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Health Care Services Assignment

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Question: Analyze this case from the ethical principles of justice, benevolence, nonmalfeasance, and autonomy.

Solution:

In this scenario, the patient's relative who is actually the mother has strong religious beliefs. She do hope that his son whom doctors have lost hope of treating, will get well under the power of God. Consequently, the principle of justice dictates that the healthcare prvodiers collaborate with the mother in her hope of the son's healing. Accordingly, the doctors need to discuss with the mother regarding her spiritual beliefs and be sensitive to her needs (Lucchetti, Bassi, Lucchetti, 2013). Furthermore, the doctors need to respect the patient's autonomy, as well as the role of his loving and well intentioned family in his treatment (Cherry, 2015). Based on the principles of benevolence and informed consent, the doctors need to present the relevant information and facts about the status of the patient to the mother (Weise, 2016). However, they should still respect her wishes of having him remain at the ICU unit and to have the highest level of care done to her son. These suggestions align well with the Non-Malfeasance ethical principle which requires caregivers to avoid acts and behaviors that that are likely to harm the patient or violate his/her trust (Commission for Reproductive Health Service Standards, 2019).

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Question: What are the ethical issues of limiting care? How much uncompensated care can hospitals absorb? Where do people with no resources go for care? What is the state''s responsibility, if any, to ensure health care services? What is the community''s responsibility, if any? What are the ethical considerations that should be taken into account?

Solution:

Limiting care based on the availability of resource is subject to ethical conflicts. According to the Hippocratic Oath, a healthcare provider must exploit his or her ability and judgment to treat and help the sick and never use treatment to harm or injure them. Moreover, the caregiver's benevolence is well outlined in the code of ethics which expects them to provide service with respect to humanity and compassion. However, at times, it may not be practical to provide health services in the face of unlimited resources. In this regard, hospitals can only absorb uncompensated care with the condition of charging other clients more and raising the general cost of service. This is to safeguard it against loss and close of business (Weise, 2016). Sadly, despite implementation of Affordable Care Act, Medicaid and other healthcare insurance plans, the higher healthcare costs is seeing many people without insurance covers. Consequently, many patients, especially those from low income background and with no insurance cover often forego healthcare owing to high cost and lack of funds. Under the universal health coverage, the state has a responsibility of ensuring that all its citizens, regardless of socio-economic background have access to effective curative, preventive, promotive, palliative health services without financial constraints (WHO, 2014). Communities play a critical role in the sense that their support or lack of it influences the success of health services. For instance, for effective delivery of services to patients, healthcare workers need to engage whether directly or indirectly the needs and perspective of patients, their families, and service users, local communities in the course of service design, planning, implementation and assessment (WHO, 2019). In addition, there are also a diversity of linkages and entry points between communities and health systems which are interdependent. These includes health centers, hospitals, clinics, community health workers, surveillance staff, alongside accountability mechanisms such as area authority, councils, forums human rights or policy development (WHO, 2019).

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