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Summary C426 2 C426 Healthcare Value and Ethics C426 A1. Potential Ethical Dilemmas In the scenario, Jamilah Shah is a 90 year old Turkish immigrant, who only speaks €œbasic € english. She has been brought to the hospital from an ECF after collapsing at he $7.49   Add to cart

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Summary C426 2 C426 Healthcare Value and Ethics C426 A1. Potential Ethical Dilemmas In the scenario, Jamilah Shah is a 90 year old Turkish immigrant, who only speaks €œbasic € english. She has been brought to the hospital from an ECF after collapsing at he

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C426 2 C426 Healthcare Value and Ethics C426 A1. Potential Ethical Dilemmas In the scenario, Jamilah Shah is a 90 year old Turkish immigrant, who only speaks €œbasic € english. She has been brought to the hospital from an ECF after collapsing at her bedside. Test results show that she ...

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  • May 26, 2021
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  • 2020/2021
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C426

Healthcare Value and Ethics

C426



A1. Potential Ethical Dilemmas

In the scenario, Jamilah Shah is a 90 year old Turkish immigrant, who only speaks

“basic” english. She has been brought to the hospital from an ECF after collapsing at her

bedside. Test results show that she has suffered a heart attack. She has no advanced

directives on file, and her youngest son Bashir is listed as the emergency contact. The

ethical dilemmas we will discuss include autonomy, beneficence, and non-maleficence.

According to our scenario, we have conflicting opinions on how to proceed with care for

her. Her son is requesting to make his mother a comfort care only, and the healthcare

team is advocating for full treatment. Jamilah stated to a member of the healthcare team,

“Please help me. I want to live.”



Autonomy is a person’s right to have control over the choices that are made. In our

scenario, Jamilah is 90 years old, and there is no indication that she is not competent to

make her own decisions. Therefore, she should be able to. Jamilah appears to be awake,

alert, and oriented to the situation. Despite the Turkish custom of men making the

decisions, she has a right to choose what is best. The healthcare team has a duty to

present her with the information so that she can make an informed autonomous decision.

In order to help her do this, they will need to provide her with an interpreter as she has a

, language barrier. The hospital must do all that they can to honor the patient’s wishes to

avoid being opened up to a lawsuit. This type of lawsuit could be brought by one of the

other sons. The suite would most likely be for wrongful or premature death. If for some

reason Jamilah were to not pass like they expect, she may file a legal claim for denying

her wishes, a civil rights violation. Additionally, if care were withheld, one could make

the argument she was unlawfully imprisoned.



Non-maleficence is the ethical principle of not causing harm. In this situation, the

healthcare team needs to act in a timely manner. The longer they delay action, the more

likely Jamilah is to have a negative outcome. The healthcare providers are in a difficult

situation as the son has stated that she is to be a comfort care only, but Jamilah has stated

she wants to live. This conflict makes it difficult. If they delay, they are causing more

harm and potentially death which could lead to the hospital and the provider being sued

for malpractice.



Beneficence is the ethical principle of doing what is good. Healthcare workers are

trained to take actions that are for the good of the patient. These dedicated teams are

constantly monitoring and reviewing ill patients in an effort to provide the best care

possible. It is difficult to know what to do in all situations as people and disease

processes are complex and ever changing. In our scenario, the team has to take into

account the cultural norms of the family, the wishes of the patient, and try to balance all

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