Miss daisy is 85 years old. She lives alone, has no family or no relatives, relies on social security, cannot stand or walk without walker, has no car and she depends on meals on wheels and suffers from hypertension, heart disease and she was diagnosed with end-stage kidney disease. There are two options for her case, first is dialysis, second is palliative care. This case is analyzed according to four different ethical principles which are beneficence (promote good), nonmaleficence (to not cause harm and pain), justice (what is due) and respect for autonomy (self-determination). This ethical reasons for this are based on justice principle and beneficence principle.
Sometimes, is very hard to balance the patient autonomy with health care providers' obligations to do good for their patients while also considering concerns fairness to younger patients. Justice means the greatest good for the greatest number of people. The principle of Justice suggested age-based rationing. Usually, Dialysis is very expensive, and some health care providers believe that they should save money for the young people who in need to dialysis. A longer life is not necessarily a better life because the lengthened life for older adults is very expensive and may increase pain and suffering. …show more content…
Patients under dialysis treatment must be on restricted diet such as low protein diet and DASH diet but unfortunately, she has no access to those food because she is on meals on wheels. She has somebody who takes her to her doctor’s appointments twice a week. Even if, Miss daisy is allowed to be on dialysis, she has no one to take care for her, it could be argued that she would not be able to get to any regularly dialysis appointments or take her to grocery store or to prepare healthy
Sometimes, is very hard to balance the patient autonomy with health care providers' obligations to do good for their patients while also considering concerns fairness to younger patients. Justice means the greatest good for the greatest number of people. The principle of Justice suggested age-based rationing. Usually, Dialysis is very expensive, and some health care providers believe that they should save money for the young people who in need to dialysis. A longer life is not necessarily a better life because the lengthened life for older adults is very expensive and may increase pain and suffering. …show more content…
Patients under dialysis treatment must be on restricted diet such as low protein diet and DASH diet but unfortunately, she has no access to those food because she is on meals on wheels. She has somebody who takes her to her doctor’s appointments twice a week. Even if, Miss daisy is allowed to be on dialysis, she has no one to take care for her, it could be argued that she would not be able to get to any regularly dialysis appointments or take her to grocery store or to prepare healthy