Part of Unit: Medical Ethics and Legal Considerations
Lesson Plan Overview / Details
Who should determine what is ethical? Who should determine what is really legal? If it is legal is it automatically ethical? If it is ethical is it automatically legal? Can ethical and legal standards be changed...
This lesson is intended to introduce the accepted norm of the basic concepts of these terms. However, I also intend to pull from the students THEIR beliefs, so that they are not afraid to challenge what they might be feeling. Often times in the field of medicine a person is asked to make difficult choices. Should a patient who is dying from an incurable horribly painful form of brain cancer be "assisted" to bring the end a little sooner for humanities sake....would that be wrong? would that be eithical? This is the time to get these young people to start forming ideas that they can live with, that they can defend. Not when the problem is staring them in the face. Decisions such as I just presented should never be made as a 'knee jerk' reaction I feel.
- 1 classroom period
- 90 Minutes
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California Career and Technical Education Standards
- HSMT.C.C1.1 Know the process for managing the timely transfer of information accurately and ...
- HSMT.C.C1.2 Know the legal and regulatory requirements for the transfer of information.
- HSMT.C.C2.1 Understand the information systems used by the organization, including how infor...
- HSMT.C.C2.2 Understand the process for evaluating the effectiveness of information systems a...
- HSMT.C.C2.3 Know how to organize information within the parameters of the information systems.
- HSMT.C.C3.3 Know the process for preparing and disseminating information to various audience...
- HSMT.C.C3.4 Formulate and report information clearly and concisely.
- HSMT.C.C4.1 Know the process for assessing whether information is reported and disseminated ...
- HSMT.C.C4.2 Know the process for assessing information required by patients, staff, and the ...
- HSMT.C.C4.3 Know the process for determining which data components are necessary for the suc...
- HSMT.C.C5.1 Know how to code information and develop summaries (abstracts) for use by other ...
- HSMT.C.C5.3 Know how to assess and apply information for regulatory and legal purposes.
California Academic Content Standards (Reinforced)
- ELA.9-10.LS.2.5b Deliver persuasive arguments that use rhetorical devices to support assertions (...
- ELA.9-10.LS.2.5c Deliver persuasive arguments that clarify and defend positions with precise and ...
- ELA.9-10.LS.2.5d Deliver persuasive arguments that anticipate and address the listener's concerns...
- ELA.9-10.R.CAGT.2.3 Generate relevant questions about readings on issues that can be researched.2
- ELA.9-10.R.CAGT.2.5 Extend ideas presented in primary or secondary sources through original analysis...3
Objectives and Goals
Medical ethics and confidentiality are two concepts that can be confusing for some students. One's ethic or cultural background or upbringing may influence one's view on what is ethical and what information should be kept confidential. But in a medical setting there are specific guidelines and laws that that must be followed closely. The activities presented in this lesson are designed to challenge the students beliefs and help them to understand their own views of ethics and confidentiality as well as what is appropriate in the typical health care facility.
Activities in this Lesson
- Medical Ethics and Confidentiality - Hooks / Set
A series of video clips will set the climate of discussion for this section.
1) "You can't handle the truth" taken from the movie A FEW GOOD MEN....an example of failure to maintain ethical behavior in the belief that it is better to lie to the masses for their own good.
2) "A Civil Suit" this brief clip tells of how a town dying from contaminated water undertook for the first time the huge effort of bringing down corporate America to defend their rights. They were slandered, threatened, with no sense of ethical or moral responsibility on the part of the corporations involved.
"Ethics" by definition are: "A set of principles relating to what is morally right or wrong."
"Morals" by definition are: According to Webster - Function: noun Date: 15th century 1 a : the moral significance or practical lesson (as of a story) b : a passage pointing out usually in conclusion the lesson to be drawn from a story
2 plural a : moral practices or teachings : modes of conduct b : ethics they are a teaching
So, you see over time it would appear to me, at least...we have come full circle in our definition. You may have noticed that I did not use a medical video to demonstrate a moral issue. I could have used one from 'John Q, 'The Rainmaker", the list is extensive...but the point that I want to make to you today is this.
Once you are able to solidify in your soul, your heart or your mind, where ever YOU feel this decision is made....the circumstance you find yourself faced with will always point you in the correct direction. Authorities are somewhat unified in their feelings that children are shaped by the time they are ten years old as far as their moral beliefs. I would however challenge that statement by telling you that you can still take in new information and rethink your moral values.
I have given you a number of handouts that present to you some very disturbing scenarios. There are probably no true "right" or "wrong" answers....but I do expect you to treat each one of them as if they were YOUR FAMILY members. How then should they be treated?
Ladies and gentlemen, from this point forward our questions only get harder. As you begin your clinical rotations you will be faced with REAL people, with REAL problems...and you must be prepared.
Tomorrow we will discuss papers 1 and 2 and debate the pros and the cons of your answers. Do your research and come prepared to defend your stand. No points will be awarded for the answer "because I think so"....I want complete sentences, and well thought out arguments. You may use YouTube under Medical Ethical Videos for some excellent arguments. Religious and cultural beliefs do have merit, however as a care giver remember-you are NEVER allowed to discuss religion or politics with a patient.
Again, be honest in all your dealings, be sincere, honest, and caring. Treat everyone as you would wish to be treated. Show respect and concern for the feelings, dignity, and the rights in ALL things for othres.
When you enter a specified field of health learn the code of ethics for that occupation. Make every effort to live by that code so you will always be known as an honest ethical employee. In doing so you will earn the respect and confidence of patience, co-workers and employers.
Classroom discussions / debates.
- Assessment Types:
- Projects, Interviews, Observations,
I especailly enjoy this lesson because if handled appropriately it stimulates everyone to think about matters not normally considered at this age group. I ask them to dig deeper then the usual "because I think" level. I demand that they put their mothers and fathers, sisters and brothers in the different scenarios discussed.
This discussion will be the springboard for our presentation on Advanced Directives, Living Wills, and Do Not Rescusitate Orders.
At this time there is no quiz or standardized evaluation....I just challnge them to think both emotionally as well as practically as they try to sort the dilemma of ethical vs. right., and honest vs. humane.