Case 10C Case study Analysis .

Case 10C; Case Study Analysis
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Case 10C; Case Study Analysis
Abstract
A very confusing ethical situation in clinical medicine is when doctors face challenges in deciding when to withdraw or withhold treatments. Medical futile involve complex decisions, especially when physicians are less experienced with specific discussions or when families and care providers disagree on particular benefits from treating procedures. Also, cultural disparities may result in more misunderstandings, and this happens when individuals hold some beliefs that are against the clinical assessment. Usually, physicians are ethically urged to advise patients and families, when to stop treatments in favor of supportive care. Healthcare resources are supposed to be utilized responsibly, and medical professionals need to consider that before invoking patients’ autonomy. If patient autonomy is used to justify acceptance of medical treatments for non-beneficial services, it becomes a violation of professional integrity. Doctors or nurses are required to adhere to intellectual standards, by submitting clinical judgments which are evidenced based. Patients health-related interests need be protected as a primary concern.
Keywords: Professional, clinicians, medical decisions, futility, patients, autonomy, medical ethics, treatments
Factors Leading to Non-Beneficial Treatment Request
Poor acceptance of prognosis is one of the factors that result in non-beneficial medical needs. Many clinicians experience family pressure, as individuals require doctors to continue treating their relative at the end of life.

The family fails to understand and accept medical reports which forecast the likely outcomes of the health condition if continued treatment is done to the patient. From the case study, there is conflict among the party responsible for decision making, and this makes it easy to forget the central importance of patient’s need.
Another factor is lack of proper communication between healthcare providers, patients, and families which make clinical interventions. For instance, from the case study, Mr. Stanley’s wife fails to understand doctor’s recommendations, and she threatened to file a law case. Instead of risking the lawsuits, the physician finds it more difficult to deny the request for treatments that will not impact positive changes. People’s effort to Disagree with medical decisions will only pressurize healthcare providers to conduct non-beneficial therapies (Nelson & Macauley, 2015). When healthcare providers communicate ineffectively; individuals will not understand the reasons why clinicians object further treatments. As a result, the situation gets more stressful and emotional as patients insist on advanced medications. Additionally, advancement of medical technology has fueled the healing power of doctors according to a majority of individuals. People demand clinicians to perform heroic interventions and would approach professionals with suggestions on how to treat their elderly relatives, without understanding the incurred limitations. The doctors, therefore, grant such request to avoid confrontations.
How to Handle the Situation
As a doctor, I would approach such a situation by communicating effectively with patients and their families while addressing the expected outcomes if their demand gets regarded. I would use medical information and tools such as diseases history or laboratory test to communicate the delivery of individual’s prognosis. Individuals must learn why making certain decision is not easy by looking at the significance of judgement made. Also, I would advocate training lessons to clinicians, to equipment them with skills of using such tools as a trigger to implement a fair end life decision. Moreover, Patients must get engaged to open discussions and accept their prognosis as a life cycle. Also, they are entitled to the information about approximate of time left hence clinical explanations are critical to synthesize importance of avoiding non-beneficial treatments. I would create an awareness to all patients and their relatives that; medical futility is no a subjective concept. People should understand that there are many quantifiable indicators in hospital database which can get used to assess the extent to which treatment requested are used.
Reference
Nelson, W. A., & Macauley, R. C. (2015). Balancing Issues of Medical Futility. Healthcare Executive, 30(2), 48-51.