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PHI 325 Bio-Medical Ethics

Question

Answered

Task

The Case:  

On a bright, clear afternoon one day after Easter, sixty-eight-year-old Harry Aveni was brought to the ER after he had collapsed on the patio of his house.  Mr. Aveni had been brought to the ER twice before. Both were episodes of congestive heart failure, and this third occasion was no different.  Mr. Aveni had broken his diet during the holidays and consumed an unaccustomed amount of salt. He responded well to emergency treatment. The fluid around his heart was withdrawn and medication was administered, and his condition seemed to stabilize. Then, that evening, there was a sudden onset of fibrillation – his heart started beating erratically. Again he responded well to treatment and after emergency defibrillation his condition again stabilized.

“He needs to be put into the ICU,” Dr. Ellen Gracian said.  “We can’t care for him on the ward because he’s got to have constant monitoring.”

“I don’t think Dr. Franklin is going to want to admit him,” the nurse said.  “There’re only three beds left.”
 
Dr. Gracian immediately left the floor and went to the ICU director’s office.  She explained what she wanted and waited while he seemed to be thinking it over.
 
“I don’t think I can admit him,” Dr. Franklin said.  “Here we have an elderly man who has gone through three episodes of congestive heart failure and seems to have something additional causing his fibrillation.  He didn’t stick to his diet, and his days are rather small in numbers.”
 
“But if he doesn’t have intensive care, the numbers may be even smaller,” Dr. Gracian said.

“We have a seriously ill staff member, a young girl, and a father with 5 kids who might crash at any moment with this flu. They might all suddenly go into respiratory distress and need those ICU beds.” 

“But all I need, is just one bed.” Said Dr. Gracian.

“I understand that, said Dr. Franklin.  “But let’s suppose we install your patient in the IU and fifteen minutes later, our other patients need those beds.  They’re going to have to have close monitoring, or they’re likely to die.”  I’m sorry, but the chances are somebody will need those beds, somebody who’s got a better chance to live a long and more normal life.”

“I see,” Dr. Gracian said.  “But I thought we were in the business of saving lives.”

“We are,” Dr. Franklin said. “But we can’t save them all, and that’s where the problems come in.”

Instructions: 

Write an essay that discusses the case.  Address the questions below in your essay, and be sure to let the reader know which of the questions you are addressing.

1. Of the following ethical principles, which might apply and how might they apply to this case:
Beneficence – Above all, do no harm
Nonmalificence – Don’t do evil

2. Is Dr. Franklin expressing a Kantian, Utilitarian, or Ethical Relativism point of view?  Explain.

3. Is Dr. Gracian expressing a Kantian, Utilitarian, or Ethical Relativism point of view? Explain.

4. Mr. Aveni seems to have received his treatment and medical advice during his visits to the ER. What societal conditions exist in the US regarding access to medicine might have contributed to Mr. Aveni’s poor condition?  Does the fact of these conditions affect the way that we might understand Mr. Aveni’s current right to emergency care?  Would any information such as Mr. Aveni’s race and/or ethnicity affect the way you view his right to the scarce ICU bed?

5. What views of Justice do each of the physicians seems to demonstrate?

6. What would you do if you were the ICU physician in this case?

PHI 325 Bio-Medical Ethics

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Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.

Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Hac habitasse platea dictumst vestibulum rhoncus est pellentesque. Amet dictum sit amet justo donec enim diam vulputate ut. Neque convallis a cras semper auctor neque vitae. Elit at imperdiet dui accumsan. Nisl condimentum id venenatis a condimentum vitae sapien pellentesque. Imperdiet massa tincidunt nunc pulvinar sapien et ligula. Malesuada fames ac turpis egestas maecenas pharetra convallis posuere. Et ultrices neque ornare aenean euismod. Suscipit tellus mauris a diam maecenas sed enim. Potenti nullam ac tortor vitae purus faucibus ornare. Morbi tristique senectus et netus et malesuada. Morbi tristique senectus et netus et malesuada. Tellus pellentesque eu tincidunt tortor aliquam. Sit amet purus gravida quis blandit. Nec feugiat in fermentum posuere urna. Vel orci porta non pulvinar neque laoreet suspendisse interdum. Ultricies tristique nulla aliquet enim tortor at auctor urna. Orci sagittis eu volutpat odio facilisis mauris sit amet.

Tellus molestie nunc non blandit massa enim nec dui. Tellus molestie nunc non blandit massa enim nec dui. Ac tortor vitae purus faucibus ornare suspendisse sed nisi. Pharetra et ultrices neque ornare aenean euismod. Pretium viverra suspendisse potenti nullam ac tortor vitae. Morbi quis commodo odio aenean sed. At consectetur lorem donec massa sapien faucibus et. Nisi quis eleifend quam adipiscing vitae proin sagittis nisl rhoncus. Duis at tellus at urna condimentum mattis pellentesque. Vivamus at augue eget arcu dictum varius duis at. Justo donec enim diam vulputate ut. Blandit libero volutpat sed cras ornare arcu. Ac felis donec et odio pellentesque diam volutpat commodo. Convallis a cras semper auctor neque. Tempus iaculis urna id volutpat lacus. Tortor consequat id porta nibh.

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