| | Medical Ethics: Embelishment and Exaggeration in Practice | Medical Ethics: Embelishment and Exaggeration in Practice
Medical Ethics: Embelishment and Exaggeration in Practice
Overview
“I am so hungry I could eat a horse.” “This ice cream is out of this world.”
Exaggeration is common in everyday language, and phrases such as those stated above are well known. Embellishing stories about one's accomplishments or qualifications, whether by exaggeration or misstatement, is part of human nature, experts say, and almost everyone is guilty of it at one time or another. Left unchecked, however, exaggerations that seemed innocuous at first can result in serious, potentially career-ending consequences.
Thanks to the Internet, it is easier than ever to get caught in an exaggeration, experts and others note. But the temptation to embellish has also never been greater, as recession-weary workers feel pressured to justify their worth and a 24-hour news cycle demands that leaders have an immediate, sound-bite-ready answer for everything. If you are prone to exaggeration, however, this could mean that you habitually overstate the truth.
This article examines exaggeration in all its guises but with a particular reference to the risks and responsibilities of a health care provider.
Harry Rosen
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| | Medical Ethics: The Rule of Law in Turbulent Times | Medical Ethics: The Rule of Law in Turbulent Times
Medical Ethics: The Rule of Law in Turbulent Times
Overview
Primarily, as a result of the advent of Covid, planet Earth has been thrown off its axis. South Africa is no exception, with the added aggravation and devastation due to looting, floods, etc. The consequences to practitioners, practice staff, families and patients have been immeasurable.
Within this turmoil, there have been an avalanche of diverse factors and forces introduced into the healthcare arena, that, in way or another, impact or have the potential to impact on practices. These factors are discussed in this study.
Harry Rosen
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| | Medical Ethics - Ethics in Practice | Medical Ethics - Ethics in Practice
Medical Ethics - Ethics in Practice
Overview Ethical issues in a practice environment can be a difficult challenge to navigate for any practice owner. Though there are laws and statutes that exist to hold workers and employers accountable, these alone do not entirely deter employees from behaving unethically. Avoiding ethical issues in the practice always starts with top management. Providing clearly written policies and processes that ensure those policies are both acknowledged and adhered to, can ensure transparency and ethical practices are applied. To effectively detect and, most importantly, deter ethical issues in practice from surfacing in your organization, there are several everyday efforts you can take. Be sure to communicate and enforce a robust code of ethics when making decisions and ask the same of your employees. Remain aware of the discrimination laws that exist in your region. Stay informed on the rules that impact your industry, and ensure your organization is acting in compliance with those regulations. Collaborate with accountants, maintaining transparency and honesty in your financial reports. Be present in your company, making sure your organization and employees alike are always doing the right and ethical thing.
Authors Harry Rosen
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| | Medical Ethics: Professional Practice: A Moral Enterprise | Medical Ethics: Professional Practice: A Moral Enterprise
Medical Ethics: Professional Practice: A Moral Enterprise
Overview Practice as a health care professional is based upon a relationship of mutual trust between patients and health care practitioners. From the perspective of the Health Professions Council of South Africa (HPCSA), to be a good health care practitioner, requires a life-long commitment to sound professional and ethical practices and an overriding dedication to the interests of one’s fellow human beings and society. In essence, the practice of health care professions is considered a moral enterprise. In this spirit the HPCSA presents ethical guidelines to guide and direct the practice of health care practitioners, primarily to protect the public. These guidelines form an integral part of the standards of professional conduct against which a complaint of professional misconduct is evaluated. Conducting business ethically is critical to a company’s success in the marketplace. Customers, suppliers and employees will not support a company that is involved in fraudulent, dishonest or unethical practices. Setting high standards of integrity in business relations and promoting their adherence by employees will enable the company to merit the confidence and support of its customers and the public at large.
Author Harry Rosen
| 3 | | R425.00 | |
| | Medical Ethics: Ethical frameworks for complex medical decision making in older patients: A narrative review | Medical Ethics: Ethical frameworks for complex medical decision making in older patients: A narrative review
Medical Ethics: Ethical frameworks for complex medical decision making in older patients: A narrative review
Overview With an ageing population, physicians are more and more faced with complex medical and moral situations. Medical professional guidelines are often of limited use in these cases. To assist the decision-making process, several ethical frameworks have been proposed. Ethical frameworks are analytical tools that are designed to assist physicians and other involved healthcare workers in complex moral decision-making situations. Most frameworks are step-by-step plans that can be followed chronologically during moral case deliberations. Some of these step-by-step plans provide specific moral guidance as to what would constitute a morally acceptable conclusion, while others do not. In this narrative review we will present and discuss the ethical frameworks used for medically complex situations in older people that have been proposed in literature. Twenty-three studies were included in the review, containing seventeen different frameworks. Twenty studies described step-by-step-frameworks, with the number of steps varying from three to twelve. In four studies suggestions were made as how to balance conflicting moral values. Ethical frameworks are meant to assist healthcare professionals who are faced with morally complex decisions in older patients. In our view, these frameworks should contain a step-by-step plan, moral values and an approach to balancing moral values.
Acknowledgements: Authors Rozemarijn Lidewij van Bruchem-Visser, Gert van Dijk, Inez de Beaufort, Francesco Mattace-Raso Journal Archives of Gerontology and Geriatrics
| 3 | | R465.00 | |
| | Medical Ethics: Managed Health Care: Protestation and Dissent? | Medical Ethics: Managed Health Care: Protestation and Dissent?
Medical Ethics: Managed Health Care: Protestation and Dissent?
Overview Recent times has put the words ‘dissent’ and ‘protest’ at the centre of our vocabulary. Practitioners are speaking out against perceived injustices, voicing opposition to interventions they disagree with and organising to effect change. ‘Dissent’ is an expression of opinions at variance with those commonly or officially held. ‘Protest’ is closely related to ‘dissent’ but they are different. ‘Protest is an expression or declaration of objection or disapproval, often in opposition to something where a person is considered powerless to prevent or avoid’. Managed care for SA healthcare in general, is a fact of life. In essence, for the purpose of this article, Managed Health Care can be defined as a group of activities intended to reduce costs of health care provision and providing health insurance whilst improving the quality of care. Managed care, in practical terms encompasses the management of cost, management of information and management of risk.
It is important for practitioners to have a reasonable understanding of the principles of managed care and the role of the Managed Care Organisations. At times, there are cries of foul play aimed at the interventions instituted by the managed Care Organisations where, in fact, such interventions are indeed lawful.
Author Harry Rosen
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| | Medical Ethics: Ethics in Practice -The Obligations that Define a Profession | Medical Ethics: Ethics in Practice -The Obligations that Define a Profession
Medical Ethics: Ethics in Practice -The Obligations that Define a Profession
Overview The use of the word ‘profession’ has expanded so far beyond its original meaning that a clear definition has become obscured and marred by colloquial usage. It is not uncommon to find the term ‘professional’ misused to describe sportsmen, tradesmen and even politicians. Yet, when we speak about a ‘professional’ there is a tacit understanding that only individuals engaged in certain occupations belong to that category: doctors, lawyers, teachers. A fundamental distinction between a profession and any other occupation, is that individuals engaged in a profession have an ethical obligation to whomever they provide their services. In other words, a profession is required to have a Code of Ethics. Unlike laws and regulations, which are prescriptive and rigid, the principles of ethics are flexible and how they are applied depends on the individual practitioner. It is these responsibilities and expectations that are the hallmarks of a profession.
Author Harry Rosen
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| | Medical Ethics - A Labour Intensive 2020 | Medical Ethics - A Labour Intensive 2020
Medical Ethics - A Labour Intensive 2020
A PRACTICAL GUIDE TO LABOUR RELATED ETHICAL AND LEGISLATIVE CHALLENGES IN 2020
Overview The year 2020 has created a world characterised by ‘new norms’, not all of which are because of the COVID 19 pandemic. Examples include the introduction of parental leave entitlement in January 2020 which has been on the cards for some time. Nevertheless, considering the avalanche of information relating specifically to the pandemic, much of which is contradictory , confusion persists for both practice owners and employees when faced with challenges encountered in practice and where the desired guidelines appear unclear.
This article addresses commonly encountered experiences in practice in the form of a practical guide to both practitioner and staff member, employer and employee and encompasses Family Responsibility Leave, new Parental Leave legislation, Smoking at Work, Retirement, Chairing Disciplinary Hearings and COVID 19 in the workplace. This article is entitled ‘Labour Intensive 2020’ which indicates a large amount of work in relation to outputs. Indeed, there is work involved to ensure that the appropriate procedures and actions are instituted in accordance with existing ethical and legislative frameworks.
Nevertheless, there is a well-known axiom that states that the amount of energy required to fix something is far greater than the energy required to prevent it.
Author Harry Rosen
| 3 | | R460.00 | |
| | Medical Ethics: Social Media Violations | Medical Ethics: Social Media Violations
Medical Ethics: Social Media Violations
“I remember when Blackberry and Apple were just fruits.” Overview
In practical terms, social media increase connectivity and is one of the fastest growing industries in the world.
Social media are forms of electronic communication (such as websites for social networking and microblogging) through which users create online communities to share information, ideas, personal messages, and other content (such as videos)
Businesses large and small are turning to social media as an outreach to potential customers worldwide, to advertise their products and services, and to engage with customers. In recent times we have seen how social signals are becoming an important part of search engine optimization.
There is no doubt that a well- planned social media strategy has the potential to make or take down a brand. For example, Lady Gaga (personal branding) quickly became a smash hit, and social media played a major role in her rise to stardom. Facebook, Twitter, Instagram and all other social media websites are great communication tools. After all, they help us be connected to people from all over the world. However, if poorly managed they can cause huge damage.
Author Harry Rosen
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| | Medical Ethics: Ethical Guidelines to Social Media | Medical Ethics: Ethical Guidelines to Social Media
Medical Ethics: Ethical Guidelines to Social Media
Ethical Guidelines Social Media Overview
This guideline was developed to help health practitioners understand their obligations when using Social Media. The guideline applies to all health practitioners registered with the Health Professions Council of South Africa Social Media describes the online tools and electronic platforms that people use to share content such as opinions, information, photos, videos, and audio. The use of Social Media is expanding rapidly as individuals and organisations are embracing user-generated content through social networks, internet forums and personal blogs. Health professionals need to be aware that there are potential risks involved in the sharing of information via Social Media, even if the consequences are unintended. A key objective of the HPCSA and its Professional Boards is to guide the profession and protect the public. Some health practitioners may find Social Media beneficial as it allows them to keep updated on the latest healthcare developments through reputable user generated content. Acknowledgement Journal: Ethical and Professional Rules of the Health Professions Council of South Africa
| 3 | | R425.00 | |
| | Medical Ethics: Ethical Guidelines for the Withholding and Withdrawing of Treatment | Medical Ethics: Ethical Guidelines for the Withholding and Withdrawing of Treatment
Medical Ethics: Ethical Guidelines for the Withholding and Withdrawing of Treatment
Overview
Health care practitioners have a responsibility to make the care of their patients their first concern. The guidance in these guidelines is intended to provide an ethical framework of good practice for health care practitioners in circumstances where they are faced with making a decision on whether to withhold or withdraw life-prolonging treatment. It takes account of existing law in this area, that allowing for withholding and withdrawing of life sustaining treatments and that which prohibits killing, active euthanasia, and assisted suicide.
The health care professional may alleviate the suffering of a terminally ill patient by withholding treatment i.e. allowing the natural process of death to follow its course, provided there is consultation with another health care practitioner who is an expert in the field, and where available, discussions with the closest relatives. The HPCSA also expects health care practitioners to observe the provisions of the World Medical Association Declaration on Terminal Illness.
Acknowledgement
Journal: Ethical and Professional Rules of the Health Professions Council of South Africa
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| | Medical Ethics: Ethical considerations in forensic genetics research on tissue samples collected post-mortem in Cape Town, South Africa. | Medical Ethics: Ethical considerations in forensic genetics research on tissue samples collected post-mortem in Cape Town, South Africa.
Medical Ethics: Ethical considerations in forensic genetics research on tissue samples collected post-mortem in Cape Town, South Africa.
Overview
The use of tissue collected at a forensic post-mortem for forensic genetics research purposes remains of ethical concern as the process involves obtaining informed consent from grieving family members. Two forensic genetics research studies using tissue collected from a forensic post-mortem were recently initiated at our institution and were the first of their kind to be conducted in Cape Town, South Africa.
This article discusses some of the ethical challenges that were encountered in these research projects. Among these challenges was the adaptation of research workflows to fit in with an exceptionally busy service delivery that is operating with limited resources. Whilst seeking guidance from the literature regarding research on deceased populations, it was noted that next of kin of decedents are not formally recognised as a vulnerable group in the existing ethical and legal frameworks in South Africa. The authors recommend that research in the forensic mortuary setting is approached using guidance for vulnerable groups, and the benefit to risk standard needs to be strongly justified. Lastly, when planning forensic genetics research, consideration must be given to the potential of uncovering incidental findings, funding to validate these findings and the feedback of results to family members; the latter of which is recommended to occur through a genetic counsellor.
In conclusion it is hoped that these experiences will contribute towards a formal framework for conducting forensic genetic research in medico-legal mortuaries in South Africa. Acknowledgement
Author: Heathfield LJ, Maistry S, Martin LJ, Ramesar R, de Vries J
Journal: BMC medical ethics.
Publisher: BioMed Central
| 3 | | R370.00 | |