Kimani Anthony 1 Introduction to Bioethics; Bioethics at The Bedside Bioethics is a branch of study in ethics that deals with the emerging ethical issues that result as a virtue of our biological nature and focuses advancement in medicine and biology. It can also be defined as moral discrimination as it is related to the policies and practice of medicine. Bioethics is emphasized on the ethical issues that arise in the interactions between biotechnology, life sciences, politics, medical ethics, theology, law, and philosophy. It encompasses the study of worthiness related to primary health care. Bioethics addresses a wide range of human inquiry, ranging from surrogacy, right of the patient to accept or refuse health care, allocation and dissemination of available resources. The scope of bioethics can be broad to include cloning, life extension, gene therapy, human genetic engineering and astroethics. (Johnstone, 2019) Bioethics at The Bedside The ethical considerations at the bedside in a clinical setting need to be highly respected. These ethics dictate that the patient reserves the right to make all the decisions concerning the delivery and reception of medical care. The client is obligated to accept or refuse the treatment being offered. The bioethics permit the patient to accept or refuse any kind of clinical interventions being offered to them even if it is in their best interest. The final decision to engage Kimani Anthony 2 in medical interventions or any other form of therapy is solely the obligation of the client. (Rothman, 2017) The ethics surrounding patient care also dictate that the client should receive the treatment they need regardless of the cost. The care and interventions necessary should be availed to the patient regardless of any other policy that may state otherwise. As long as the patient has provided informed consent, they should receive the treatment even if they cannot afford it. The physicians and nurses are obliged to offer the clients with alternative methods to achieve their healthcare goals even if those methods are expensive of risky in their implementation. They should provide the client with all the information they require without discriminating the capacity of the patient to comply. (Rothman, 2017) In some instances, the research clinicians may be tempted to withholding treatment to chart the course of the disease in a client within a hospital setting. This is in its essence illegal and against the ethical expectations of the clinician. The patient should receive the maximum therapeutic interventions regardless of the interest the physician may have on the condition the patient is suffering from. The bioethical considerations dictate that the client be awarded the highest possible care available and that their needs for attaining desired health outcomes should always come first. (Rothman, 2017) The attending physician may feel the need to withhold the diagnosis of other relevant information concerning the health of the patient with claims that such information could cause devastating conflict within the client and their family. Information such as the client being terminally ill or suffering from an incurable disease should not be withheld but conveyed to the patient and their relatives. Sensitive Information is withheld to prevent harming the client. In most cases, the physician might feel that their patient will not be able to handle the information Kimani Anthony 3 about their health or their loved ones’ condition. The bioethical considerations state that this information is conveyed to the proper recipient regardless of the impact it might elicit. The client should receive all the data necessary concerning their condition and the decision making. (Rothman, 2017) During the stay of the patient at the facility, all the interventions aimed at improving their health should always be done concerning the consent provided the patient. The only procedures done on this patient should be the ones the client has consented to, for example, if the client has a history of four C/S operations and is up for a fifth C/S procedure, the physician doing surgery cannot decide to perform a total hysterectomy because the client has had enough number of C/S deliveries without informed consent from the client. The surgeon id obligated by the ethical considerations to perform only those procedures the client consented to. It would be an illegal act for the surgery to perform any procedures outside what the patient consented to and this can make them prone to a lawsuit on criminal charges. (Rothman, 2017) The interventions performed at the clinical setting should always be in line with the values of the patient. The notion that doctors know best is disregarded by the bioethical considerations. For example, a clinician may see it fit to put a cancer patient on aggressive chemotherapy to treat malignancy. However, the client has a choice to make on whether they should undertake the chemotherapy and have a longer life with poor quality, or refuse the chemotherapy and live out the few days they have with a good quality life. The issue of quality and quantity of life is a decision that should rest solely on the client whose body is involved. The bioethical considerations dictate that the patient has a right to choose how they want to live their days based on their principles and values. The decision to undertake any medical intervention Kimani Anthony 4 should remain on the hands of the individual client even if the physician thinks it’s a bad decision. (Rothman, 2017) References Rothman, D. J. (2017). Strangers at the bedside: A history of how law and bioethics transformed medical decision making. Routledge. Johnstone, M. J. (2019). Bioethics: a nursing perspective. Elsevier Health Sciences.