HSC 300 CNUAS Health & Medical Legal Ethical Issues Assessment Letter
Description
But this time you are asked to take the opposing side of your mid-course Assessment Letter.
As before – In no more than 3 pages, with appropriate in-text citations to defend your new position, develop a written persuasive “point of view”, in the form of a hypothetical “Letter to the Editor” for the fictitious Elm City Times; A large, highly respected newspaper that leaders and policy makers might follow. Address your letters to Mr. Jim Strong, who serves as both the publisher and editor, but take an opposite or opposing viewpoint from your previously held opinion.
Discuss in detail and present the following outline using the same model/frame to illustrate your “perspective” point in your letter;
- Describe the ethical dilemma or scenario (use any supporting references to identify its realness)
- Introduce your cultural “model or frame” you are using to illustrate your perspectives.
- Explain how it might affect or come into contact with “model”. HSC 300 CNUAS Health & Medical Legal Ethical Issues Assessment Letter
- Include the following themes or content:
- Does ethics, morals or morality change or differ in this cultural setting when compared to other ones (would this be different?)
- What contextual challenges could/may exist as a result of this modeling?
- Propose how research, public health, medical & care providers could damage or affect community health by not understanding the ethical implications
- Provide 2-3 ways that the ethical scenario could be changed to be more in keeping with ethical standards and practice.
Dear Mr. Jim Strong,
With the coronavirus disease 2019 (COVID-19) outbreak, amongst the most difficult
ethical dilemma confronting health professionals and decision-makers is harmonizing inadequate
healthcare resources. The epidemic has posed a significant burden to most global health
infrastructures. Extreme measures, such as lockdowns, have been adopted to help manage the virus
and cope with possibly infected individuals (Cirrincione et al. (2022). Varying scoring systems are
employed by care practitioners in their decision-making so that clinical groups and triage panels
may distribute scarce resources for predicted clinical problems and prognoses and effectively
triage patients. Unfortunately, present public health scoring methodologies for managing COVID19 patients have yet to be determined. Care delivery in Elm City is in jeopardy, and this severe
ethical and legal challenge must be acknowledged and appropriately addressed.
I connect with the CDC’s ethical standards in viral infections, stressing a coordinated and
unified decision-making mechanism, showing my opinions on this moral dilemma – involving
resource allocation throughout the outbreak. This national context and state and municipal
deployment demand recognition of underprivileged populations and groupings whose social,
religious, and other convictions necessitate respect (Schoch-Spana et al., 2020). This cultural
framework constitutes a dynamic part of health in using institutional ethics. Its contact is essential
for acknowledging cultural divergences while pursuing pandemic resilience and action. This is
because it encompasses introducing impacted communities to the panel so that their necessities
and perspectives on a mutual wellness menace are legitimately understood. They see a strategy as
being constructed equitably even if they may not concur with the ultimate decision (Schoch-Spana
et al., 2020). HSC 300 CNUAS Health & Medical Legal Ethical Issues Assessment Letter
Ethics, integrity, and decency alter or shift in a pandemic condition compared to other
situations. Prioritization of individuals who would benefit from constrained resources such as
respiratory support, ICU, immunization, and others must be warranted in emergencies and
outbreak situations. In this sense, ethical standards such as openness, inclusivity, impartiality, and
justice must be applied to resource distribution decision-making (Kapiriri et al., 2021). However,
given the numerous challenges involved, it is simpler to say than do. As per the researchers,
prognostic scoring systems might be leveraged to make clinically informed judgments to spend
more in instances with more foreseeable clinical outcomes and outlooks. Adults might utilize the
Sequential Organ Failure Assessment (SOFA) score, while minors may adopt the Pediatric
Logistic Organ Dysfunction (PELOD) score. Nonetheless, the SOFA score’s prognostic value in
respiratory weakness caused by COVID-19 has not been shown (Saleh et al., 2021).
Inequity about limited medical resource allocation is a crucial moral problem in the present
COVID-19 epidemic. There are evident disparities in viral transmission, susceptibility, and effects.
Discrepancies in social determinants of health, such as wealth, gender, and culture, are the primary
drivers of these inequalities. As a result of these differences, there are imbalances in viral contact,
sensitivity, and effects (Saleh et al., 2021). This exemplifies how pandemic researchers, public
health, clinical, and healthcare providers may harm or impair population health if they are unaware
of the ethical considerations. HSC 300 CNUAS Health & Medical Legal Ethical Issues Assessment Letter
To meet all ethical possibilities throughout the COVID-19 pandemic, I propose that the
Elm city health department strive to shift vital resources to locations with the most significant
transmission incidences or where the health establishment lacks PPEs, ventilation systems, or
drugs. The other idea is to suspend non-urgent health services or operations without endangering
sufferers’ lives in order to clear up room in the healthcare establishment to accept emergencies.
Furthermore, public health strategies should prioritize high-risk groups regarding screenings.
Finally, implemented policies must be assessed against equitable standards (Saleh et al., 2021).
Sincerely,
Kelly Rodriguez
References
Cirrincione, L., Plescia, F., Ledda, C., Rapisarda, V., Martorana, D., Lacca, G., Argo, A., Zerbo,
S., Vitale, E., Vinnikov, D., & Cannizzaro, E. (2022). Covid-19 pandemic: new
prevention and protection measures. Sustainability, 14(8), 1–10.
https://doi.org/10.3390/su14084766
Kapiriri, L., Kiwanuka, S., Biemba, G., Velez, C., Razavi, S. D., Abelson, J., Essue, B. M.,
Danis, M., Goold, S., Noorulhuda, M., Nouvet, E., Sandman, L., & Williams, I. (2021).
Priority setting and equity in covid-19 pandemic plans: A comparative analysis of 18
African countries. Health Policy and Planning, 37(3), 297–309.
https://doi.org/10.1093/heapol/czab113
Saleh, B. M., Aly, E. M., Hafiz, M., Abdel Gawad, R. M., El Kheir-Mataria, W. A., & Salama,
M. (2021). Ethical dimensions of public health actions and policies with special focus on
COVID-19. Frontiers in Public Health, 9, 1–12.
https://doi.org/10.3389/fpubh.2021.649918
Schoch-Spana, M., Brunson, E. K., Gwon, H., Regenberg, A., Toner, E. S., & DaughertyBiddison, E. L. (2020). Influence of community and culture in the ethical allocation of
scarce medical resources in a pandemic situation: Deliberative democracy study. Journal
of participatory medicine, 12(1), e18272. https://doi.org/10.2196/18272. HSC 300 CNUAS Health & Medical Legal Ethical Issues Assessment Letter
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