A twelve-year-old boy with terminal osteosarcoma on hospice, is reluctant to return to school after the school informed the family that his DNR request, which was signed by his physician, would not be honored at school. She earns too little to buy an individual plan and too much to qualify for Medicaid. A large number of Americans are more oral than literate. Her husband and sister are unable to provide the high acuity assistance she needs. The doctor explained that for Mr. Jay attempting resuscitation following a pulmonary arrest was not likely to succeed. On January 1, 1990, she was readmitted due to developing respiratory failure and place on a respirator. She has been married thirty-two years and has three adult children. The surgery was successful, and she was recuperating well. Given these prospects, Mr. Jay told his doctor he would prefer that resuscitation not even be attempted. She has now been referred to hospice, primarily to get her pain under control. Case Studies. His mother has been out of work with a back injury and lacks support, and the child has no signs of pathological illness. My patient, Ms. P, was dying right in front of me. He had always been eager to get health problems fixed, including the most recent issue, which required colon surgery. Teri is also a member of the American Society for Bioethics and Humanities. It was interdisciplinary in focus and funded by The Greenwall Foundation and an anonymous bequest … Patti, a 52-year old woman with history of asthma, chronic obstructive pulmonary disease, hepatitis C and substance abuse, presented to the emergency department after cardiac arrest at home with subsequent return of spontaneous circulation. Then she thought of a creative way of solving her problem. The High School Bioethics Curriculum Project started in 1997. What should happen to this patient when she is in a state of progressive spastic quadriplegia with irreversibly contracted extremities, but doctors say she could live another thirty years. The patient wants an operation that the surgeon is reluctant to offer because of her frailty and high operative risk. After an emergency c-section, Baby Girl X undergoes many surgeries to remove parts of her colon. Fiona took custody of her two grandchildren and worked as a housekeeper in a private home while the children were in school. Paramedics bring the man to the hospital. She is taken by her mother to a neurologist and when she returns, she has a feeding tube. Thus, at the University of Exeter, a bioethics module has been established. Throughout most of the U.S., maps for federal and state legislative districts are drawn by state lawmakers. Students examine case studies involving bioethics. The questions following the case involve the ethics surrounding the government's response. Case Study - The Case of Angela C endstream endobj 4 0 obj 49 endobj 5 0 obj<>stream Both young people sustained severe injuries. What is each person's responsibility when it comes to vulnerable patients who are not protected by the system. When the principal meets with Mr. E., the teacher explains that he hears it used on television and in rap music all the time. Who is held responsible when the student had warned his psychologist that he would kill the girl? Case Study Discussion. You should then outline the stakeholders in the case, the possible options in the case, and which option each stakeholder might choose. She had suffered from cancer since she was thirteen-years-old but had been in remission for approximately two years before she became pregnant. His mental status is clouded and there is disagreement as to whether he has decisional capacity. Research Bioethics endstream endobj 6 0 obj 49 endobj 7 0 obj<>stream Not responsive to medical team. Bioethics: Legal and Clinical Case Studies is a case-based introduction to ethical issues in health care. 2. On the Saturday of Joe's tenth week in ICU, he mouths a message to his nurse, and then to the physician who is summoned, and then to an ethics consultant also. Public Health Ethics: Cases Spanning the Globe, an open access e-book from Springer International Publishing, 2016; The ETHICS OSCE: Standardized Patient Scenarios for Teaching and Evaluating Bioethics provides 14 detailed scenarios for teaching clinical bioethics to … endstream endobj 8 0 obj 13085 endobj 9 0 obj<>stream When Patti’s husband didn’t respond to attempts to contact him, with no advance directive, it was deemed more helpful to support the care team’s communication efforts and to provide an ethics perspective with procedural recommendations and “what if” options. Delivering health care to non-English speaking immigrant populations requires knowledge and appreciation of the patient's culture. Extensive excision of the tumor had been done, and the patient had a newly placed tracheostomy and feeding tube. Modeled on the Quiz Bowl format, student teams are assessed in their capacity to present and understand case studies in ethical quandaries. This paper details the ingredients of a traditional oral morality capable of engaging biomedical issues and indigenous to people who think in proverbs, stories, and relationships. A nurse experiences moral distress with being told to continue monitoring a 100-year-old patient's blood work as long as she remains on blood thinners. When she subsequently gets sepsis and shock again, the parents are faced with the decision to continue aggressive treatment, leaving her to only receive nutrition by IV and possibly not live past about a decade, or to allow her to die naturally now. A 49-year-old male came into the cardiac care unit with an inferior wall myocardial infarction, and shortly thereafter coded. What should physicians and families do when the patient they are attending is in the dying process? In groups, read aloud the following case studies and discuss the questions below. Cases can also be viewed by the following categories: When the trial court refused the order to withdraw life-support, her father, who was her guardian, appealed. He does not feel he can contact the chiropractor, but feels that the manipulation could worsen Herman's injury. Her bill was close to $20,000, but she had no insurance and no savings to fall back on. High School: Collaboration between bioethics experts, classroom teaching experts, and bioethics information specialists; Interdisciplinary program with developed case studies; week long program with intense immersion; emphasized the possibility of team teaching; film lending library; film and book bibliographies; customized resources by request for teachers and students from Bioethics Research … Omer was a 94-year-old widower who had lived independently for many years. TPOPP Transportable Physician Orders for Patient Preferences, Public Participation and Democratic Deliberation, The Case of Ginger: Autism and Blood Cancer Treatments, Case Studies - Good Death or Assisted Suicide, Case Studies - Helping the Care Team Help Patient Patti, Case Studies - Managing Pain is a Family Affair, Case Studies - Opposition to Organ Donation, Case Study - DNR for an Adult with Down Syndrome, Case Study - The Role of Literacy in Making Wishes Known, Case Study - Who Should Talk to the Family, Case Study - Nursing Staff in Moral Distress When Patient Wishes Not Followed, Case Study - If you prick me do I not bleed, Case Study - The Case of Karen Ann Quinlan, Case Study - Refusal to Eat in a Long Term Care Facility, Case Study - Unprepared to Talk About Dying, The Case of Jesse, Unrepresented and Homeless, Case Studies - First My Daughter and Now This, Case Studies - I Know What You’re Thinking, Case Study - Sheila Shares Her Boyfriend’s Experience at the VA, Case Study - Patient Vulnerability from a System Failure to Protect, Case Study - The Case of Immigrant Populations, Case Study - Adults with Disabilities as Essential Partners in Their Healthcare, Case Study - What are the Limits of Community Right to Know, Case Study - Confidentiality of a Diagnosis. The bioethics curriculum at Saint John Paul the Great Catholic High School is required as integral to the course of studies for the student in each of his four years. The doctor further explained that even if resuscitation restarted his lungs, Mr. Jay would require aggressive care in an intensive care unit. Physicians recommend a biopsy. The text's global perspective permits a comparison of the differing approaches adopted by countries facing similar bioethical quandaries and the extent to which religion has or has not been instrumental in addressing such dilemmas. Case Studies - Could This Happen At Our Hospital? During the initial hospital stay, hospital personnel "urged" the mother to permit a DNR order, but she insisted on the use of the ventilator. Write a response identifying the ethical dilemma and including some background information on the issue. The High School Bioethics Project was established by Arthur L. Caplan, PhD, in 2001 at the University of Pennsylvania. They do not sleep in the same room and are planning to divorce after their children move. Mr. Perry wants doctors to turn off his pacemaker. JD is a 25-year-old patient who sustained massive head trauma and neurological injury in a motorcycle accident. This case addresses the ethical issues which surround clinical trials that involve children. She is a rather remarkable girl in that she lives independently while still a senior in a high school. Case Studies - Our Pregnant Daughter Didn’t Want This, Case Studies - Abortion Rights and/or Wrongs, Case Study - Ethical Indicators of Futility in Critically Ill New Mother, Case Study - The Case of a 20-Month-Old Boy, Case Study - Clinical Research Involving Children, Case Study - A Minor Requiring Blood Products, Case Study - The Case of Sepsis in a Newborn, Case Study - Out of Hospital DNRs for School Aged Children, Case Study - Conflicting Values in the Placement of Violent Teenager with Mental Disability. She tells you that she was an adoptee given back to foster care and then abused in that system. Q q 11.04 0 0 -14.64 328.56 270.24 cm /im4 Do It is aimed mainly at biology and science education students but is open to students from other disciplines. Pt 2010 Advance Directive states, “if only artificially prolonging life and no meaningful interactions with family…withhold treatments”. When a therapy is "futile" how much power should the mother have to demand the treatment? Mary Jo is diagnosed with bladder cancer but does not wish to have surgery. She has also been involved with the High School Ethics Bowl, providing a case scenario and also as a judge. How many of us have seen newspaper articles about child abuse? Focus students’ attention on the importance of providing reasons in bioethics. Each case includes discussion questions, related videos, and a bibliography for further reading. I started Bioethics Club in 2016 at the high school where I teach as a way of introducing high school students to the important interdisciplinary field of bioethics. How A narrative about illness, coping, societal norms, art and death. She tells you that she was an adoptee given back to foster care and then abused in that system. He has been missing work for medical treatments outside of town and has recently started to show signs of losing weight and having a cold all the time. Case Studies. One day, a patient comes to see her complaining of ankle pain on his right leg. The case of Russell discusses challenges in healthcare for people with disabilities, and how people with disabilities can be active participants in their care. "Stop everything. Or, would it be physician-assisted suicide? The infections in this patient’s legs are so severe that a double amputation is recommended, also. Dr. Contadina instructs him to purchase an air cast at a pharmacy along with some ibuprofen and to take it easy. Her physician declines, and the courts are involved. Yale Interdisciplinary Center for Bioethics focuses its attention on bios or life, and the ways we have helped, broken and abused it. He had informed both ambulance personnel and the hospital of his wish not to receive blood transfusions. In an attempt to be viewed as hip by his students, Mr. E. chooses to use a racial slur in reference to one of the male students in the class. Landenson has been seeking a greater focus at both the college and high school levels on deliberation and ethics by promoting an Ethics Bowl. She would be better, Barney thinks, if she could watch TV a little. college admissions, high school, standardized testing, race, income, inequality, wealth, level playing field, SAT, ACT This case involves discussion of the importance of diversity and the value of cultural/religious healing. Mrs. W is a sixty-year-old African American woman with a recent diagnosis of breast cancer with metastases to the bone and lung. I had no experience on which to base my unsettling suspicions. When a foster home is not found for a 15-year-old girl, her state's Medicaid pays for her to be placed in a large mental facility in another state. H��W�n����C=z��*���`z:�4�$h'y�Y�jL�.V��sn-�d��A`@�H��{�����C�i!X�?Β"�+�8�Kƞ�}���Ï�RƋ��q���/x��f. Twenty-nine-year-old Janet and her husband Jack were driving home from her ob-gyn appointment when tragedy struck. From journalism to performing arts to foreign policy to scientific research to social work, these cases explore a range of current and historic ethical dilemmas, their motivating biases, and their consequences. Tell them that ethics involves finding and giving reasons for positions. He is not brain dead, but after 4 weeks in MICU and several neuro consults, the prognosis for “meaningful recovery” is said to be less than 1%. Provide the reasoning for each […] The following case presents a possible way in which the virus could be released in the population and a possible response. Megan and Ken have been married for 22 years, but unhappily. A 30-year-old woman, “Ginger,” is in the clinic, having been diagnosed several years ago with myelodysplastic syndrome (MDS, a blood disorder). With chronic, non-healing ulcers, bowel incontinence, and very limited conscious movement, her nephew requested removal of her nasogastric tube. Alice watched her mother’s long slide into Alzheimer’s type dementia, certain that her mother’s careful attention to advance care planning would be able to prevent her worst nightmares. He is in an accident in which he sustains a severe brain injury is and shows no signs of consciousness. The curriculum is designed to instill an ethical perspective based on the dignity of the human person, in order to properly evaluate the various issues to be faced in the 21st Century. Through seventy-eight compelling scenarios, the authors demonstrate the practical importance of ethics, showing how the concerns at issue bear on the lives of patients, health-care providers, and others. In addition to this, clinicians find a mass in Jesse’s lung that could either be TB or cancer. An 84-year-old non-ambulatory nursing home patient was confined to semi-fetal condition with "sever organic brain syndrome." More than 50 case studies match ethics concepts to real world situations. 80-year male with multiple medical problems with esrd, dementia, stroke, bedridden and with low blood pressure. Resuscitation attempts succeeded; however, over the course of a few days he went into multi-system failures. This unique educational outreach effort is an extension of his philosophy to engage the public—a cornerstone of his career—spread truth, and change people and their behavior. When Omer doesn't recover well, issues arise as the physicians do not speak directly with Omer's children. Disclaimer: Please note that all Case Studies In Bioethics kinds of custom written papers ordered from AdvancedWriters.com academic writing service, including, but not limited to, essays, research papers, dissertations, book reviews, should be used as reference material Case Studies In Bioethics only. Should they be allowed to have children? Almeda’s nurses and attending physicians want her long-time friend Barney to help them determine the direction her treatment should take now that she needs dialysis. And yet, it was unmistakable. John is a 92-year-old who was recently admitted to a long-term care facility after being discharged from the hospital after a stay for pneumonia. He is nonverbally refusing meals, and with no obvious family members to relay his wishes, staff are finding it hard to determine what the next step should be in his care. ... Bioethics Case Study 7:24 This case study explores whether the provision of artificial nutrition and/or hydration is a medical treatment, and in what situations should artificial nutrition and/or hydration be offered? This leads to other treatment decisions and dilemmas which become ethically complex. On December 14, 1989, Helga Wanglie, 86, fell in her Minneapolis home and broke her hip. Acquiring the skills to bride the two worlds calls for self-awareness by the practitioner and a commitment to cultural competence by the organization. Karen Ann Quinlan, a twenty-two-year-old who ingested a harmful mix of drugs and alcohol, suffered two fifteen-minute periods of interrupted breathing which left her in a chronic vegetative state without any cognitive functions. Surgery was performed without the use of blood transfusions, but his blood levels continued to fall. Grace H. is a retired teacher who is suffering from Alzheimer dementia, who lives in a nursing home. He has some cuts and bruises on either leg, complains of a swollen right ankle, but appears to be fine otherwise. q 25.92 0 0 -28.08 538.32 247.68 cm /im2 Do Several students go to the principal to complain. Smallpox Facts: Smallpox initially has flu-like symptoms, which are recognizable 7-19 days after exposure. When state policies change, the CEO and the case manager for the girl's managed care plan cannot agree on what should be the next step. Here you will learn about bioethical issues and controversies specifically in the field of neuroscience, and read and discuss important case studies relating to neuroethics. The oncologist suggests that she undergo a rigorous treatment process that has probably mortality of 25%, limited efficacy and huge cost burden, which her insurance will not cover. Jack is a hard-working employee at your restaurant in a small, rural town a few hours from the nearest big city. The prognosis does not include any likelihood of return to baseline, or to home. Permanently unconscious, she has only brain stem function. George is a 23-year-old man who has Down's syndrome. A 60-year-old homeless man, “Jesse”, is found confused and in distress by a passerby who calls 911. The Department of Bioethics offers many programs, including our highly successful Master of Arts program in Bioethics and Medical Humanities, which emphasizes the multi- … Q q 22.32 0 0 -22.08 540.24 172.32 cm /im3 Do This case discusses the dilemmas that occur when a patient does not heed the advice of a doctor, and what obligations do the patient and doctor have in maintaining the patient-doctor relationship. The patient is a farmer and says that he fell while he was taking care of his chickens in the chicken coup. Another driver, elderly and distracted by an incoming text message, ran a red light and T-boned Janet and Jack’s Mini-Cooper. Transplant Bioethics Case Studies After her gall bladder surgery, Ruth Sparrow had a serious problem. She was in a persistently comatose and vegetative state, sustained by a gastronomy feeding tube. Case studies for bioethics 7(AUSN and EEI, November 2013) "Unit 3 Human dignity and human rights Learning objectives • Students should be able to explain and apply the concepts of human dignity and human rights • Students should understand the relevance of these concepts in the context of bioethics Case 3-1: Donor sibling. Angela C. was a 28-year old married woman who was approximately twenty-six weeks pregnant. During the next five months repeated attempts to wean Mrs. Wanglie from the respirator were unsuccessful; she was conscious, aware of her surroundings, and could recognize her family. George did not state his wishes in an advance directive. Baby K is an infant female born with anencephaly. The problem was not her health. Please join the thousands of people following us on Facebook to stay connected to each month's free educational materials. I want to die.". He is eligible to be in a clinical research trial of a new asthma medication. The situation is dire, and Joe seems to "get it". The range of topics covered by our broad definition is presented by several different means, including lectures, structured role play, case studies and videos. A patient's girlfriend discusses challenges and frustrations associated with receiving care from the Veterans Administration. She has not been feeling well lately. When it becomes very difficult for her to eat, requiring an aide for a couple of hours each meal, her daughter decides that it is appropriate for a feeding tube to be placed as Jennie does not have a fatal illness, just simply requires adequate nutrition. Prolonging life and no savings to fall back on they provide lesson plans that teachers can use lead. Has some cuts and bruises on either leg, complains of a right. Of 2018 ob-gyn appointment when tragedy struck her guardian, appealed of blood transfusions as the physicians do not in... 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