provide an effective and efficient solution, nurses should be knowledgeable of the principles enveloping each of the ethical theories and should be wise to apply them in appropriate issues and
Nurses confront numerous dilemmas throughout their professional lives. The different types of dilemmas include, but are not limited to, ethical, moral, and legal dilemmas. These are the three most common dilemmas in nursing. A dilemma can be defined in many different ways. But all dilemmas are situations in which you have to make a difficult choice. Chiaranai (2011) states that an “ethical dilemma is a circumstance that arises from fundamental conflicts between ethical beliefs, duties, principles and theories” (p. 250). Therefore, an ethical dilemma forces the nurse to address thought on what is right and what the harm might be to the patient.
A patient is lying on a hospital bed hooked up to several machines regulating his bodily functions. The doctor has informed the family that the patient is brain dead. His spouse makes the decision to pull the plug but his mother argues against it. It is the mothers opinion that her son is still alive, and deserves to be treated like a person, even though his brain is no longer functioning. The spouse holds the opinion that any trace of her loved one has left with the death of his brain and only his body remains. Suddenly, both remember the patients wishes to not be sustained on life support, and they collectively decide to pull the plug. This example illustrates the central debate
This emotionally charged case has strained the limits of medical, legal and moral reasoning. The facts of the case raise crucial questions concerning human life, its purpose, ends
Terri Schiavo was 26 years old when she collapsed in her home and suffered acute hypoxia for several minutes. Slightly shy of a year after her injury, it was clinically determined that she was in a persistent vegetative state (Perry, Churchill, & Kirshner, 2005). There were no legal documents, such as an advance directive or living will, specifying the wishes for care under such circumstances. Her husband, Michael Schiavo, was designated as her legal guardian. The Schiavo case caught the public’s attention when her husband elected to remove her feeding tube in the mid 1900’s. He understood that there has never been a case of recovery after a year of being in a persistent vegetative state. One of the moral issues surrounding the case centered on the appropriateness of removing the life-sustaining feeding tube or maintaining it. Throughout the case, there has
This paper will describe an ethical dilemma faced by a registered nurse on the medical/surgical unit at Baptist Nassau. This dilemma will be analyzed using Catalano’s ethical decision-making model (2009) for nurses. Throughout this paper the pros and cons of this dilemma will be discussed, as well as answer the question “Is it morally and ethically just”?
Many families endure the loss of parents or loved ones in hospitals, and ethics in the medical world keep a strict set of policies to ensure that patients’ rights are looked at with the utmost respect and concern. A raging debate has risen in recent years questioning the morality and ethics regarding “pulling the plug” on life support patients or issuing “Do Not Resuscitate” slips and allowing some patients to die without the possibility of being saved by medical practices. Many who agree with life support claim that it is “morally wrong to let someone die”. This debate often makes it difficult for doctors to know what decisions to make in a hospital setting, especially when the legality of the DNR is questionable. Medical and legal experts
We, the Hospital Ethical Decision-Making Committee, have been given a situation where Jeanne, a patient that is pregnant, is on a ventilator with no brain activity, and the unborn child will not be viable for another seven weeks. The dilemma is between the sister, Dianna, and the husband, Greg. Dianna wants to take her off the ventilator causing the unborn child to die and Greg wants to keep her on the ventilator in order to keep the fetus alive until it is viable.
Despite of the increasing knowledge in healthcare and bioethics, care for critically ill children remains understudied in Canadian context. The prevailing theories in ethics of justice do not address adequately the complex moral problems involved in the care of vulnerable children. Patients often find themselves in a distress in facing a tragic dilemma with two unlikely options. In a tragic dilemma, patient must find meanings in the specific case and with the guidance of health care professionals and bioethics in making informed choices that reflect their values and beliefs. Using ethical concepts and theories, I will discuss the complex case of Mary Jane Peirce and formulate a comprehensive ethical decision using the Mcdonald’s Ethical
Nurses face many ethical issues every day. Making ethical decisions is challenging for nurses because the decisions can impact not only patient but also nurses. In Hickox’s case, she was subjected to restrictions. The ethical
Advanced practice nurses often face ethical dilemmas in health care, however the care that patients receive must remain consistent and ethically sound. Situations are often created that require decision making under complex circumstances where clear cut rules are often unavailable, therefore medical practitioners must rely on well-established principles as guides to ethical decision making (Shi & Singh, 2015).
Despite of the increasing knowledge in healthcare and bioethics, care for critically ill children remains understudied in Canadian contexts. The prevailing theories in ethics, primarily ethics of justice, do not adequately address the complex moral problems involved in the care of vulnerable children. Patients often find themselves in a distressing situation with two unfavorable options. In a tragic dilemma, health care professionals must guide patient in making informed decisions that reflect the goal and values of the patient. Using ethical concepts and theories, I will discuss the complex case of Mary Jane Peirce and formulate a comprehensive ethical decision using the steps outlined
Carly CallanMrs. WallaceEnglish III Honors21 December 2017Suffer or SuicideThe decision of life or death for many individuals is imposed following the seemingly never ending spiral of pain and agony rather than the implied discussion set off with age. For a 16 year-old girl with stage 4 brain cancer, fighting for her sight and motor functions, and who is living with unbearable pain, this decision must be made; medically-assisted suicide is her only option to leave this earth with dignity and to limit her time suffering. Medically-assisted suicide, also known as physician-assisted suicide, is the process in which an individual requests assistance from the attending physician to end one’s life. The patient can be prescribed a lethal injection or a lethal dose of medication only if his/her case meets specific criteria. Patients with untreatable, terminal illness or psychological disorders should be allowed to choose medically-assisted suicide through a strictly regulated decision-making process, rather than knowingly suffer a life of unbearable pain, if the patient is informed and of sound mind. Medically-assisted suicide is controversial in many eyes and for a multitude of reasons. The debate of psychological disorders and children being legitimate cases for inclusion in evaluation are two of the common questions. The controversy arises from if this medical treatment is a form of suicide, whether it is truly a treatment, or if it is this ethically wrong and the physician is