explore how ethics applies to issues in medicine

/in /by

Ethics in Medicine

In this week’s Discussion, you will explore how ethics applies to issues in medicine. Bioethics is a distinct subject that takes medical and biological issues and analyzes them using ethical reasoning and theory. The topics discussed in bioethics are varied but these issues impact your lives directly.

Confidentiality is both common sense and professional convention, per the Hippocratic Oath, in the sense “I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know” (Lasagna, 1964). It is an obligation not only of those who are called up to take the oath as a matter of course, but all healthcare professionals.

Are there instances in which private medical information should be revealed to others in order to protect individuals or the public from harm? Please explain your position using ethical reasoning and theories.

Lasagna, L. (1964). “Hippocratic Oath—Modern Version.” WGGH Educational Foundation for PBS and NOVA Online. Retrieved June 2, 2015 from the NOVA site: http://www.pbs.org/wgbh/nova/body/hippocratic-oath-today.html

200 words with two academic references

Demonstrated an understanding of the basic scientific and technical concepts of nuclear medicine

/in /by

Nuclear medicine is a specialized branch of modern medicine that exploits the process of radioactivity for imaging, diagnosis, and treatment. Many imaging techniques inject small amounts of radioactive material into the body, which are then tracked by a sensing device specific to the type of radiation emitted from that material. Radiation has also been used to destroy diseased tissue, typically beyond the reach of standard surgical techniques.

Using the readings for this module, the Argosy University online library resources, and the Internet, write a paper on nuclear medicine. Address the following:

  •  Consider the following questions when you construct your response:
  • Explain the scientific and technical concepts related to nuclear medicine
    • What type of radiation is typically exploited in most nuclear medicine procedures?
    • How are patients prepared for nuclear medicine procedures?
    • What are the advantages and limitations of nuclear medicine?
    • What ailments are typically diagnosed and treated via nuclear medicine procedures?
  • Evaluate a minimum of three applications of nuclear medicine relating to any of the following topics:
    • Positron Emission Tomography (PET) scans
    • Gallium scans
    • Indium white blood cell scans
    • Iobenguane scans (MIBG)
    • Octreotide scans
    • Hybrid scanning techniques employing X-ray computed tomography (CT) or magnetic resonance imaging (MRI)
    • Nuclear medicine therapy using radiopharmaceuticals

Support your statements with examples. Provide a minimum of three scholarly references.

Write a 2–3-page paper in Word format. Apply APA standards to citation of sources.

Assignment 2 Grading Criteria
Maximum Points
Demonstrated an understanding of the basic scientific and technical concepts of nuclear medicine.
28
Evaluated current or future applications of nuclear medicine with three real-world examples.
32
Provided at least three reliable references to support examples of current and future nuclear medicine applications.
20
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; displayed accurate spelling, grammar, and punctuation.
20
Total:
100

Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.

/in /by

complete this assignment, read through the scenario below and address the specific questions and issues indicated. Review the “Introduction to the Miller Family” document for specific information on each member of the family.

Grandmother Ella has been dealing with cancer for years now and has tried alternative remedies and juicing.  She went into remission for some time, but now the cancer has returned and she is in the hospital.  Her husband, of American Indian descent, has his ideas about what needs to be done as Ella comes to the end of her life.  Ella has her preferences, though she is now so weak that she has given up in many ways.  The family members are each experiencing their own fears and are grieving as they face the loss that will occur as Ella’s life comes to a close.  Ella prefers to die at home and has felt stressed by the discord and discomfort of family members since being hospitalized.

You are the social worker for this case.  You meet this family in the hospital setting as they are considering whether the patient will remain there for her final days or whether hospice and palliative care will be provided for her in her home.

For this assignment, you will:

  1. Synthesize the current research that is relevant to this scenario.
  2. Discuss the cultural or traditional issues that could arise at this time.  Consider how the integration of alternative and complementary medicine and beliefs, mainstream medical practices, and cultural/traditional rituals and practices might create issues and what they might include.
    • Describe how the family might react to the following possible scenarios:
      • Ella wishes to stick with alternative and complementary practices.
      • Ella is coerced into following mainstream medical advice.
      • Ella’s husband insists that, as father and husband, his family traditions should be adhered to.
    • Examine the biological basis for care and describe how the choices for care might affect the other family members with respect to their individual problems, if at all.
      • Son Sam, the alcoholic
      • Daughter Lila, with diabetes
      • Grandson Josh, starting to have drug problems
      • Granddaughter Lucy, bipolar with more entrenched drug problems
      • Daughter-in-law, Sarah’s stress related to her family’s medical issues (nephew with leukemia, brother with HIV, and her father’s perspective that they are all “crazy!”)
  3. Discuss the micro, mezzo, and macro influences affecting both the patient and the diverse family members in this scenario as impacted by Ella’s medical condition and prognosis.
    • What are the pertinent and likely family (micro) conflicts and differences, and concerns that could be encountered?
    • How is the neighborhood and extended family (mezzo) reacting to the situation?
    • If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them.  Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
  4. Discuss the relevant medical issues and the advantages and disadvantages of hospital versus home.  When discussing medical issues in this case, use appropriate medical terminology.
  5. Discuss the psychological and social issues that are present and will possibly be more pronounced at this stressful time.  How has the fact that this illness has been ongoing (chronic) impacted the family?
  6. Analyze the current scenario as it pertains to diversity, as well as to cultural, psychological, and social perspectives and influences, taking into account the stories that you have been discussing throughout the course.
  7. Discuss the impact of lifespan development on the perspectives of the various members of the family (i.e., their intellect, cognitive abilities, insight, and judgment) as well as their sociocultural perspectives, preferences, understandings, and positions on the situation.

What advantages do you think a concierge practice of medicine might contribute to the hospital’s offerings of products to the community?

/in /by

You work for a marketing department in a hospital within a suburban location of a large metropolitan area. Though it neighbors million-dollar homes, the hospital’s mission includes providing care to underserved and indigent populations in the area.

A new primary care physician moved into the area and approached your hospital to partner with her as she begins a new practice in the community. Because the administration is always anxious to welcome new practitioners to the hospital, you agree to meet with the physician. During the meeting, the physician explains that she wants to establish the first concierge medical practice in the community. The physician plans to attract around 100 families to her practice, and she plans to charge from $300 to $1,000 per month, depending on the size of the family unit. (Note: A goal of 100 families may not be realistic; however, the number makes for easier calculations.)

The patients who join the concierge practice will receive access to the physician’s services 24 hours a day, 7 days a week, at an office located near the hospital. Families will receive preventive care services, and the physician will design wellness programs to encourage healthy lifestyles for her patients. The physician will use the hospital for all emergent care, day surgeries, rehabilitation, and in-patient care. The physician also plans to use nutritionists and the hospital’s fitness center facilities.

  1. Discuss some of the goods or services that could be highlighted in a marketing campaign that involves a concierge practice of medicine.
  2. What advantages do you think a concierge practice of medicine might contribute to the hospital’s offerings of products to the community?
  3. Discuss some of the issues and challenges that may arise from the hospital sponsoring a concierge practice of medicine.