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Therapy

Valves replacement

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Valves replacement

The team’s judgment that the replacement of the patient’s prosthetic heart valve is futile is not appropriate in this case. It is possible that the patient may require additional support services and counseling, which the team may think can impose an economic burden on the patient population. However, it is appropriate for the medical team to remember what their ethical obligations entail (“Stanford encyclopedia of philosophy,” 2017). For instance, the code of ethics outlined by the American Medical Association states that it is physicians’ moral obligation to incorporate placing their patients’ welfare above their personal self-interest and above obligations to other groups in advocacy for their patients’ well-being (Turner & Rushton, 2019). According to Anderson (2019), it is the physicians’ duty to enhance their patients’ health through the application of extensive, helpful treatment based on evidence-based medication. Besides, the physicians should honor them as individuals with dignity, uninfluenced by clinical bias and social stigma.

Also, it is appropriate for the healthcare team to remember there are underlying comorbidities such as addiction that contribute to the need for valves replacement that they should try to understand instead of making the biased judgment. Research has shown that more focus is often placed on the acute problem, while no effort seems to be placed on the prevention of readmissions or improvement of the quality of life of the patient (Baldassarri et al., 2018). Therefore, the healthcare team should instead focus on addressing the inefficient support and care that the intravenous drug use, IVDU patients receive than trying to limit the patient access to replacement procedures. The team should engage in thoughtful discussions with the patient and try to comprehend the patient’s personal unique story that prompted the IVDU, the patient’s goal for treatment, and the overall comprehension of their own responsibilities toward successful treatment (Clarke, 2018). This will allow the team to voice frustration and reflect through a treatment plan that will support the patient’s recovery maximally. For instance, it may be appropriate to consider introducing treatment interventions ranging from psychotherapy to pharmaceutical interventions.

Availability of Research Study about Valve Replacement

If the team had an available research study about valve replacement, it would be ethical to include this patient as a subject in the research study. It is vital to note that such research involves the use of observation of public behavior as well as survey procedures to gather information, which is very crucial in learning about valve replacement. However, using the patient as the subject would be ethical as long as that team puts human subject regulations into consideration (“HHS.gov,” 2019). The team should ascertain that the research study is an organized investigation planned to develop or contribute to generalizable information. It should also verify that the incorporation of human subjects and living individuals in the obtainment of the data will make the research study viable.

Furthermore, it will be ethical as long as the information obtained would be documented in some way that the subject will not be recognized through identifiers related to the human subject or directly. Moreover, the team should ascertain that the confidentiality of individually distinguishable data will have to be preserved throughout the research and after that. This is because any revelation of the human subject’s answers outside the study could sensibly subject the individual at risk of civil or criminal accountability or can be detrimental to the individual’s financial status, reputation or employability and can be unethical (“HHS.gov,” 2019). Thus this will guarantee this research study suitable for exemption. Lastly, this individual is twenty-eight years of age and not a child to whom 45 CFR part 46, subpart D applies (“HHS.gov,” 2019). This makes him the most appropriate subject of this study as even obtainment of self consent could be considered as valid and reliable.

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