Summary C426 Washington University Paradigm.docx.docx

C426 Healthcare Values & Ethics Task 1: Questions Derived from the Washington University Paradigm QUESTIONS DERIVED FROM THE UNIVERSITY OF WASHINGTON PARADIGM Course of Action One – Follow Bashir’s Wishes MEDICAL INDICATIONS The Principles of Beneficence and Non-maleficence • What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal? The patient suffered a heart attack and fall. The problem is emergent, acute, and will be terminal if left untreated. • Using this course of action, describe, in full sentences, necessary considerations via 1. beneficence Even with the possibility of cardiac catheterization and coronary bypass, the patient is 90 years old and suffers from other comorbidities. Would the procedures and recovery add value to the remaining years of the patient’s life? Comfort care, alternatively, would ease the remaining days Jamilah has left. 2. non-maleficence The treatments and recovery have the potential for unforeseen negative outcomes, which may cause more pain and distress for the patient and family rather than allowing the patient to comfortably pass away. 3. Autonomy Although the patient has made requests for her care, her English language proficiency is basic, and she comes from a culture where the male members of the family traditionally make all family decisions. • In what circumstances are medical treatments not indicated? The scenario did not