Your dilemma is that you have to make a painful medical decision and
to explain, in writing, who benefits from what you decided, who gets
denied a needed benefit, and why. The document is to be in the form of
an official memorandum that will be kept for the record and could be
potentially read by not only your Peer Review Committee, but also
possibly those involved in charitable fundraising to support hospital
development and others with financial interests in the choice made.
Include in the document the utilitarian ethical philosophy of John
Stuart Mill (The Ethics of Consequences) and ONE OTHER ETHICAL
PHILOSOPHER of your choice and use both of those philosophies to bolster your decision.
We can do John Stuart Mill and Jeremy Bentham for the two utilitarian ethical philosopher. They said: The Principle of Utility from Bentham and Mill expressed in ethical form is this: “We should act in such a way as to maximize the happiness of everyone affected by our actions.” This was a radical idea, because it included no references to religion and had a purely human focus. It was also teleological (learn this new word), because it focused only on the consequences of decisions.
This paper will be at least two double spaced pages but
limited to three pages. Remember both professional written form and
potential audience, as well as tone when writing this sensitive paper.
Your assignment is to make the decision using utilitarian ethics and
then to write it up in the form of a Memorandum for the hospital
records.
The Memorandum should be at least two double-spaced pages with a
maximum of three pages, in memorandum form, ready to become an
official item of record.
Scenario You Decide
One of the great ongoing situations that calls for ethical decision
making is the reality that there is almost always a greater need for
something than there is a supply to meet the need.
For our assignment and scenario, the demand is the life-and-death
situation of the need for transplantable organs and the rather small
and transitory supply. Hard decisions need to be made, and there is
little time to think things through. These are emergency situations.
Transplantable organs become available on short notice–usually
because a donor has died for reasons unrelated to the organ. They need
to be removed and transplanted very quickly because they only remain
fresh for a limited period. Then there is the whole complicated issue
of tissue type matching. There is also an ongoing concern about how
long recipients can wait.
Scenario:
Ok, Lead Surgeon, its time to do what you do the best!
You are the Lead surgeon in a major hospital, and by virtue of your
seniority you are also the key decision maker for transplant cases.
Right now you have three people who are waiting and hoping for a
suitable heart to become available. Your call phone rings suddenly,
and you are notified that a heart has become available- meaning that
you need to make a quick yet sound decision about which patient will
receive the heart and then schedule surgery for today.
There is a lot at stake. The decision must be made almost immediately.
Like all actions, you will need to write your decision into medical
documentation before you begin. Yes, that means YOU!
In the limited time before you would begin surgery, you need you
consider the cases, the technical issues involved also, and write a
Memorandum for the Record to document what decision you made and what
considerations you included in your process.
Here is your 3 patients:
Jerry – Male, 55 years old, family man, mid level manager. Jerry and Joanie (his wife) have three teenage children aged, 14, 16 and 19. The 19 year old is a sophomore in college; the 14 year old is mildly autistic, and the 16 year old is an astronaut wannabe. If Jerry gets this heart, his chances of living another 10-15 years are very high. His heart is damaged due to the use of steroids in his early 20’s when he was involved with bodybuilding before the dangers of steroid use were fully known.
Lisa – Female, 12 years old, life-long health issues. Suffered health issues all her life, viral infections and lupus like immune deficiencies. Heart was damaged from a nasty bout of pneumonia last year and actually stopped for a brief period. Her mother did CPR on her or she would have known that her daughter would have died. Even with the transplant, her chances of surviving into her 20’s are not so good. She is the only child in the family and they can not bear any more children. Her parents will do everything for her. They offered to 2 million dollars to the hospital’s construction of speiciallized facilities if she can get a heart
Ozzie- a single 38 year old homeless man without a family. he has a heart condition due to continued abuse and overdose of crack cocaine and withouta transplant will not live anotther month
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