Medical Ethics is one of the topics on the course outline for this course. It is

Medical Ethics is one of the topics on the course outline for this course. It is important that we think about this, both in the adult and pediatric medical worlds.
I  was recently debriefing with one of my Napa students who had participated in the terminal extubation (of a 55 year old woman) for the first time; she seemed fine but then she asked me, “did I do something wrong?”
Katie and I worry about our respiratory care colleagues suffering from “moral distress” and “compassion fatigue”.
Chapter 20 in your text (page 512) defines moral distress as “the dilemma clinicians experience when they are prevented from doing what they feel is best for their patients or when they feel obligated to do something they believe is not in their patient’s best interest.” On the same page, compassion fatigue is defined as “times when clinicians do not have an opportunity to directly address their moral distress and receive support from colleagues”.
We believe that RCPs are especially susceptible to these problems because our work is so heavily in EDs and ICUs, etc where so many life and death events occur. Sometimes we run from one to the next.
Discuss this. Tell a story if you are comfortable. Were you unhappy with the care that was being given or withheld? How did you handle it? Is there something that your facility offers in this regard? Are you comfortable asking for support? Other than daily shift rounds, have you ever been asked to sit in on the discussion of a critical patient’s care? Are there any RCPs on your hospital’s ethics committee?
Note; your post does not have to discuss a pediatric patient.
Alternate topic: Discuss one of the ethical principles discussed earlier in the chapter, one that “rings true” for you. Does our medical system do well with this concept or not? Why or why not?

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