Bachelor's · Health Science · Health Sciences HSC/PHL 312 ETHICS OF HEALTH CARE FALL I - 8 WEEK 2021 Section All 3.00 Credits 08/30/2021 to 10/24/2021 Modified 08/31/2021 Description This interdisciplinary course guides students through a systematic analysis of contemporary ethical issues in health care and human services. Students will use ethical theories, principles, and codes to develop ethical decision-making processes for addressing difficult ethical dilemmas that are often encountered by professionals in human services and healthcare fields. As legal policies and historical considerations often underpin ethical issues, students will become conversant in pertinent policies to better understand the complexities of the ethical issues encountered by professionals. COURSE OUTLINE I. Introduction to Moral Theory and Analysis 1. Introduction to critical thinking and informed opinion 2. Foundational theories 3. Differentiating between moral, ethical and legal reasoning II. Professional Ethics, Bioethics and the Tools of Ethical Decision Making 1. Principles of Bioethics 2. Ethical decision making tools 3. Moral Distress III. Ethical Codes 1. Professional Codes and Oaths: Healthcare Professional 2. Professional Codes and Oaths: Human Service Professionals 3. Human Service Professionals: An Introduction to ACA Ethical Standards IV. Provider-Patient Relationships and Patients’ Rights 1. Truth telling 2. Confidentiality and privacy 3. Patient Rights and Informed Consent V. Decision Making for Those Without Capacity 1. Withholding, withdrawing artificial treatments 2. Advance Directives 3. Surrogate decision making standards 4. Minors and Healthcare Decision Making Authority VI. End of Life Controversies 1. Right to Die? and assisted suicide 2. Brain death and disorders of consciousness 3. Palliative and hospice care VII. Allocation of resources 1. Drug shortages 2. Pandemic ethics 3. Being fair and equitable VIII. Beginning of Life Issues 1. Eugenics 2. Abortion 3. Forced C-Sections and home births 1 of 11 Outcomes Upon completion of this course, students should be able to: 1. Differentiate between moral, ethical, and legal reasoning as applied to healthcare and human services professionals. 2. Discuss the process of sound moral reasoning. 3. Analyze contemporary ethical issues faced by individuals, organizations, or communities and propose reasonable solutions. 4. Formulate a decision-making process that can be defended by ethical principles for selected ethical issues in healthcare and human services. 5. Summarize historical, legal, healthcare, and human services policy considerations related to contemporary ethical issues. 6. Analyze ethical standards and social responsibilities of human services and healthcare professionals and apply appropriately to the delivery of services. Deliverables Click here (https://www.excelsior.edu/calendar/8-week-term-schedule/) to view the 8 week Term Schedules. Click here (https://www.excelsior.edu/calendar/15-week-term-schedule/) to view the 15 week Term Schedules. Course Schedule Weeks start on Monday,12:01 AM ET (Eastern Time) and end on Sunday, 11:59 PM ET, US (United States). Unless otherwise noted, all assigned items are due at the end of the module (by 11:59PM, Sunday). Week Module & Textbook Reading Assignments Online Discussions Title and Journal Activities 2 of 11 1 Introduction Read: M (Module)1J Introduce Yourself to Moral (Journal)1 Theory and Required Reflective M (Module) Analysis Journal Activity (Discussion) Brody, H. and Clark, M. (2014). Narrative ethics: A narrative. Hastings Center Report, 44(1s), Analytical Awareness S7-S11. and Informed Opinion Denworth, L. (2014). Science gave my son the gift of sound. Time Magazine. Frank, A. (2014). Narrative ethics as dialogical story-telling. Hastings Center Report, 44(1s), S16-S20. Mascia, K. and J. Mascia. (2012). The bioethics of providing cochlear implants to children: Informed choices and autonomous decision making. Journal of the American Deafness and Rehabilitation Association JADARA, 45(2), 273-286 O'Toole, B. (2006). Four ways we approach ethics [Page contains embedded PDF file, size 82 KB]. The Journal of Dental Education. 70(11), 1152-1158. Fallacies. (2012). The Writing Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC (North Carolina) Ringo, A. (2013). Understanding deafness: Not everyone wants to be "fixed". The Atlantic magazine. Optional Geisler, S. (2006) The value of narrative ethics to medicine.T he Journal of Physician Assistant Education.17(2), 54-57. Hooper, H. (2012, May 1). Excelsior College Library Information Literacy Tutorial: Primary, Secondary and Tertiary Sources Sanford Encyclopedia of Philosophy View: Required Fleck, N.Cochlear Implant Debate 2 Bioethics and Read: M2D1: Moral Distress the Tools of Ethical Required Decision Munson, R. Intervention and reflection: Basic issues in Bioethics [PDF file, size 2.6 MB]. Making (10th ed (edition)). New York: Wadsworth Concierge Learning. Pages: 3-6; 39-44; and 932-946 Burston, A. and Tuckett, A. (2013). Moral distress in nursing: Contributing factors, outcomes and interventions. Nursing Ethics, 20(3), 312-324. Churchill, L. (2014). Narrative awareness in ethics consultations: The ethics consultant as story-maker. Hastings Center Report, 44(1), S36-S39. Epstein, E., & Delgado, S. (2010). Understanding and addressing moral distress.O nline Journal Of Issues In Nursing, 15(3), 1. Jimenez, X. F., Hernandez, J. O., & Robinson, E. M. (2015). When mediation fails: identifying and working with inappropriate surrogate decision makers. Progress In Palliative Care, 23(3), 142-147. Lachman, V. (2016). Moral resilience: Managing and preventing moral distress and moral residue. Ethics Law and Policy, 25(2), 121-124. VA (Veteran's Administration) Cases Approach –Ethics Case Consultation Summary [PDF file, size 262 KB]. Knox, J (2014). The 4C model: A reflective tool for the analysis of ethical cases at the neonatal intensive care unit. Clinical Ethics, 9(4), 120-126. 3 of 11 3 Ethical Codes Read: M (Module)3A M3D1: Ethical Codes (Assignment)1: and Required Dax Cowart Multicultural/Diversity Case Analysis Considerations in Herlihy & Corey – Part II: ACA Code of Ethics With Illustrative Vignettes Submission Working with Patients Ethical Standards for Human Service Professionals [PDF, file size 324 KB] Due American Medical Association’s Code of Ethics [PDF file, size 12 KB] Hippocratic Oath Florence Nightingale Pledge View: Required American Counseling Association National Association of Social Workers Principles for (AMHCA) American Mental Health Counselors Associations AMA Code of Ethics Check your understanding The Ethical Type Indicator 4 Provider- Read: M4A1 Ethical M4D1: Bad Ethics or Patient Issue Paper Bad Science Relationships Required Discussion and Patient AMA (American Medical Association) Opinion 10.01 - Fundamental Elements of the Patient- Rights Physician Relationship [PDF file, size 1.1 MB] Anderson, P, Petersoen, A, Graff, C. and Edberg, A. (2016) Ethical aspects of a predictive test for Huntington's Disease: along term perspective. Nursing Ethics, 23(5) 565-575. Dheensa, S., Fenick, A. and Lucassen. (2016). 'Is this knowledge mine and nobody else's? I don't feel that.' Patient views about consent, confidentiality and information sharing in genetic medicine. Journal of Medical Ethics, 42:174-179. Spatz, E., Krumholz, H and Moulton, B. (2016). The new era of informed consent. Getting to a reasonable patient standard through shared decision making. JAMA, 315(19), 2063-2064. Patient Bill of Rights Patient's Rights in New York State View: Required Goodman, A. (2010). The Dark History of Medical Experimentation from the Nazis to Tuskegee [Video file, 33:06 min]. Democracy Now! Provides extended insight beyond what is offered in your text regarding the Tuskegee Syphilis Study and several other unethical research studies which have impacted our current regulations regarding the conduct of research and the protection of human subjects. 4 of 11 5 Protecting Read: M5A1: M5D1: Advanced Autonomy – Advanced Directives Decision Required Directives Making for Fins, J. (2013). Disorders of Consciousness and disordered care: families, caregivers, and Those narratives of necessity. Archives of Physical Medicine and Rehabilitation, 94, 1934-1939. Without Fins, J. (2005). Rethinking disorders of consciousness: new research and its Capacity implications. Hastings Center Report, 35(2), 22-24. Jimenez, X, Hernandez, J and Robinson, M. (2015). When mediation fails: identifying and working with inappropriate decision makers. Progress in Palliative Care, 23(3), 142-147. Shif, Y., Doshi, P., and Almoosa, K. (2015). What CPR (Cardiopulmonary resuscitation) means to surrogate decision makers of ICU (Intensive Care Unit) patients. Resuscitation, 90, 73-78. Spatz, E., Krumholz, H and Moulton, B. (2016). The new era of informed consent; Getting to a reasonable patient standard through shared decision making. JAMA, 315(19),2063-2064. Sussman, B.(2015). A narrative approach to the ethical dilemmas of surrogate decision making. Progress in Palliative Care, 23(3), 137-141. 5 of 11 6 Decisions at Read: M6D1: Choices – Life’s End Death with Dignity Required Arras, J. (1997). Physician-assisted suicide: a tragic view. The Journal Of Contemporary Health Law And Policy, 13(2), 361-389. (28) An important article outlining the issues associated with Assisted Suicide and the arguments regarding the slippery slope down to Euthanasia. Also discusses the Supreme Court and lower