E thic a l Issue s in Pha rma c y Pra c tic e Mic ha e l Ma nola - PowerPoint PPT Presentation

E thic a l Issue s in Pha rma c y Pra c tic e Mic ha e l Ma nola kis, Pha rmD, PhD 2015 CPF I ANNUAL ME E T ING F L AT ROCK, NC

 I ha ve no c o nflic ts o f inte re st to disc lo se .

Ob je c tive s  De sc rib e a stra te g y fo r ma king a n e thic a lly- b a se d de c isio n.  Diffe re ntia te wa ys tha t individua ls c a n suffe r  Asse s the diffe re nc e b e twe e n the b io me dic a l g o o d o f a pa tie nt a nd the sub je c tive g o o d o f tha t sa me pa tie nt

4 ma g ine , if yo u will… I

5 ma g ine , if yo u will… I

6 ma g ine , if yo u will… I

7 Wha t do yo u do ?

8 Wha t sho uld yo u do ?

9 Yo u c a n g e t Wha t sho uld yo u do ? it do ne .

Wha t sho uld yo u do ? 10 Yo u c a n g e t I t is yo ur jo b ! it do ne .

Wha t sho uld yo u do ? 11 Yo u c a n g e t it I t is yo ur jo b ! do ne . T he a c tio n is le g a l.

Wha t sho uld yo u do ? 12 Yo u c a n g e t it I t is yo ur jo b ! do ne . We a re do ing a g o o d thing b y T he a c tio n is le g a l. he lping .

Wha t sho uld yo u do ? 13 Yo u c a n g e t it do ne . I t is yo ur jo b ! Duty to Ca re We a re do ing a g o o d thing b y T he a c tio n is le g a l. he lping .

Ge ne ra l Princ iple s o f Bio me dic a l 14 E thic s No n- Re spe c t fo r Justic e Be ne fic e nc e ma le fic e nc e Auto no my

An E thic a l De c isio n Ma king Mo de l 15 Bruc e We inste in, PhD & Alvin Mo ss, MD De te rmine Cla rify the Cla rify the the F a c ts Va lue s Optio ns E thic a lly Cho o se De fe nsib le a n Optio n Cho ic e

16 But, wha t if so me thing g e ts in the wa y?

Mo ra l Distre ss 17  First defined by Andrew Jameton in 1984  Moral distress: the inability of a moral agent to act according to his or her core values and perceived obligations due to internal and external constraints.*  Causes, Factors and Effects ** • Gra dy, C. Mo ra l Distre ss: a g ro wing pro b le m in he a lth pro fe ssio ns. T he Ha sting s Ce nte r Re po rt. Ja nua ry-F e b rua ry 2010: p 20. • Ga lla g he r A. Mo ra l Distre ss a nd Mo ra l Co ura g e in E ve ryda y Nursing Pra c tic e . T he Online Jo urna l o f I ssue s in Nursing . Vo l. 16 No . 2 (Ma rc h 21, 2010)

L o o king a t E ve ryda y Nursing * 18 Ca use s: po o r q ua lity a nd futile c a re , unsuc c e ssful a dvo c a c y, ra ising unre a listic ho pe F a c to rs: sta ff e duc a tio n le ve l, pe e r suppo rt, e duc a tio na l le ve l / e xpe rie nc e E ffe c ts: mixe d with re spe c t to po sitive o r ne g a tive impa c t o n c a re , re duc e d jo b sa tisfa c tio n *Ga lla g he r, A. Mo ra l Distre ss a nd Mo ra l Co ura g e in E ve ryda y Nursing Pra c tic e . T he Online Jo urna l o f I ssue s in Nursing . Vo l. 16, No . 2.

E xpe rie nc e d a t le a st o nc e within the pa st 6 mo nths – Pe rc e nta g e of Re sponde nts 70 60 50 40 30 20 10 0 E thic a lly tro ub ling Any situtio n tha t Co nflic t with Dire c tive fro m inte ra c tio n with didn't se e m q uite po lic y tha t supe rviso r tha t pro fe ssio na l fro m rig ht fro m e thic a l pre ve nte d do ing ra ise d e thic a l a no the r disc ipline pe rspe c tive the rig ht thing c o nc e rn

20 Ca n yo u na me this philo so phe r?

21 Aristo tle

22 Co ura g e Co wa rdic e F o o lha rdine ss “T he ma n who shuns a nd fe a rs e ve rything a nd ne ve r sta nds his g ro und b e c o me s a c o wa rd, whe re a s a ma n who kno ws no fe a r a t a ll a nd g o e s to me e t e ve ry da ng e r b e c o me s re c kle ss.” - Aristo tle , Nic o mac he an E thic s, I I 2. 1104a 20-23

One De finitio n o f Mo ra l Co ura g e * 23 Pre se nc e a nd Mo ra l re c o g nitio n Be ha vio r I ndividua lity F e a r c ho ic e o f a mo ra l situa tio n Mille r, R. Mo ra l Co ura g e : De finitio n a nd De ve lo pme nt. E thic s Re so urc e Ce nte r Ma rc h 2005. http:/ / e thic s.o rg / file s/ u5/ Mo ra l_Co ura g e _De finitio n_a nd_ De ve lo pme nt.pdf. Ac c e sse d 5/ 28/ 15.

Attrib ute s o f the mo ra lly c o ura g e o us le a de r Gre a te r c o nfide nc e in princ iple s tha n in pe rso na lity Hig he r F o rmida b le to le ra nc e fo r pe rsiste nc e a nd a mb ig uity, de te rmina tio n e xpo sure a nd pe rso na l lo ss Ac c e pta nc e o f I nde pe nde nc e de fe rre d o f tho ug ht g ra tific a tio n & simple re wa rds

he c a se o f Judy T

Our E thic a l De c isio n Ma king Mo de l: 26 Wha t a re the fa c ts a nd va lue s a t pla y? De te rmine Cla rify the Cla rify the the F a c ts Va lue s Optio ns E thic a lly Cho o se De fe nsib le a n Optio n Cho ic e

Suffe ring • Ac ute c a re Pa tho physio lo g y- • Chro nic c a re b a se d • L o ng te rm c a re

Suffe ring • Ac ute c a re Pa tho physio lo g y- • Chro nic c a re b a se d • L o ng te rm c a re • Our b ro ke n, fra c ture d se lf Spiritua l-b a se d • Our b ro ke n sta te in a spiritua l se nse

Suffe ring • Ac ute c a re Pa tho physio lo g y- • Chro nic c a re b a se d • L o ng te rm c a re • Our b ro ke n, fra c ture d se lf Spiritua l-b a se d • Our b ro ke n sta te in a spiritua l se nse “…we suffe r with him in o rde r tha t we ma y a lso b e g lo rifie d with him.” Ro ma ns 8:17 (E SV)

Ho w sho uld a pha rma c ist a c t? E thic a l F a ith Ma nda te s Ma nda te s L e g a l Ma nda te s Po lic y Ma nda te s

T he b a la nc e re q uire d b y the Christia n Pha rma c ist. I nte rna l E xte rna l

So , le t’ s re vise o ur q ue stio n…ho w sho uld a Christia n pha rma c ist a c t? E thic a l F a ith Ma nda te s Ma nda te s L e g a l Ma nda te s Po lic y Ma nda te s

2 T imo thy 1:7 (E SV)  …fo r Go d g a ve us a spirit no t o f fe a r b ut o f po we r a nd lo ve a nd se lf-c o ntro l.

I sa ia h 58:10 (E SV)  … if yo u po ur yo urse lf o ut fo r the hung ry a nd sa tisfy the de sire o f the a fflic te d, the n sha ll yo ur lig ht rise in the da rkne ss a nd yo ur g lo o m b e a s the no o nda y.

So , we re turn a g a in to the q ue stio n…ho w sho uld a Christia n pha rma c ist a c t? E thic a l F a ith Ma nda te s Ma nda te s L e g a l Ma nda te s Po lic y Ma nda te s

ha nk yo u! T