healthcare ethics

 

This week students will complete an APA paper to address the following case study

Amish Case Study:

After an Ohio Medina County judge ruled that Andy and Anna Hershberger, the parents of a 10-year-old girl, had the right to choose what was medically best for her, an appeals court reversed the decision and sided with a hospital that is fighting to resume her chemotherapy after her parents terminated the treatment. The Hershbergers are a deeply religious Amish family, who chose to take a different route from modern medicine after Sarah became ill from chemotherapy in June. The girl reportedly begged her parents to stop her chemotherapy and testified in court against resuming the treatment. “Our belief is, to a certain extent, we can use modern medicine, but at some times we have to stop it and do something else,” her father told the AP. They plan on going to a wellness center and turning to natural medication such as herbs and vitamins in the hopes that they could help her without putting her in pain.

Akron Children’s Hospital

, where Sarah had begun her chemotherapy, strongly advocated for the girl to continue her chemo, stating that it was a matter of life or death.

Sarah has lymphoblastic lymphoma, a form of non-Hodgkin lymphoma that rarely affects adults but is most often found in people under 35. It is reported to have a five-year survival rate of 85 percent if the patient undergoes chemotherapy. Lymphoma is a blood cancer that occurs when white blood cells divide faster than regular cells, causing tumors of lymphoid cells to grow throughout the body, typically in lymph nodes. “Although there’s all these dire medical predictions they (Sarah’s parents) would refute that by saying this is matter beyond the province of mortal man,” the Hershbergers’ attorney John Oberholtzer told WKYC. “You have to have a kind of faith that a lot of us don’t have…they absolutely have that faith.” He added that Sarah’s parents might take the case to the Ohio Supreme Court, and that it could potentially set a legal precedence with regards to who should hold the rights over a child’s medical decisions when it’s a life or death situation. “There has never been an allegation of parental unfitness, nor has the hospital or anyone else requested legal or physical custody of this child,” Akron Children’s Hospital said in a statement. “This involves a disagreement between providers and parents over what course of treatment is best for their child.” The hospitals’ chief medical officer Robert McGregor said last week that they had a moral and legal duty to ensure that Sarah receives the treatment that is in her best interest.

Bushak, L. (2013, Aug. 9). Court rules that Sarah Hershberger, Amish girl battling cancer, should be appointed legal guardian after parents stop her chemotherapy.  Medical Daily. Retrieved from

http://www.medicaldaily.com/court-rules-sarah-hershberger-amish-girl-battling-cancer-should-be-appointed-legal-guardian-after

Address the following questions regarding the case study

1. What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?
2. What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?
3. Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.
4. Are there alternative to the actions completed in this case by both the parents and healthcare facility?
5. Do you feel, in this case, the hospital is honoring the religious and cultural beliefs of the patient and her family? Can a hospital take a Jehovah Witness to court to receive a medically needed blood transfusion?  Is this case different due to the age of the patient? Explain and support your answer.
6. If you were a member of the ethics committee at this facility, what actions would you recommend in this case? Would you be in support of the facility or family? Explain and support your decision.

For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least five pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.

Assignment Expectations:  

• Length:

  answers must thoroughly address each question in a clear, concise manner; complete answers will likely take 5-6 pages

• Structure:

  Reference page required
  address each question in a numbered list

• References:

  Two references required

Read

1. Legal and Ethical Issues for Health Professionals: Chapters 7-8 (Pages: 59)
2. Aspen Library

   Court intervenes in cancer treatment of Ohio Amish child. (2013, Oct.). Church & State, 66, 21. 
   Court sides with Ohio hospital on Amish girl care. (2013, Aug 29). Bismarck Tribune.
   Seewer, J. (2013, Nov 28). Amish family flees from chemo doctors say girl will die; Parents say she’s better. Journal – Gazette. 
   Banfield, A., Conley, M., Valencia, N., & Sashin, D. (2013). Black friday brings out millions; amish girl in hiding; sisters held captive; bride loses groom in honeymoon accident. Atlanta: CQ Roll Call. Retrieved from https://search.proquest.com/