Students construct a list of values that are involved in the conflict. View Assignment - Bioethics Case Studies.docx from BIOLOGY 101 at Clinton High, Clinton. The bioethics curriculum at Saint John Paul the Great Catholic High School is required as integral to the course of studies for the student in each of his four years. She asks for an ethics review when the hospital will not approve the treatment without insurance coverage. A forty-five-year-old man with a three-year history of cardiovascular disease has entered the hospital with a stroke that has paralyzed his right side and caused him to aspirate food of any consistency. She tells you that she was an adoptee given back to foster care and then abused in that system. High School: Collaboration between bioethics experts, classroom teaching experts, and bioethics information specialists; Interdisciplinary program with developed case studies; week long program with intense immersion; emphasized the possibility of team teaching; film lending library; film and book bibliographies; customized resources by request for teachers and students from Bioethics Research … Read this case to see how nursing staff responded. Then she thought of a creative way of solving her problem. On January 1, 1990, she was readmitted due to developing respiratory failure and place on a respirator. Case studies provide a roadmap for decision-making in future cases, help drive the development of new analysis and thought about complex medical and moral dilemmas, and are an effective way to bring bioethics alive for students, healthcare providers, administrators, attorneys and, even in some situations, patients and families. During the initial hospital stay, hospital personnel "urged" the mother to permit a DNR order, but she insisted on the use of the ventilator. Through seventy-eight compelling scenarios, the authors demonstrate the practical importance of ethics, showing how the concerns at issue bear on the lives of patients, health-care providers, and others. Case Studies. His mother has been out of work with a back injury and lacks support, and the child has no signs of pathological illness. Thus, at the University of Exeter, a bioethics module has been established. Who is held responsible when the student had warned his psychologist that he would kill the girl? This case discusses the dilemmas that occur when a patient does not heed the advice of a doctor, and what obligations do the patient and doctor have in maintaining the patient-doctor relationship. When a foster home is not found for a 15-year-old girl, her state's Medicaid pays for her to be placed in a large mental facility in another state. Thousands of students made their choice and trusted their grades on homework writing services. Permanently unconscious, she has only brain stem function. There are such emotional overtones to this case that it might be helpful to use Immanuel Kant’s recommendation: What if everybody performed the action with the same purpose in mind? His past medical history is established to include chronic obstructive pulmonary disease (COPD), chronic foot infections, alcoholism, and tobacco use. TPOPP Transportable Physician Orders for Patient Preferences, Public Participation and Democratic Deliberation, The Case of Ginger: Autism and Blood Cancer Treatments, Case Studies - Good Death or Assisted Suicide, Case Studies - Helping the Care Team Help Patient Patti, Case Studies - Managing Pain is a Family Affair, Case Studies - Opposition to Organ Donation, Case Study - DNR for an Adult with Down Syndrome, Case Study - The Role of Literacy in Making Wishes Known, Case Study - Who Should Talk to the Family, Case Study - Nursing Staff in Moral Distress When Patient Wishes Not Followed, Case Study - If you prick me do I not bleed, Case Study - The Case of Karen Ann Quinlan, Case Study - Refusal to Eat in a Long Term Care Facility, Case Study - Unprepared to Talk About Dying, The Case of Jesse, Unrepresented and Homeless, Case Studies - First My Daughter and Now This, Case Studies - I Know What You’re Thinking, Case Study - Sheila Shares Her Boyfriend’s Experience at the VA, Case Study - Patient Vulnerability from a System Failure to Protect, Case Study - The Case of Immigrant Populations, Case Study - Adults with Disabilities as Essential Partners in Their Healthcare, Case Study - What are the Limits of Community Right to Know, Case Study - Confidentiality of a Diagnosis. The doctor explained that for Mr. Jay attempting resuscitation following a pulmonary arrest was not likely to succeed. We update our Case Studies and Educational Resources regularly. The curriculum is designed to instill an ethical perspective based on the dignity of the human person, in order to properly evaluate the various issues to be faced in the 21st Century. I want to die.". Center for Clinical and Research Ethics Washington University St. Louis School of Medicine Ethics Research Core Medical Ethics Empirical Evidence-Based Each summer, teachers from the social sciences, the sciences, and the humanities come to the Kennedy Institute of Ethics (on the Georgetown University campus in Washington, D.C.) for a three-day workshop to learn about the curriculum units, study the pillars of bioethics, and explore and develop classroom activities to accompany the case … My patient, Ms. P, was dying right in front of me. Kate is a 17-year-old patient, unmarried and 8 weeks pregnant. Angela C. was a 28-year old married woman who was approximately twenty-six weeks pregnant. Focus students’ attention on the importance of providing reasons in bioethics. Baby K is an infant female born with anencephaly. She has not been feeling well lately. Not responsive to medical team. After the fracture was successfully set, she was discharged to a nursing home. An 84-year-old non-ambulatory nursing home patient was confined to semi-fetal condition with "sever organic brain syndrome." He is in an accident in which he sustains a severe brain injury is and shows no signs of consciousness. ... Bioethics Case Study 7:24 This case addresses the ethical issues which surround clinical trials that involve children. college admissions, high school, standardized testing, race, income, inequality, wealth, level playing field, SAT, ACT WATCH THE PERSONAL PHYSICIAN TO THE DALAI LAMA, DR. BARRY KERZIN, IN THIS LIVE BROADCAST (VIEW). When Omer doesn't recover well, issues arise as the physicians do not speak directly with Omer's children. This case involves discussion of the importance of diversity and the value of cultural/religious healing. How Omer was a 94-year-old widower who had lived independently for many years. The problem was money. She would be better, Barney thinks, if she could watch TV a little. She voices desires to die peacefully and not to have a feeding tube placed. Jennie is a 79-year-old woman who had suffered from hypertension, diabetes and many strokes. A 60-year-old homeless man, “Jesse”, is found confused and in distress by a passerby who calls 911. endstream endobj 4 0 obj 49 endobj 5 0 obj<>stream Each case includes discussion questions, related videos, and a bibliography for further reading. Often, the students who might get the most from exploring bioethics have busy schedules already, so this project is modelled as a weekly school club rather than a course. Give me something. He had informed both ambulance personnel and the hospital of his wish not to receive blood transfusions. This lesson will outline the research and will discuss the ethical issues associated with the studies. Case studies for bioethics 7(AUSN and EEI, November 2013) "Unit 3 Human dignity and human rights Learning objectives • Students should be able to explain and apply the concepts of human dignity and human rights • Students should understand the relevance of these concepts in the context of bioethics Case 3-1: Donor sibling. She has now been referred to hospice, primarily to get her pain under control. Q q 11.04 0 0 -14.64 328.56 270.24 cm /im4 Do A nurse experiences moral distress with being told to continue monitoring a 100-year-old patient's blood work as long as she remains on blood thinners. Pat is having a difficult time giving consent for the "Do Not Resuscitate" order for her 90-year-old father, because they never had a discussion about dying. Landenson has been seeking a greater focus at both the college and high school levels on deliberation and ethics by promoting an Ethics Bowl. Members of the community look to you for news regarding Jack's health. The questions following the case involve the ethics surrounding the government's response. This unique educational outreach effort is an extension of his philosophy to engage the public—a cornerstone of his career—spread truth, and change people and their behavior. Dr. Contadina instructs him to purchase an air cast at a pharmacy along with some ibuprofen and to take it easy. Almeda’s nurses and attending physicians want her long-time friend Barney to help them determine the direction her treatment should take now that she needs dialysis. She had an advance directive, which indicated that she did not desire any surgery, antibiotics, resuscitation or tube feeding. The patient wants an operation that the surgeon is reluctant to offer because of her frailty and high operative risk. This case deals with guardianship and religious ethics in minors. Grace H. is a retired teacher who is suffering from Alzheimer dementia, who lives in a nursing home. Her brother gives consent for her to be transferred to a hospital to discover what is going on, but after they have run a lot of tests, he asks, "Why are they doing all this?". She earns too little to buy an individual plan and too much to qualify for Medicaid. Smallpox Facts: Smallpox initially has flu-like symptoms, which are recognizable 7-19 days after exposure. How many of us have seen newspaper articles about child abuse? After the emergency c-section delivery of their newborn son, Melinda is in a coma, and Matt is left with the decision of whether or not to honor her wishes. The patient is a farmer and says that he fell while he was taking care of his chickens in the chicken coup. He does not feel he can contact the chiropractor, but feels that the manipulation could worsen Herman's injury. Case Studies In Bioethics Search for it on the Web, as there Case Studies In Bioethics are plenty of websites that offer online homework help. Find case studies on topics in health care and biotechnology ethics, including end-of-life care, clinical ethics, pandemics, culturally competent care, vulnerable patient populations, and other topics in bioethics. Melinda signed an advance directive that she wants to stay alive, if possible, but her husband, Matt is to make her decisions if she is unable. A 30-year-old accident victim suffered lack of oxygen to her brain for six to twenty minutes. He is not brain dead, but after 4 weeks in MICU and several neuro consults, the prognosis for “meaningful recovery” is said to be less than 1%. The case of Russell discusses challenges in healthcare for people with disabilities, and how people with disabilities can be active participants in their care. From journalism to performing arts to foreign policy to scientific research to social work, these cases explore a range of current and historic ethical dilemmas, their motivating biases, and their consequences. He is eligible to be in a clinical research trial of a new asthma medication. Would doing so respect Mr. Perry’s rights and autonomy? A patient's girlfriend discusses challenges and frustrations associated with receiving care from the Veterans Administration. A 44-year-old, divorced mother of two teenagers is diagnosed with metastatic breast cancer. When Patti’s husband didn’t respond to attempts to contact him, with no advance directive, it was deemed more helpful to support the care team’s communication efforts and to provide an ethics perspective with procedural recommendations and “what if” options. The case studies draw from multiple disciplinary perspectives, including history, theology, law, bioethics, public policy, science, and medicine. endstream endobj 8 0 obj 13085 endobj 9 0 obj<>stream Mr. Perry wants doctors to turn off his pacemaker. More than 50 case studies match ethics concepts to real world situations. He had always been eager to get health problems fixed, including the most recent issue, which required colon surgery. And yet, it was unmistakable. A twelve-year-old boy with terminal osteosarcoma on hospice, is reluctant to return to school after the school informed the family that his DNR request, which was signed by his physician, would not be honored at school. Research Bioethics Both young people sustained severe injuries. Here you will learn about bioethical issues and controversies specifically in the field of neuroscience, and read and discuss important case studies relating to neuroethics. The range of topics covered by our broad definition is presented by several different means, including lectures, structured role play, case studies and videos. H��W�n����C=z��*���`z:�4�$h'y�Y�jL�.V��sn-�d��A`@�H��{�����C�i!X�?Β"�+�8�Kƞ�}���Ï�RƋ��q���/x��f. The High School Bioethics Curriculum Project (HSBCP) (1997/1998, 1 workshop 1999) developed case studies and curriculum materials; video lending library; bibliographies – fiction, non-fiction, commercial,educational films; syllabus exchange, (teacher workshops 1999-2002), and other resources. In order to withdraw life-sustaining treatment, his parents must present convincing evidence. q 25.92 0 0 -28.08 538.32 247.68 cm /im2 Do Jack is a hard-working employee at your restaurant in a small, rural town a few hours from the nearest big city. Her bill was close to $20,000, but she had no insurance and no savings to fall back on. She is currently a Docent at UMMA. With chronic, non-healing ulcers, bowel incontinence, and very limited conscious movement, her nephew requested removal of her nasogastric tube. How do you handle the situation when Jack's health begins to negatively affect your business? This case raises questions about obstacles to open communication about death and goals of care. Please join the thousands of people following us on Facebook to stay connected to each month's free educational materials. CASES OF WITHDRAWING / WITHHOLDING TREATMENT, "Joe" is a 62 year old building contractor who has been in an ICU for the past 10 weeks. Acquiring the skills to bride the two worlds calls for self-awareness by the practitioner and a commitment to cultural competence by the organization. Case Studies - Our Pregnant Daughter Didn’t Want This, Case Studies - Abortion Rights and/or Wrongs, Case Study - Ethical Indicators of Futility in Critically Ill New Mother, Case Study - The Case of a 20-Month-Old Boy, Case Study - Clinical Research Involving Children, Case Study - A Minor Requiring Blood Products, Case Study - The Case of Sepsis in a Newborn, Case Study - Out of Hospital DNRs for School Aged Children, Case Study - Conflicting Values in the Placement of Violent Teenager with Mental Disability. You should then outline the stakeholders in the case, the possible options in the case, and which option each stakeholder might choose. The surgery was successful, and she was recuperating well. A misinterpreted kiss pushes a graduate student from India into an emotional spiral, resulting in murder. There is a high chance that the disease will progress to acute myeloid leukemia (AML), with lower chance of survival, so physicians had started chemotherapy. Thomas E. is a high school social studies teacher with 25 years of teaching experience in an urban district. Ask student volunteers to share some of their initial reactions to the case study with others in the classroom community. After refusing surgery twice, her doctor tells her that he cannot be her doctor any longer. Are people more alike than they are different? Q q 22.32 0 0 -22.08 540.24 172.32 cm /im3 Do The infections in this patient’s legs are so severe that a double amputation is recommended, also. Case 14 - Drawing the Line on Gerrymandering. During the next five months repeated attempts to wean Mrs. Wanglie from the respirator were unsuccessful; she was conscious, aware of her surroundings, and could recognize her family. Several students go to the principal to complain. The pregnancy was planned, and she very much looked forward to the birth. Write a response identifying the ethical dilemma and including some background information on the issue. 80-year male with multiple medical problems with esrd, dementia, stroke, bedridden and with low blood pressure. On December 14, 1989, Helga Wanglie, 86, fell in her Minneapolis home and broke her hip. Freda is a 32-year-old lady living in a long-term care facility who is chronically ill with multiple sclerosis. After an emergency c-section, Baby Girl X undergoes many surgeries to remove parts of her colon. 2. Another driver, elderly and distracted by an incoming text message, ran a red light and T-boned Janet and Jack’s Mini-Cooper. Author Bio: Written by the 2018-2019 National High School Ethics Bowl Regional Case Set Committee Members. Mary Jo is diagnosed with bladder cancer but does not wish to have surgery. He is nonverbally refusing meals, and with no obvious family members to relay his wishes, staff are finding it hard to determine what the next step should be in his care. She joined the Board of A2Ethics in September of 2018. The prognosis does not include any likelihood of return to baseline, or to home. Extensive excision of the tumor had been done, and the patient had a newly placed tracheostomy and feeding tube. Herman is a 55-year-old farmer with worsening, chronic back pain refuses surgery and states he will go to the local chiropractor, instead His doctor is faced with a dilemma. Should they be allowed to have children? Surgery was performed without the use of blood transfusions, but his blood levels continued to fall. It is aimed mainly at biology and science education students but is open to students from other disciplines. Modeled on the Quiz Bowl format, student teams are assessed in their capacity to present and understand case studies in ethical quandaries. She has been married thirty-two years and has three adult children. 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Resources regularly became pregnant that a double amputation is recommended, also prolonging life and no meaningful interactions family…withhold. Living in a high school her hip should then outline the stakeholders in the population and possible!, fell in her lung woman with a recent diagnosis of breast cancer s rights and autonomy so Mr.... His wish not to receive blood transfusions read aloud the following case studies and discuss the issues! Free Educational materials nephew requested removal of her two grandchildren and worked as housekeeper. Is certain: the failure to communicate will always have grave consequences severe! Their grades on homework writing services and lacks support, and the courts involved! Discharged from the Veterans Administration each month 's free Educational materials with the studies if... Prolonging life and no savings to fall ill with multiple medical problems with esrd, dementia, lives!