i need a huge favor relating bioethics can you please look at these cases and analyze them as be

Name: i need a huge favor relating bioethics can you please look at these cases and analyze them as best as you can in relation to privacy and confidentiality anything can help me your opinion you 12313
Uploaded: 2022-08-18T19:35:47-08:00
Duration: 11 min 10 s
Channel: Patricia Claus
Description: i need a huge favor relating bioethics can you please look at these cases and analyze them as best as you can in relation to privacy and confidentiality anything can help me your opinion you 12313

Step 1:** In Case 1, the treating physician is faced with the dilemma of whether to inform Mrs.

Question

Case 1: Informing the wife? ---- Mr. S is married and the father of two school children. He is treated in your clinic for a rare form of pneumonia that is often associated with AIDS. His blood test results show that he is indeed HIV-positive. Mr. S says that he wants to decide himself if and when he will tell his wife about the infection. You indicate that it could be life-saving for his wife to protect herself from infection. Besides, it would be important for her to have an HIV test herself. In case of a positive test result, she would then have the opportunity to take drugs to slow down the outbreak of the disease and thereby prolong her life. Six weeks later, Mr. S comes into your clinic for a control investigation. Answering your question, he says that he hasn't informed his wife yet. He doesn't want her to know about his homosexual contacts because he fears that she would end their relationship and the family would shatter. But to protect her, he has had only "safer sex" with her. As the treating physician, you wonder whether you should inform Mrs. S of the HIV status of her husband against his will so that she would have the opportunity to start treatment if needed. Case 2: Prison events --- As part of your medical duties, you spend one day every two weeks seeing inmates in a nearby prison. Yesterday, you treated a prisoner with multiple abrasions on his face and trunk. When you asked what caused the injuries, the patient replied that he had been attacked by prison staff during interrogation when he refused to answer their questions. Although this is the first such case you have experienced, you have heard of similar cases from your colleagues. You are convinced that you should do something about the problem, but the patient refuses to authorize you to disclose information about himself for fear of retaliation from the prison authorities. Furthermore, you are not certain that the prisoner has told you the truth; the guard who brought him to you said that he had been in a fight with another prisoner. You have a good relationship with the prison staff and do not want to harm it by making unsubstantiated accusations of mistreatment of prisoners. What should you do? Case 3: Warning the friend? ------ A 45-year-old rich, handsome, sociable, and elegant man, a member of the jet-set society, had an amorous relationship with an equally elegant and beautiful 35-year-old woman. Due to some bouts of jealousy on the part of the man (possibly of morbid dimensions), the young woman decided to put an end to the relationship. Following this, the man visited a psychiatrist, whom he had been seeing for some time, informed him that he was carrying a gun and that his next visit would be to his ex-girlfriend because he intended to kill her. He added that this information was confidential from patient to doctor and that any breach in confidentiality would not remain unnoticed. The psychiatrist decided that a breach of confidentiality was necessary in this case and informed the lady and the police. When asked by the police, the man denied that he had bad intentions. A heated discussion among professionals followed, which was re-fueled by the fact that this man eventually managed to kill his ex-friend with the very gun he carried when he visited the psychiatrist's office.

Case 2: Prison events --- As part of your medical duties, you spend one day every two weeks seeing inmates in a nearby prison. Yesterday, you treated a prisoner with multiple abrasions on his face and trunk. When you asked what caused the injuries, the patient replied that he had been attacked by prison staff during interrogation when he refused to answer their questions. Although this is the first such case you have experienced, you have heard of similar cases from your colleagues. You are convinced that you should do something about the problem, but the patient refuses to authorize you to disclose information about himself for fear of retaliation from the prison authorities. Furthermore, you are not certain that the prisoner has told you the truth; the guard who brought him to you said that he had been in a fight with another prisoner. You have a good relationship with the prison staff and do not want to harm it by making unsubstantiated accusations of mistreatment of prisoners. What should you do?

Case 3: Warning the friend? ------ A 45-year-old rich, handsome, sociable, and elegant man, a member of the jet-set society, had an amorous relationship with an equally elegant and beautiful 35-year-old woman. Due to some bouts of jealousy on the part of the man (possibly of morbid dimensions), the young woman decided to put an end to the relationship. Following this, the man visited a psychiatrist, whom he had been seeing for some time, informed him that he was carrying a gun and that his next visit would be to his ex-girlfriend because he intended to kill her. He added that this information was confidential from patient to doctor and that any breach in confidentiality would not remain unnoticed. The psychiatrist decided that a breach of confidentiality was necessary in this case and informed the lady and the police. When asked by the police, the man denied that he had bad intentions. A heated discussion among professionals followed, which was re-fueled by the fact that this man eventually managed to kill his ex-friend with the very gun he carried when he visited the psychiatrist's office.

Added by Lauren J.

Biology for AP Courses

Julianne Zedalis, John Eggebrecht

Instant Answer

Solved by Expert Patricia Claus

08/18/2022

Step 1

S about her husband's HIV-positive status against his will. Mr. S has not disclosed his status to his wife due to fear of the consequences on their relationship and family. However, it is crucial for Mrs. S to know about the infection for her own health and Show more…

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Case 1: Informing the wife? ---- Mr. S is married and the father of two school children. He is treated in your clinic for a rare form of pneumonia that is often associated with AIDS. His blood test results show that he is indeed HIV-positive. Mr. S says that he wants to decide himself if and when he will tell his wife about the infection. You indicate that it could be life-saving for his wife to protect herself from infection. Besides, it would be important for her to have an HIV test herself. In case of a positive test result, she would then have the opportunity to take drugs to slow down the outbreak of the disease and thereby prolong her life. Six weeks later, Mr. S comes into your clinic for a control investigation. Answering your question, he says that he hasn't informed his wife yet. He doesn't want her to know about his homosexual contacts because he fears that she would end their relationship and the family would shatter. But to protect her, he has had only "safer sex" with her. As the treating physician, you wonder whether you should inform Mrs. S of the HIV status of her husband against his will so that she would have the opportunity to start treatment if needed. Case 2: Prison events --- As part of your medical duties, you spend one day every two weeks seeing inmates in a nearby prison. Yesterday, you treated a prisoner with multiple abrasions on his face and trunk. When you asked what caused the injuries, the patient replied that he had been attacked by prison staff during interrogation when he refused to answer their questions. Although this is the first such case you have experienced, you have heard of similar cases from your colleagues. You are convinced that you should do something about the problem, but the patient refuses to authorize you to disclose information about himself for fear of retaliation from the prison authorities. Furthermore, you are not certain that the prisoner has told you the truth; the guard who brought him to you said that he had been in a fight with another prisoner. You have a good relationship with the prison staff and do not want to harm it by making unsubstantiated accusations of mistreatment of prisoners. What should you do? Case 3: Warning the friend? ------ A 45-year-old rich, handsome, sociable, and elegant man, a member of the jet-set society, had an amorous relationship with an equally elegant and beautiful 35-year-old woman. Due to some bouts of jealousy on the part of the man (possibly of morbid dimensions), the young woman decided to put an end to the relationship. Following this, the man visited a psychiatrist, whom he had been seeing for some time, informed him that he was carrying a gun and that his next visit would be to his ex-girlfriend because he intended to kill her. He added that this information was confidential from patient to doctor and that any breach in confidentiality would not remain unnoticed. The psychiatrist decided that a breach of confidentiality was necessary in this case and informed the lady and the police. When asked by the police, the man denied that he had bad intentions. A heated discussion among professionals followed, which was re-fueled by the fact that this man eventually managed to kill his ex-friend with the very gun he carried when he visited the psychiatrist's office.

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Transcript

00:01 All right.

00:02 So you're looking for some opinions on bioethics cases.

00:05 I'll do what i can to help.

00:07 So first case, informing the wife.

00:10 Mr.

00:10 S is married, the father of two school children.

00:13 Basically, mr.

00:14 S has hiv.

00:15 He doesn't want you to tell his wife.

00:16 He came in six weeks later for the control investigation.

00:20 He told you he hasn't told his wife yet, but, you know, he's protecting her by having safer sex with her, not by telling her.

00:28 Because if he told her, he's afraid it would end the relationship and the family would shatter.

00:33 So as a treating physician, you wonder whether you should inform mrs .s.

00:37 On the hiv status for husband against his will so that she can start treatment.

00:42 Basically, there's not necessarily, there's no laws about the physician, about the physician having any rights about rights to notify.

00:58 That rights to notify secondary individuals, which super sucks because there should be, like there needs to be laws about this because this is basically an issue between confidentiality or privacy versus public health concerns.

01:32 So basically the thing that you need to determine is does his privacy, does mr.

01:38 S, oh, does mr.

01:41 Does mr.

01:42 S's right to privacy, does that outweigh the concern with mrs.

01:58 S having this highly unicable disease? and usually, i'll give you a hint of like usually with dealing with hiv and aids.

02:20 Definitely is treating physician you have to speak to your legal department.

02:23 But when you're dealing with something like hiv and aids, public health is the biggest concern.

02:32 There's also another concern of if mr.

02:34 S hasn't told his wife, has he told his other partners, extramarital partners.

02:49 Does he know that mrs.

02:49 S is completely faithful to him? like, you know, we're putting all faith in her, but like, dude hasn't been faithful to her and he's been going around with other dudes and hasn't told her.

02:58 So if he hasn't told her about contracting this disease, do you really think he would have told his other partners? nothing like that of like the public safety concern.

03:08 So this is the thing of like, i generally go with notifying mrs.

03:14 S.

03:15 But again, that is totally like, it depends on the jurisdiction you're in.

03:19 Because some states would allow that.

03:21 Some hospitals would allow that or networks.

03:23 Some of them would not.

03:24 So it just kind of depends on how you weigh out these issues and what kind of liability you're ready to take on.

03:33 Number two, prison events.

03:34 So basically your medical duties, you spend two weeks, one day every two weeks, seeing inmates in prison.

03:41 You see one who's got a bunch of abrasions and, like, basically he's been beaten on his face and, like, you know, stomach, midsection, but i don't want to call it.

03:50 When you ask what cause, patient tells you he was attacked by prison staff when he wasn't going to answer their questions.

03:57 And this is the first time you've ever seen this.

04:00 You've heard of similar cases.

04:03 But you've heard about similar cases from colleagues.

04:06 So you're convinced you should do something about the problem, but the patient will not authorize you to disclose information about himself for fear of retaliation.

04:15 And you're also not sure that the prisoner told him the truth.

04:18 And the guard, you brought him in, said they'd been a fight.

04:21 You got a good relationship with the prison staff.

04:23 You don't want to harm it.

04:25 So what should you do? in this case, one big word.

04:31 Monitor.

04:31 Monitor the situation.

04:33 Basically, see, does it happen? does it keep happening? does it keep happening to one prisoner or are there? basically, you don't have enough information to do anything.

05:00 So just monitor, collect data, and see if this really is an issue.

05:21 Because everything you said is concerning, but you don't have his permission to disclose any information.

05:26 And you also aren't necessarily certain.

05:31 But if you do suspect cases of abuse, you'd have to double check.

05:34 I'm sure there are some reporting laws...

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