NHS FPX 4000 Assessment 3 Applying Ethical Principles
NHS FPX 4000 Developing a Health Care Perspective
Applying Ethical Principles In the case study of 50-year-old famous Native American artist John Blackrock, diagnosed with early-stage lung cancer, he expresses a desire to forgo conventional treatment in favor of traditional Native American practices. Dr. Emily Stone, his oncologist, recommends surgery followed by chemotherapy, but John’s cultural beliefs lead him to seek healing through herbal medicine, spiritual rituals, and guidance from tribal elders. Dr. Stone faces a moral dilemma as she balances John’s autonomy with her duty to ensure the best possible outcome, considering the potential impact of his decision on his health and community (Capella University, n.d.). This assessment will explore potential ethical solutions to address the complexities presented in John’s case. Case Study Facts The ethical dilemma presented in this case study is the conflict between respecting John’s autonomy and cultural beliefs while ensuring his best possible outcome. Dr. Stone is concerned that without timely medical intervention, John’s condition may worsen, potentially leading to a grim prognosis. However, she must balance this concern with John’s right to make decisions about his healthcare based on his cultural beliefs. The individuals involved or affected by the ethical problem include John Blackrock, who is facing a life-altering medical diagnosis, and Dr. Emily Stone, who must navigate the complexities of cultural diversity, patient autonomy, and beneficence in providing care for John. The facts gleaned from the case study have led to the emergence of an ethical dilemma as follows: Cultural Competence in Healthcare Delivery: According to a study published in Academic Medicine, cultural competency in healthcare delivery pertains to the ability to comprehend and honor patients’ cultural ideas, values, and customs and provide culturally sensitive care (Brottman et al., 2020). This supports the analysis of the case study by emphasizing the importance of Dr. Stone recognizing and respecting John Blackrock’s cultural heritage and beliefs regarding healing practices. By acknowledging John’s cultural background, Dr. Stone can establish trust and rapport with him, which is crucial for effective communication and shared decision-making. NHS FPX 4000 Assessment 3 Applying Ethical Principles Patient Autonomy and Treatment Decision-Making: Research supports the principle of patient autonomy in healthcare decision-making, affirming the right of individuals to make choices about their medical care. A study by DuMontier et al. (2021) explores the complexities of patient autonomy in treatment decision-making among cancer patients, emphasizing the importance of providing patients with relevant information, respecting their values and preferences, and supporting their decision-making process. In John’s case, his desire to forgo conventional treatment in favor of traditional Native American practices reflects his autonomy in making decisions about his healthcare based on his cultural beliefs and values. Ethical Considerations for Healthcare Providers: Healthcare professionals are obligated by the ethical principle of beneficence to behave in their patients’ best interests, promoting their well-being and enhancing their health outcomes. The article by Bester, 2020 emphasizes that by adhering to evidence-based practice, healthcare providers uphold the principle of beneficence by recommending treatments and interventions known to be effective and beneficial for their patients. In John Blackrock’s case, Dr. Stone’s recommendation of surgery followed by chemotherapy aligns with the principle of beneficence because it gives John the best opportunity to fully recovery based on current medical knowledge and clinical expertise. Effectiveness of Communication Approaches in the Case Study In the case study of John Blackrock, the healthcare professional, Dr. Emily Stone, communicated with sensitivity and respect for cultural diversity. She initially recommended evidence-based treatment options to John while acknowledging his cultural beliefs and autonomy. Dr. Stone engaged in open dialogue with John, actively listening to his perspectives and validating his cultural heritage. However, Dr. Stone faced an ethical conflict while communicating, which created a question mark due to differences in opinions between the provider and the patient. Practical communication approaches in this case include active listening, empathy, and cultural competence (Marja & Suvi, 2021). Dr. Stone should continue prioritizing these approaches to foster trust and understanding