Medical bioethics case studies

In other words, bioethics tries to figure out whether our use of scientific knowledge dealing with the physical life of human beings is morally good or evil.

Medical bioethics case studies

Ethical issues raised by abortion and euthanasia are part of the subject matter of bioethics, which deals with the ethical dimensions of new developments in medicine and the biological sciences.

Inherently interdisciplinary in scope, the field benefits from the contributions of professionals outside philosophy,… Definition and development The range of issues considered to fall within the purview of bioethics varies depending on how broadly the field is defined. In one common usage, bioethics is more or less equivalent to medical ethics, or biomedical ethics.

The term medical ethics itself has been challenged, however, in light of the growing interest in issues dealing with health care professions other than medicine, in particular nursing. The professionalization of nursing and the perception of nurses as ethically accountable in their own right have led to the development of a distinct field known as nursing ethics.

Accordingly, health care ethics has come into use as a more inclusive term. Bioethics, however, is broader than this, because some of the Medical bioethics case studies it encompasses concern not so much the practice of health care as the conduct and results of research in the life sciences, especially in areas such as cloning and gene therapy see clone and genetic engineeringstem cell research, xenotransplantation animal-to-human transplantationand human longevity.

Although bioethics—and indeed the whole field of applied ethics as currently understood—is a fairly recent phenomenon, there have been discussions of moral issues in medicine since ancient times.

Bioethics emerged as a distinct field of study in the early s. It was influenced not only by advances in the life sciences, particularly medicine, but also by the significant cultural and societal changes taking place at the time, primarily in the West.

Medical bioethics case studies

The perfection of certain lifesaving procedures and technologies, such as organ transplantation and kidney dialysisrequired medical officials to make difficult decisions about which patients would receive treatment and which would be allowed to die.

At the same time, the increasing importance placed on individual well-being contributed to changes in conventional attitudes toward marriage and sexuality, reproduction and child rearing, and civil rights.

Issues in bioethics The health care context The issues studied in bioethics can be grouped into several categories.

If a patient with a life-threatening illness refuses treatmentshould his wishes be respected? Should patients always be permitted to refuse the use of extraordinary life-support measures?

These questions become more complicated when the patient is incapable of making rational decisions in his own interest, as in the case of infants and children, patients suffering from disabling psychiatric disorders such as schizophrenia or degenerative brain diseases such as Alzheimer diseaseand patients who are in a vegetative state see coma.

Traditional philosophical questions Another category of issues concerns a host of philosophical questions about the definition and significance of life and deaththe nature of personhood and identity, and the extent of human freedom and individual responsibility.

At what point should a fatally injured or terminally ill patient be considered dead? When his vital functions—e.

When the brain stem has ceased to function? Should the presence of deep coma be sufficient to establish death? These and similar questions were given new urgency in the s, when the increased demand for human organs and tissues for use in transplant operations forced medical ethicists to establish guidelines for determining when it is permissible to remove organs from a potential donor.

At about the same time, the development of safer techniques of surgical abortion and the growing acceptability of abortion as a method of birth control prompted increasing debate about the moral status of the human fetus.

The central issue was whether—and, if so, at what stage—the fetus is a person in the moral sense.

Issues in bioethics

In slightly different terms, the issue was whether the class of persons is coextensive with the class of human beings—whether all and only human beings are persons, or whether instead there can be human beings who are not persons or persons who are not human beings the latter category, according to some, includes some of the higher animals and hypothetical creatures such as intelligent Martians.

These questions were raised anew in later decades in response to the development of drugs, such as RU mifepristonethat induce abortion up to several weeks after conception and to the use of stem cells taken from human embryo s in research on the treatment of conditions such as parkinsonism Parkinson disease and injuries of the central nervous system.

A closely related set of issues concerns the nature of personal identity. Recent advances in techniques of cloningwhich enabled the successful cloning of animals such as sheep and rabbits, have renewed discussion of the traditional philosophical question of what, if anything, makes a particular human being the unique person he is.

Is a person just the sum of the information encoded in his genes?

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Bioethics | School of Medicine | Case Western Reserve University | Case Western Reserve University This publication is an ethics vehicle for the Catholic health ministry. In it, ethicists and those responsible for ethics in their organizations will share ideas, ethical analyses and reflections, leading practices, policies, tools, case studies, literature reviews and bibliographies, and other important resources.

If so, is the patient who has undergone gene therapy a different person from the one he was before—i. Would he and his parent be the same person? If multiple human beings were cloned from the same parent, would they and their parent all be the same person?

Dolly the sheep, the first clone of an adult mammal, at the Roslin Institute, near Edinburgh. To what extent, if any, is human personality or character genetically rather than environmentally determined? Are there genetic bases for certain types of behaviour, as there seem to be for certain types of diseases e.

If so, what kinds of behaviour are so influenced, and to what extent are they also influenced by environmental factors? If behaviour is at least partly genetically determined, should individuals always be held fully responsible for what they do?

Finally, the possibility of developing technologies that would extend the human life span far beyond its current natural length, if not indefinitely, has led to speculation about the value of life, the significance of death, and the desirability of immortality.

Is life intrinsically valuable?INTERVENTION AND REFLECTION: BASIC ISSUES IN BIOETHICS, 10th Edition offers students a compelling introduction to biomedical ethics by combining riveting human stories with clear explanations of cutting edge scientific research.

It's a classic tale, the story of Ebenezer Scrooge -- the epitome of selfishness, the quintessential mean-spirited, miserly, narcissistic old man.

The following case studies are accompanied by case summaries. The case summaries were developed as a collaborative effort among rural healthcare providers who participated in the National Rural Bioethics Project’s patient safety study, project investigators, and a patient safety team at Rush Medical College.

Bioethics Case Studies! This is a open access collection of case studies for • Students should be able to explain the difference between medical ethics and bioethics • Students should be able to differentiate bioethics, law, culture, and religion Case studies for bioethics 8(AUSN and EEI, November ) ".

Bioethics: Bioethics, branch of applied ethics that studies the philosophical, social, and legal issues arising in medicine and the life sciences. It is chiefly concerned with human life and well-being, though it sometimes also treats ethical questions relating to the nonhuman biological environment.

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Medical bioethics case studies

ACP staffs the ACP Ethics, Professionalism and Human Rights Committee in developing position papers, policy statements, case studies and other resources on a broad range of issues in clinical, research and academic medicine.

Medical Ethics and Professionalism | ACP