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Summary C426 Task 1.docx C426 C426 Healthcare Values and Ethics A1. Potential Ethical Dilemmas Highly educated, widowed, 90-year-old Jamilah Shah was taken to the hospital after collapsing beside her bed in an extended care facility. Diagnostic tests perform$4.99
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Summary C426 Task 1.docx C426 C426 Healthcare Values and Ethics A1. Potential Ethical Dilemmas Highly educated, widowed, 90-year-old Jamilah Shah was taken to the hospital after collapsing beside her bed in an extended care facility. Diagnostic tests perform
C426 Task C426 C426 Healthcare Values and Ethics A1. Potential Ethical Dilemmas Highly educated, widowed, 90-year-old Jamilah Shah was taken to the hospital after collapsing beside her bed in an extended care facility. Diagnostic tests performed at the hospital revealed that Jamilah experienc...
90 year old jamilah shah was taken to the hospital after collapsing beside her bed i
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C426
C426 Healthcare Values and Ethics
A1. Potential Ethical Dilemmas
Highly educated, widowed, 90-year-old Jamilah Shah was taken to the hospital after
collapsing beside her bed in an extended care facility. Diagnostic tests performed at the hospital
revealed that Jamilah experienced a heart attack; Although highly educated, Jamilah spoke little
English; However, her three sons were fluent English speakers and made many family decisions.
At the time of the incident, Jamilah had no advanced directives. Additionally, because she had
difficulties communicating, the emergency department physician started treatment before her
youngest son, Bashir, who was listed as her next of kin in the extended care facility paperwork,
was contacted. The care Jamilah requires is time-sensitive, but there are differing opinions
regarding her treatment. Jamilah’s family is requesting that they only provide comfort care; on
the other hand, Jamilah relays to the social worker that she wishes to live and receive help. The
three ethical dilemmas that have been identified, and I would like to discuss further are
autonomy, beneficence, and non-maleficence.
Autonomy-Jamilah’s Wishes
Autonomy is the right of a person to make one’s own health care decision. In the case of
Jamilah, she had expressed to her social worker that she would like to live, despite her son
stating that he did not want any type of intervention other than comfort care. In spite of the social
worker's knowledge of Jamilah’s wish to live because of Jamilah’s age, and her current state her
sons may feel she is not capable of determining her own health care decisions. Additionally, as a
result of Jamilah’s not having an advanced directive on file, the hospital healthcare team is
bound to follow the wishes of her next of kin, Bashir. Consequently, Jamilah’s life is in the
hands of her son, and unless she is able to convince her son to allow additional interventions to
save her life, she might not live.
Beneficence-Ethical Principles Bashir’s Wishes
Beneficence is the act of doing good, demonstrating kindness, showing compassion, and
helping others. In order for the healthcare team to help Jamilah, they must use their training to
provide her with the best care. Part of providing the best care is by doing good by understanding
Jamilah’s beliefs, culture, values, and preferences. For example, despite the healthcare team
initially starting anticoagulants when first arriving at the hospital, they must respect Jamilah’s
family’s culture of a patriarchal society and respect her son's wishes of only providing comfort
care. Also, despite the social worker having Jamilah’s personal interests to save her life, without
an advanced directive on file, the healthcare team is bound to follow Bashir’s wishes.
Non-maleficence-Delay of Care
Nonmaleficence requires caregivers to avoid causing harm to patients. The doctor can try
to take medical intervention; however, if the doctor is unsuccessful and the intervention does not
benefit Jamilah, the act would be considered as harming. On the other hand, if the doctor does
not inform the family about potentially life-saving interventions, this could also be harming the
patient by delaying care. The healthcare providers and social worker are aware that Jamilah
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