I became interested in pediatric critical care in my fourth year of medical school, and my interest only grew in residency because of the diverse pathology, emphasis on physiology, high acuity, and interdisciplinary collaboration within the field. I appreciate the unique continuity in critical care with long-stay patients and patients who return frequently as well as the meaningful relationships that can develop quickly given the intense environment. I value the privilege of walking with patients and families through the most challenging times of their lives and the opportunity to spend most of my clinical time in a single setting, which fosters relationships between teammates. I also look forward to how a career as a pediatric intensivist …show more content…
The frustration of being unable to address socioeconomic factors that harm children’s health inspired me to participate in legislative and civic advocacy. Through my time as a Vot-ER Civic Health Fellow, as well as in other research and volunteer experiences, I have gained tools that make me a more effective advocate for my patients and the advancement of children’s health. Meeting with legislators as a medical student and resident impressed upon me the platform I can leverage to improve the health of all children. I will use my expertise in caring for the sickest patients to promote policies that keep children out of the ICU, from firearm safety to mental health funding to vaccine promotion. Pediatric critical care often evokes ethical uncertainty and moral distress especially as we grapple with how to best implement the ever-expanding array of interventions at our disposal. My ethics education, extracurricular activities, and clinical experiences have prepared me for the challenging discussions and decisions I will face with my patients and at an institutional level. I hope to continue to be involved in clinical ethics informally as well as on my institution’s ethics committee, and I may pursue additional training to become an ethics
The committees involve individuals from diverse backgrounds who support health care institutions with three major functions: providing clinical ethics consultation, developing and/or revising policies pertaining to clinical ethics and hospital policy and facilitating education about topical issues in clinical ethics. The goals of ethics committees are to promote the rights of patients; to promote shared decision making between patients and their clinicians; to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and to enhance the ethical environment for health care professionals in health care
UTAS. Week 4 Unit Notes – Civic Professionalism and Civility as Ethical Conduct. 2015. 5. UTAS. Week 8 (Topic 10) Unit Notes - Clinical Error, Mistakes vs Crimes and Negligence. 2015.
Witnessing these two ethical issues have increased my awareness of the legal and ethical standards of the counseling field. I understand the difference between legal and ethical standards and how some situation may not always result to legal involvement. I was able to observe how the staff handled each situation and how the decision/issue affected the patient in numerous ways. During supervision, I practiced using ethical decision making skills and explored how I would have handled each ethical issue differently. I have learned how to appropriately handle situation such as informing an anxious patient of later discharge dates in a way that would decrease the chances of an intense crises.
The main function of the healthcare ethics committee is to resolve ethical conflicts by providing consultations and conflict resolution, answer ethical questions, promote patient rights and shared decision making between patients, surrogates, and their clinicians, promote fair policies and procedures that increases the probability of attaining good and patient-centered outcomes, and provide education (Ethics Committees, Programs, and Consultants, 2013). The committee reviews cases on a case-by-case basis and assists patients, family, and staff with coming to an agreement on the options that best met their needs (Healthcare Ethics Committee, 2013). The healthcare ethics committee is structured to include a broad span of community leaders in positions of political stature, respect, and diversity (Healthcare Ethics Committee, 2013). The healthcare ethics committee should include a multifaceted team, consisting of physicians,
When taking an oath to be a pharmacist, an EMT, or a physician, one takes an oath to serve humanity. Although there is no common law, each individual profession’s code of ethics has a similar purpose, which is to act as a guideline on the professional relationships between colleagues, patients, and others served. The code of ethics is a standard for all individuals in the profession, however there are instances where a person’s individual beliefs may be of conflict, and prevent the adherence of such guidelines. Although the rights of these individuals may be protected under the Religious Freedom Restoration Act (RFRA), there is a responsibility as a medical professional to assist the patients, whether it be directly or indirectly. As health
The committees involve individuals from diverse backgrounds who support health care institutions with three major functions: providing clinical ethics consultation, developing and/or revising policies pertaining to clinical ethics and hospital policy and facilitating education about topical issues in clinical ethics. The goals of ethics committees are: to promote the rights of patients; to promote shared decision making between patients and their clinicians; to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and to enhance the ethical environment for health care professionals in health care
Growing up, I have had my fair share of medical encounters, and was even on state insurance for most of my life. This meant that exceptional care was not always in reach, as I had to visit overflowing medical facilities and was unable to choose the better treatment options due to finances. Due to this, I advocate for my patient’s daily at work by calling insurances and working out the logistics of getting them the care they need, or helping them find resources if we hit a dead-end. Putting their care first, each and every day, has helped me advocate for patients of all populations.
Nelson, William A. Healthcare Executive Column. July/August 2005; Making Ethical Decisions: A Six-Step Process Should Guide Ethical Decision Making in Healthcare; Healthcare Management Ethics. July/August
I have always known that I wanted to do something meaningful with my life that included pediatrics, but I never knew exactly what I wanted to do with children until I went through my own trauma. In 2012, due to a rare case of pneumonia, I went into respiratory arrest, and the doctors put me into an induced coma. I contracted this pneumonia during one of my senior year trips in high school. I had many expectations about how this time in my life would be fun and wonderful, but it ended up being extremely difficult.
Legal and ethical issues for health professionals. Burlington, MA: Jones & Bartlett Learning. National Conference of State Legislature, (2015). JAMA: the Journal of American Medical Associations.
Though I am now very certain that I would like to pursue a residency in pediatrics, the road to this decision was a long one. My first practical experience was at the teaching hospital attached to my medical school. There was a great deal of difficulty there; roughly 1000 people per day sought medical treatment, but resources were extremely limited. Despite this difficulty, or maybe because of it, there were many rewarding cases that I worked on. I can clearly still remember one particular case where a child was being treated for scabies, but was not recovering despite treatment.
I also had the opportunity to interact with patients and their families, providing emotional support and answering their questions about the procedures and treatment plans. Through this experience, I have also had the unique opportunity to shadow pulmonologists on their on-call rotations to the NICU. This experience was both challenging and rewarding, as I was able to witness the dedication and expertise required of healthcare providers in this setting. During my shadowing, I observed the evaluation and management of critically ill
Enrollment in the mentioned CRNA program will satisfy my personal goal of becoming one of those fulfilled CRNAs. Furthermore, I have enjoyed my journey to this point in my career and am eager to take the next step. During my two years of experience in the ICU, I have developed strong critical thinking skills. I have cared for over 300 critically ill, ventilator-dependent patients. As part of my residency nursing program, I was part of an evidence-based project on IV pain medication and respiratory distress prevention.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to