PHI 110 Nassau Dealing with Ethical Dilemmas in Medical Practice Case Study

PHI 110 Nassau Dealing with Ethical Dilemmas in Medical Practice Case Study
PHI 110 Nassau Dealing with Ethical Dilemmas in Medical Practice Case Study

(1) Answer in your own words.

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2) Use quotes from the assigned readings to support your claims.

Use at least TWO (2) quotes per question.
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(3) should be at least 3 pages total.

One page is approximately 250-300 words.
DO NOT rewrite the question in your answer.
Answers to “opinion” questions should be at least 4-5 sentences.
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(4) Each question has several parts.

Be sure to fully answer each part of the question.
Be sure to clearly identify which question and part you are answering.
For example: 1(a) [Your answer here], 1(b) [Your answer here], etc.
(5) Proofread & Revise

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(6) For full credit, you must also follow these formatting guidelines:

Use 12-point font.
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use PDF
___________________________________
(1) ESSAY: (below) consists of THREE (3) questions. Answer ALL THREE (3) questions and ALL PARTS of each question.
2) Write your answers in separate document (all questions in one document)._____________________________________________________________________________________
Question #1: The Principles of Bioethics, Utilitarianism & Kantian Deontology (15 points)Wanda is diagnosed with a very contagious and deadly disease. Her doctor, Dr. Vision, strongly urges Wanda to immediately inform all of her recent contacts (family members, co-workers, etc.) about her diagnosis in order to keep them, and others, from serious harm. Wanda, however, refuses to inform anyone and reminds Dr. Vision that he promised to keep all of her information confidential before she agreed to get tested. The doctor wants to protect others from harm but he also wants to keep his word. At this point, he is uncertain about how to proceed.
(a) Using Beauchamp & Childress’s Principles of Bioethics, what is Dr. Visions’s ethical dilemma?In your answer, be sure to identify the two principles that are in conflict for Dr. Vision and explain how they conflict.
(b) According to Act Utilitarianism, what should Dr. Vision do?Note that your answer MUST include an application of the Principle of Utility that considers:
the consequences for both actions Dr. Vision could perform
both good and bad consequences of each action
everyone affected by the action (e.g., patient, the Doctor, etc.)
how the resolution produces the greatest balance of good over bad
provides a clear resolution (i.e., what Dr. Vision should do)
(c) According to Kantian Deontology, what should Dr. Vision do?Note that your answer MUST include an application of the Categorical Imperative that EITHER:

Applies the Principle of Universalizability (make sure to follow and explain all three steps).
Provides a clear resolution (i.e., what Dr. Vision should do) based on the Principle of Universalizability.
-OR-

Applies the Principle of Humanity.
Provides a clear resolution (what Dr. Vision should do) based on the Principle of Humanity.
(d) Which theory, Utilitarianism or Kantian Deontology, do you think provides the best resolution and why?

Question #2: Ross’s Prima Facie Duties (5 points)Matthew is a terminally ill patient who no longer has the capacity to make decisions. As such, his family is making decisions for him and they are insisting that the doctor, Dr. Quinn, “does everything” to keep Matthew alive. Dr. Quinn, however, would like the family to issue a DNR (do not resuscitate) order because she feels resuscitation would cause much more harm to the patient than good. It is very unlikely that Matthew would survive resuscitation and even if he does, he will very likely not regain consciousness. In the extremely unlikely case that he does regain consciousness, he will be in severe pain from the impact of the procedure on his body, which is already very weak from his terminal illness. After explaining this to the family, they still refuse to issue the DNR. Dr. Quinn isn’t sure what she should do since she doesn’t want her patient to suffer unnecessarily.
(a) Using Ross’s Prima Facie Duties, what is Dr. Quinns’s ethical dilemma? In other words, which two prima facie duties conflict in this case?Note that your answer must include an explanation of where these two duties come from.
(b) According to Ross’s theory, which prima facie duty takes priority and why?
(c) According to Ross’s theory, what can we do if someone disagrees with your answer from (b)?
Question 3: Fundamental Concepts (5 points)Miranda is diagnosed with a severe bacterial infection. Left untreated, the infection will quickly become deadly. Luckily, a dose of antibiotics will easily cure the patient and save her life. However, it must be given to her intravenously (through an IV). After carefully explaining all the risks and benefits of the antibiotic, Miranda says she doesn’t want to take the medication. When Dr. Dorian inquires as to why she is refusing care, Miranda says: “I want to live and I know this medication can save my life, but there is no way you are putting that needle in me. Just the thought of an IV makes my skin crawl! Just keep it away from me–it’s freaking me out!”
(a) Identify whether or not Miranda is autonomous and explain why. If she is not autonomous, be sure to identify and explain which condition(s) of autonomy is missing.
(b) Which liberty limiting principle might justify overriding the patient’s refusal of care?Be sure to explain which principle might be used and what type of justification it would require.
(c) If you were Dr. Dorian, what would you do and why?

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