ETHICAL DILEMMA ESSAY

Student’s Name

Institutional Affiliation

Ethical Dilemma Essay

Professor’s Name

Date
 Ethical Dilemma Essay

A1a. Describe three potential ethical dilemmas presented in scenario

The freedom of the individual to maintain power over his or her anatomy is referred to as

autonomy. A health care provider may make suggestions or provide advice, but any acts that try

to convince or intimidate the patient into choosing a decision are against this principle. Finally,

the patient should be able to make his or her own decisions based on his or her own values and

principles, whether or not the care professional feels these preferences are in the best interests of

the patient. In the scenario of Jamilah the healthcare administrator is in dilemma whether to let

Jamilah practice autonomy. Despite Jamilah being educated she cannot communicate using

English fluently. Due to poor communication of Jamillah, health care administrator finds it

difficult to fathom the decision made by Jamilah. The healthcare has difficulties in making final

on how to handle Jamilah case so he calls next of kin who happens to Bashir. The next kin

present Allow Natural Death order with no medical intervention. The decision creates more

Moral distress as social worker claims that is decision does not reflect the will of the patient as

said by social worker (Putul, 2018). The ethical dilemma is created as healthcare administrator I

am confused whether to follow Jamilah decision as she says that she does not want to die, or

follow Bashir’s decision as he is the decisionmaker of the family according to their culture.

The philosophy of beneficence argues that physicians must do everything possible to

support the patient in each case. All procedures and therapies must be prescribed with the aim of

providing the best possible outcome for the patient (LaRossa & Bennett, 2018). To promote

beneficence, health professionals must cultivate and retain a high degree of experiences and

skills, guarantee that they are educated in the most recent treatment standards, and take into

account the particular circumstances of their patients; the best for one patient may not necessarily
be appropriate with another. As the physician I am in dilemma whether to provide the

appropriate intervention for the case. Though the is contradicted by the decision made by family

decision maker. There is also conflict between two decisions from Jamilah and other from

Bashir. The situation makes it hard for the practitioner decide the best intervention for the

Jamilah’s case.

The theory of non-maleficence is perhaps the most well-known of the four. In a nutshell,

it implies "avoid causing damage." This concept is meant to be the ultimate goal for all of a

professional's choices, and it ensures that healthcare professionals must acknowledge whether a

decision will affect other individuals or community, even though it is taken for the advantage of

a single patient. After the end of cardiology consultation, it is concluded that Jamilah will only

receive comfortable care as requested by the family. While the social claims that the relationship

between the family is not supportive. He claims the better should be done. The health care is in

moral distress as it hard to watch a patient die when you there an option to stop the death.

A1b. Legal Implications to Ethical Dilemmas

Health care is becoming more and more of a legal problem. Health-care providers have a

legal as well as a moral obligation to behave in the best interests of their patients. If a doctor does

not meet state requirements, he or she can face legal action. In ethical dilemma that is related to

autonomy is legally as the surrogate’s decision is highly respected (Reid, 2018). It implies the

honor of law while in second dilemma the law legal law is not implied as the practitioner is not

allowed to chose the best for the patient. The law advocates that the patient decision is

paramount but in third ethical dilemma that is not respected. The cardiologists chose to follow

principle of non-maleficence rather than the legal act. Before continuing with any treatment or

drug administration, the practitioner must consider the risks and benefits associated with that
form of care. The advantages as well as the risks should be clearly communicated to the patient

so that he or she can make knowledgeable choices.

A2. Possible Results for Course of Actions

Action 1 relates to non-malefice and beneficence the individual has had a heart attack,

and if the condition is not treated, it will be fatal. Bashir wants to sign a allow natural order on

Jamilah's behalf without intervention or any medication, but no treaties will be signed. Jamilah

will experience no agony in her eleventh hour and will leave the world comfortably if only

soothing treatment is given. Medical treatment will support the Jamila by ensuring that he or she

is not in discomfort and is kept as comfortable as possible. It is possible to prevent damage,

allowing the patient to receive the care she requires.

The course of action 2 concerns the honor to autonomy. Jamila has not been informed

concerning her case due to language barrier. This has led to son of Jamilah making decision on

her behalf. The patient appears to be psychologically and lawfully ready. She is an attorney with

a Turkish background. No documentation of incapacity has been found. Jamila claimed she want

to be saved she want to live. Since the client's wishes have not been registered, there are no

advance instructions on paper. If the Bashir’s life is not followed the patient will receive

appropriate life and may be life will be saved.

In course of action 3, The patient would die within several days if not treated. The patient

has a chance to survive and remain with her family if she receives medication. Prior

comorbidities, such as extreme congestive heart failure and diabetes, can affect the patient's

recovery.

A3a. Resources to Clarify Jamilah’s Wishes

 Amongst the most useful tools is a translator who can assist Jamilah in directly

communicating her wishes. She is still aware and able to speak in her primary tongue, and with

the assistance of a translator, she can express her feelings and probably dictate a living will and

approved directive whilst she is still responsive. The translator will relay all of the details from

the medical staff about appropriate medication and agreement to the patient, allowing her to

make an informed choice about her own medication regimen.

The other resource which can be employed to enhance communication between Jamilah

and medical officer is WT2 language translator. When you use it, it is placed in an ear instead of

kept in your hand. You should walk and speak at the very same time because it works in live

time. Latin, Greek, and Chinese are among the 40 tongues recognized by the WT2. It also

recognizes 93 different dialects and has a 95 percent conversion correctness. This interface has a

touch and talk mode that you can select. This feature allows you to talk and make the interpreter

clarify the interpretation so that more people can understand it. It will also give you an

interpretation copy on your mobile.

A3b: the appropriate course of action

I would choose course action three that advocates for holding on shortly to provide

enough time to acquire more information about the Jamilah’s case. There are many contradictory

possible options being suggested, and it would be wise to allow Jamilah the freedom to speak her

desires because she's still psychologically competent. Jamilah has conveyed to the social worker

her need for assistance and a chance to survive, and this is something that needs to be studied

further. A social worker's belief that a woman is intellectually fit is enough to warrant another

view from a doctor, who may decide whether or not she is intellectually fit and hence free to

choose her own recovery plan. The case has language problem between the patient and health
care officers and so more time is need to find a mediator to translate language between the two

parties. The translator will facilitate contact not only between the therapist and Jamilah, but also

with the other health care professionals. If she wants her son's choice to be respected, she has the

freedom to do so, and any uncertainty will be eliminated. A wait also requires an ethics

commission to be reviewed and the recommendation to be communicated to the family and

medical team.

A4. Recommendations

Patient safety has to be the first priority of all activities, and it is the obligation of every

worker and doctor working in this facility. The patient care program would provide rules and

protocols to reduce the risk of harm to patients. All employees should understand and adhere to

the guidelines and processes that apply to their patients care and non-patient care responsibilities.

Correct job conditions and ineffective policies that raise the risk of injury to a patient. Before

approval of Allow Natural death with treatment order, health care team should acquire more

information about the same. It should approve only when it is from the patient not from next of

kin or surrogates. Moreover, the main role of all medical officers is to save life and prevent

unnecessary, that means before looking for other decision they should first save life not allow

death.
 References

LaRossa, R., & Bennett, L. A. (2018). Ethical dilemmas in qualitative family research. In The

psychosocial interior of the family (pp. 139-156). Routledge.

Reid, A. M., Brown, J. M., Smith, J. M., Cope, A. C., & Jamieson, S. (2018). Ethical dilemmas and

reflexivity in qualitative research. Perspectives on medical education, 7(2), 69-75.

Putul, M. (2018). End-of-life care:'do not resuscitate','Do not intubate'and'Allow natural death'.