Bias and stigmatization in health care(From a critical reflective lens-why is this important to you with respect to Nursing & Why?) Include the following in your write-up and cite your sources consider forms of social order involve forms of domination and power belief systems presented and treated as “facts” can act as barriers to conscious action and freedom a critical lens helps to see through taken-for-granted relations and beliefs to examine underlying structures and social relationships certain groups in any society are privileged over others; oppression is most forcefully reproduced when people who are subordinated accept their social status as natural, necessary, or inevitable how do you relate the above points to clients within healthcare, thinking about these dynamics, ideas, labels, and stereotypes? What changes in the status quo can you see that would benefit clients?
1) First, watch your 3 selected video stories on the American Transplant Foundation website. Next, visit the Organ Procurement and Transplantation Network: https://www.americantransplantfoundation.org/about-transplant/video-stories/
Lastly, answer the following questions.
1a) How do you think the organ supply could be increased?
1b) What are the ethical dilemmas associated with organ procurement?
1) Read the Pig Heart Transplant article: https://www.washingtonpost.com/dc-md-va/2022/01/13/pig-heart-transplant-stabbing-david-bennett/
2) Imagine a family member asked you why a “criminal” received a life-changing procedure over their loved one waiting on the transplant list. How would you respond as the healthcare provider? Use ethical terms in your discussion.
3) Think of the risk involved with this procedure. Is it possible that this patient was favored over others on the transplant list due to his criminal history? Why wouldn’t this procedure be offered to someone on the transplant list first?
1) Read the Boston Hospital article. https://abcn.ws/3rNTyPA
2) Is it ethical to deny a patient a life-saving procedure due to their COVID-19 vaccination status? Think of the screening that patients go through to qualify for a transplant. Should COVID-19 vaccination status be included in the “lifestyle behaviors” assessed?
1) Consider the concept of ageism. Is this based solely on age or on the degree of an elderly person’s disability? Socioeconomic level? Culture? Provide brief discussion on how nurses can combat ageism.
9-2: The Case of Brittany Maynard: “My Right to Die”
This case was an actual event. Brittany Maynard, aged 29 years, was married for 1 year when she was diagnosed with aggressive brain cancer, discovered she had approximately 6 months to live, and did not want her family to watch her suffering with pain during her dying process. After a long discussion with her physicians, her husband, and other family members, she decided to move from California to Oregon to take advantage of the Death with Dignity Act. She opted for physician-assisted suicide (PAS), which is a procedure that would allow her to self-administer physician-prescribed barbiturate medications to facilitate her death. She chose to die on November 1, 2014. On her Facebook page, she left a message that day:
Goodbye to my friends and family that I love. Today is the day I have chosen to pass away with dignity in the face of my terminal illness, this terrible brain cancer that has taken so much from me . . . but would have taken so much more. The world is a beautiful place, travel has been my greatest teacher, my close friends and folks are the greatest givers. I even have a ring of support around my bed as I type . . . Goodbye world. Spread good energy. Pay it forward.
Before her death, Brittany Maynard made a public statement on the right of terminally ill people to end their suffering quickly. She emphasized that no one but she could determine when her suffering had become intolerable, when her life had become unlivable, and at what point her dignity had faded. However, some people criticized Brittany Maynard for her decision to use PAS:
• One person commented that Brittany Maynard refused to embrace suffering in any meaningful way and, as a result, did not acknowledge human finitude and vulnerability.
• A group characterized her decision to use PAS as cheapening human life.
Adapted from Maynard, B. (2014, November 2). My right to die with dignity at 29. Retrieved from http://www.cnn.com/2014/10/07/opinion/maynard-assisted-suicide-cancer-dignity/index.html
Assignment – Review the content on PAS in the chapter. Watch Brittany’s YouTube video titled “Brittany Maynard Legislative Testimony” published by Compassion and Choices: https://youtu.be/Mi8AP_EhM94
1. Describe PAS.
2. Which ethical issues arise during and after the decision to opt for PAS?
5. Review the American Nurses Association’s Position Statement on assisted suicide. (See supplemental readings in week 3)
a. Discuss/list the main points of the ANA’s position.
b. Discuss/list, the ANA’s position about nurses’ participation in assisted suicide.