Medical Treatment for All - Essay Example

MEDICAL INDICATIONS

QUESTION 1)

When the tests were run, it was observed that the patient was suffering from a heart attack. A heart attack is described pond being an acute condition. A heart attack is a very critical illness that necessarily needs immediate treatment, it is also not a situation that can be reversible, but it can be helped out through interventional treatments and is never considered to be a terminal condition (Chaco, 2020).

QUESTION 2)

The treatment goals are always to make the patient tube comfortable always thought about his treatment process. The patient’s son needs a Do-not-resuscitate order that is in place so that there is no need for international procedures (Friedman, 2019). 

QUESTION 3)

Medical treatments are not indicated in many circumstances, for example, if a patient is experiencing an advanced directive that is in companion with the Do-not-resuscitate order, thus by this there is no indication in the pursuing of the treatment (Johnson, 2020).

QUESTION 4)

The probabilities of success on various treatment options are that even when the providers in health have a feeling that they can get to be successful, the prior health issue and age of a patient will lower the chances towards success (Schulman, 2019).

QUESTION 5)

Even if the treatment success is seen to be low, treatment will be the single chance left in prolonging for the patient's life, Without this, the; patient will not be able to live much longer (Chaco, 2020).

PATIENT PREFERENCE

QUESTION 1)

There is no single or even little information that has been given towards the patient about the risks and benefits. When the medical state or other cultural barriers like the language of the patient is observed, it is noted that the patient has not yet gotten able to giving out consent (Friedman, 2019). 

QUESTION 2)

According to the observations carried with the health workers, the patient is siren to be mentally able in making of her own decisions, and there is nothing legally binding which can show that the patient is not competent thus no evidence to incapacity (Johnson, 2020).

QUESTION 3)

The patient has already stated or shown the social workers that she prefers or would like to live (Schulman, 2019).

QUESTION 4)

The patient hasn't yet started any of the prior preference; thus, there is no given direct advance that is in place (Chaco, 2020).

QUESTION 5)

No surrogate is determined on being legal by the patient since her son is the only emergency contact, though the son could have been the surrogate currently (Friedman, 2019). 

QUESTION 6)

The patient has been making good corporation in the medical treatment despite the patient having a language barrier which is preventing her in making of the decision. Thus the electrical dysfunction doctor began her into the anticoagulants practice while still trying to notify the patient on her next of kin (Johnson, 2020).

QUALITY OF LIFE

QUESTION 1)

With good treatment services, she may be able to get her past life back before the heart attack while without treatments, there is a big probability of death. The patient is still suffering from diabetes and chronic obstructive pulmonary disease that will later result in more problems (Schulman, 2019).

QUESTION 2)

The patient had already stated that she wants to be living. It is also seen that human would want to be able to direct of their lives, be free from any of the sufferings and pain, or be in control of their life. When it is based on other factors and the age an individual would argue that living could not be possible to be achieved (Chaco, 2020).

QUESTION 3)

Implicit bias can occur because of the patient’s co-morbidities and age; a provider would also notice these as making effects on the patient’s quality in life (Friedman, 2019). 

QUESTION 4)

An ethical autonomy issue is that it only arises when the quality of life of a patient is determined. The respect for the patient looks in autonomy is that having a patient gets to determine what can be seen on the quality of life (Johnson, 2020).

QUESTION 5)

Yes, it does, compared to this case; the quality in life assessment can look on factors which can be the age of a patient, what state of medical the patient is at and co-morbidities. With these factors, there could be a wide change in the plans in treatment decisions (Schulman, 2019).

QUESTION 6)

When a cardiologist went forward in examining the patient and made a decision that there wouldn’t be an interventional treatment that can be performed on the patient to help the patient, the sons choice was that he wanted the mother to go through a do-not-resuscitate order and also wanted no type of intervention to be carried (Chaco, 2020).

QUESTION 7)

A medically assisted suicide is varying from one state to the other, but currently, it is only legal in four states. Non-maleficence, beneficence and autonomy are the main ethical issues which conflict with physician-assisted suicide. The great ethical issues towards this subject are when the patient has the right on deciding on what they can do with their life, and the provider only has to do no harm (Friedman, 2019). 

CONTEXTUAL FEATURES

QUESTION 1)

The wish of the son to her mother was to have a do-not-resuscitate order for his mother. Thus the cardiologist had to determine that no intervention is supposed to be made that can back up his request. The mother has also told the social worker that they are allowed to perform anything as long as she gets to live. This factor leads to causing of conflicts interests between the cardiologist and the worker (Johnson, 2020).

QUESTION 2)

To this case, the son would have been considered on being a surrogate when it would have come towards the clinical decisions because he is listed as an emergency contact. In case the mother is not able to make her own decisions that have no directives, the son could be the one in deciding on what he thinks her mother would want (Schulman, 2019).

QUESTION 3)

In case a patient oils have given consent, there can be an involvement of a third party on the patient’s medical interests, it is also there right of the patient to withhold the medical information from the third party if the patient wishes to (Chaco, 2020).QUESTION 4)

The financial factors like the long-term extended hospice or care and also the treatment intense that is intense can cause a conflict of interest in clinical decision making (Friedman, 2019). 

QUESTION 5)

In the case of the mother, there are no issues in dealing with scarce resources; a major decision is to know what they can get to do with the resources (Johnson, 2020).

QUESTION 6)

The religious issues that affect the clinical decisions are the family which has a strong Turkish culture where the son's tendon being patriarchs and also are considered in the making of decisions (Schulman, 2019).

QUESTION 7)

There are very fewer issues that can arise because there are no directives that are advanced on the files which can define what patient’s wishes could be for her care. This is because no decisions have been put across if she can make her own decisions; thus, it is difficult for the son to make decisions for her mother (Chaco, 2020).

QUESTION 8)

This case has no involvement in the pertinent clinical research; hence education can be used in informing the family on what they are dealing with (Friedman, 2019). 

QUESTION 9)

There are no safety or health concerns towards the public that can be able to affect decision in the treating of this patient (Johnson, 2020).

QUESTION 10)

There is a wide conflict of interest between the cardiology and the social worker that was told by the patient that she wanted to live which had determined that nothing would be done in intervening medically (Schulman, 2019).