Search results

Search:
in the keywords: Ethics

Sort By:

Limit search:

Caveat patiens - ethical dilemmas in decision -making

100%

McKoy J., McKoy J.

Open Medicine

2008

vol. 3

issue 4

390-395

More than 99,358 men, women and children are on organ transplant lists in the United States. Pressure on family members to donate organs can therefore be intense. The medical excuse was created to address this potential coercion. It is a fabricated anatomical or physiological reason given to a donor (with or without the donor’s request) that provides an immediate shield against coercive pressure by family and friends on the potential donor. While the long-term risks and benefits of the medical excuse have not been studied, they could arguably include: 1) Reinforced perception that donation is expected; hence, declining donation is aberrant, and requires legitimization by external authority; 2) Eroded family trust of transplant physicians; 3) Eroded family trust in the individual reporting a “true” medical excuse; 4) Falsification of potential donor’s medical record; 5) Development of “toxic secrets” in the family unit; 6) Paternalism; and 7) General erosion of trust in both health care providers and the healthcare system. This author proposes a system of transparent and balanced communication where both the potential donor and the transplant team are clearly cognizant of the voluntary nature of the purported donation and where provisions for “opting-out” occur at any point along the pre-transplantation continuum.

Model of therapeutic rehabilitation

58%

Kiebzak W., Kowalski I. M., Kiebzak M.

Medical Rehabilitation

2008

vol. 12(2)

31-33

Contemporary rehabilitation, which plays a key role in complex patient care, is precisely described. Culture, ethics and human-ism also play an important role (which can, however, be understood in various ways), including a role in determining the need to achieve the best possible therapeutic effects. Therefore, we can assume that the method of rehabilitation treatment is a cultural value (asset) serving the generally acknowledged idea of caring for each person’s proper functioning in society. The above-mentioned cultural value contains within itself the personality structure of its creator. In practice, the decision about selecting the method of rehabilitation is taken by the person responsible for and managing the patient. The decision, made after analysis of available knowledge, is also based on intuition. Analysis of therapists’ professional development pathways allows us to identify typical professional behaviours. It is important that the whole rehabilitation team conducts itself in a humanitarian way in the treatment process. The sum of positive humanitarian behaviours constitutes the basis for achievement of success in the field of improvement of motor activity. The rehabilitation team, consisting of physicians and physiotherapists, together with psychologists, learning support assistants and occupational therapists creates conditions for physically impaired persons to return to full functioning in society. The process occurs by improving motor efficiency in parallel with increasing physical fitness but also by generating and consolidating psychomotor features that enable patients’ recovery and their full acceptance by society.

Refine search results

1 Medical Rehabilitation

1 Open Medicine

2 2008

1 Kiebzak M.

1 Kiebzak W.

1 Kowalski I. M.

1 McKoy J.

Search results

Caveat patiens - ethical dilemmas in decision -making

Model of therapeutic rehabilitation