Read the following case scenario carefully and answer its related questions. Include references to support your arguments.
Samia, a 34-year-old woman with uterine fibroids, was admitted in yesterday to a teaching hospital to have surgery today for removal of the fibroids. Once Samia is anaesthetized, the consultant gynecologist asks the student midwife nurse, Laila, to demonstrate how she would perform an internal examination on a female patient. The student realizes that Samia was not asked for permission to do this and feels that it would be wrong to carry out the examination. However, she also thinks that it would be a good learning opportunity and she is slightly afraid of the consultant and she knows that he has shouted at other students. The student decides to point out that she does not have Samia’s consent, but the consultant reassures her that as Samia is anaesthetized she will not know anything about it.
Q1- Should the student perform an internal examination on Samia? Justify your answer (1 mark)
Q2- What ethical principles are most relevant to this scenario? Provide detailed discussion (2 marks: ½ mark for each ethical principle).
This case is related to medical ethics. Medical ethics with the duties that doctors, hospitals, and other healthcare providers have to patients, society, and other health professionals. The healthcare professional does have a set of ethical standards that are applicable to various organisations of health workers and medical facilities. Ethical Principles on Medical Professional Essay Example
The ethical tenets are beneficence, nonmaleficence, autonomy, or justice. The first two date back to Hippocrates’ “to help and not to harm” maxim, whereas the final two developed later.
The process of obtaining a patient’s informed consent include educating them of the advantages, disadvantages, and possible alternatives to a certain procedure or intervention. In order to voluntarily decide whether to undertake the operation or intervention, the client must be competent.
Any procedure, including physical examinations and other procedures, must have the patient’s consent. In both international human rights legislation and medical ethics, the concept of consent is crucial.
1. Internal examination of the patient is medically unethical. The patient should be aware about the situation and it is extremely important to ask for her permission before any examination.
2. The medical professional should ideally ask the patient for spoken agreement before doing such an assessment. Additionally, it is best to acquire the patient’s written agreement before doing any invasive examinations that require an incision or the collection of bodily fluid samples. Ethical Principles on Medical Professional Essay Example