Golden Oaks Rehabilitation Center

Margie Wilson, a 95 year octogenarian woman and patient at specious Oaks Rehabilitation Center located on the grounds of Marion General Hospital, is pass oning with approximately difficult terms after losing her son, Williams, this historic week. Within the past five years, she has similarly had to deal with the passing of her husband of 68 years, Earl, and another son who died in a motor vehicle accident, Jacob. Margie is having a in truth difficult time pickings this each(prenominal) in and is not feeling al genius. She has go up to the conclusion that she no longer wants to awake(p) her life alone.She wants to end her life and is requesting that the one thing thats keeping her a give out, her pace authoriser, be disconnected. Two years ago Margie suffered a warmheartedness attack that almost took her life, which resulted in her having the electronic pace advancer implanted. The cardiac pacemaker keeps Margies heart rhythm at century% pace, which is what keeps her aliv e. With each her family gone, she has no inclination to live anymore and is requesting that her pacemaker be removed(p) so that she can be reunited with her family.Margie has verbalize with Cindy Macklin, the Nursing Home Administrator, and has told her what she would like to happen. She has call for that Cindy call Dr. Vigay, who is the cardiologist surgeon who primitively implanted the pacemaker. Dr. Vigay was stunned because in the 20 years of his practice he has never had a request from his patents. He has evenhandedly much declined her request and has asked that she allow time to get her past her current domain of mind and back to normal. Margie is now extremely upset and determined and is now requesting to guess the Golden Oaks social worker, Jane Robison, MSW.Jane meets with Margie for more than an moment discussing and exploring all her options. In this case, t here(predicate) ar incorrupts and strifes problematic. on that point atomic number 18 legitimate ethical, moral and legal conflicts that need to be determined. Morals are beliefs and values that set to normal standards of what is sort out and wrong and deal with peoples habits of bearing (www. ehow. com). The moral principles of ethics that are involved take Beneficence doing good, demonstrating kindness, showing compassion, and helping others Nonmaleficence avoiding the vexation of misemployJustice the duty to be fair in the distribution of benefits and risks Autonomy recognizing an individuals right to make his or her let decisions The morals that are in conflict are nonmaleficence, justice and autonomy. The top precedence of the doctors, nurses, social worker, and ethics deputation is to make sure that nonmaleficence is not being enforced while considering Margies right to make her own decision about deficient to live and the risks and benefits that could go along with Margies request to remove her pacemaker. The dilemma here consists of Margie wanting her do ctor to assist with pickings her life by removing her pacemaker.Margie has lost her desire to live because of the loss of her family and wants to be with them. There are several ethical theories that simulated military operation apart in this dilemma. Normative moral philosophy the attempt to determine what moral standards should be followed so that human behavior and conduct are chastely right (Pozgar, p 369). Consequential ethical motive emphasizing that the morally right save is whatever action leads to the maximum balance of good oer evil (Pozgar, p. 369). Utilitarian Ethics doing the superior good for the most people (Pozgar, p. 370).Deontologic Ethics focusing on ones duties to others and others rights including telling the truth and keeping your promises (Pozgar, p. 371). As the ethics committee chairman, we do prevail that there is a dilemma here. We are all on the same accede and cast off been informed with all the breeding about the case. Dr. Vigay, Jane Robis on, Cindy Macklin, and I have all come together and presented all the data and facts that we know about the dilemma to the members of the committee to ensure that no one was leftover out about any flesh out of this dilemma.Dr. Vigay informed the committee that removing Margies pacemaker would violate the ethics principles of beneficence, nonmaleficence, and justice. If he followed finished with Margies request, he would be passing game against helping others, avoiding or causing harm to patients, and disregarding the benefits and risks of Margie by performing the call for actions. Jane Robison has expressed that doing what Margie has requested would not be good for Margie nor her profession due to the ethics standards that are withheld for all the patients.She believes that with time Margie get out have a change of heart and appreciate her life being spared. Cindy Macklin is in agreement with everyone else in not assisting Margie with taking her life due to overwhelming mass she has faced within the past fewer years. Therefore, after all the recommendations and suggestions from all involved and the members of the ethics committee, Margies request to have her pacemaker removed has been denied due to the all the ethical standards and the fact that it is not right to allow or assist anyone in taking their own life.