Medical Ethics: Real-World Application
By Afshin Nasseri

You may have acquired this book as a result of conflicts with peers, administrators, patients, or State Medical Boards, where the outcomes of those interactions have left you wondering, “…what if I had done things differently?"

Medical Ethics: Real-World Application By Afshin Nasseri

You may have acquired this book as a result of conflicts with peers, administrators, patients, or State Medical Boards, where the outcomes of those interactions have left you wondering, “…what if I had done things differently?”


In that case, I hope that this book answers some of your questions and guides you with regards to any future quandaries you may encounter.


If you are a healthcare worker seeking to understand the subject of medical ethics, then I hope this book helps you acquire the clarity you seek.
If you are an individual simply curious about medical ethics, then I raise my hat to you for your pursuit of knowledge.

Meet Afshin Nasseri

Dr. Nasseri has dedicated most of his adult life to Internal Medicine. He spent 20 years as the sole physician in his large primary care practice, focusing on a variety of patient issues such as hypertension, hypercholesterolemia, thyroid disorders, men’s health, diabetes, arthritis, and mental health issues encompassing anxiety, depression, and stress management. He also created primary care facilities at two different hospitals lacking primary care infrastructure and was responsible for establishing standards of management and practice for the facilities. Dr. Nasseri also assisted in ICU and CCU infrastructure development for one of these facilities, by establishing protocols for care in a high-growth environment.

Over his extensive professional career and experience, he came to the realization that there must be a better way to improve patient compliance, lifestyle, and behaviors, and became a certified Health Coach and Life Coach in order to improve the lives of his patients.

Early in his medical career, he was recognized as an accredited teacher to Brown and Boston University medical students and interns. Dr. Nasseri is an active leader at GRACECares, Inc. a nonprofit organization aimed at community development through mindful empowerment and works with the Lucknow Project and a variety of local organizations to provide free healthcare and medicines to rural villages in Uttar Pradesh, India.

He is an accomplished member of the American College of Physicians, the Harvard Institute of Coaching, the American Society of Laser Medicine, the Obesity Medicine Association (OMA), the Mindfulness-Based Stress Reduction Program (MBSR) at Brown University, and is certified by both the Fowler Institute of Coaching and the Beck Institute in Cognitive Behavioral Therapy.

He is fluent in English, Spanish, French, and Farsi (Persian). He has lived and worked professionally in a variety of countries and has rich cultural background and understanding which allows him to connect with clients and patients from across the world.

Gifts

AMA medical ethics II stipulates gifts to Physicians from any industry creates conditions that carry the risk of subtly biasing—or being perceived to bias—professional judgment in the care of patients.

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Elder Abuse

Mistreatment of the elderly has become a matter of public concern over the past few decades. Mistreatment of older persons may occur both within home and community settings, and institutional environments. The definition of elder abuse and neglect is a matter of state law, and each state has its own statutory schema.

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Spousal Abuse

Abuse against a patient can only be reported with the consent of the patient. Many victims feel they are not able to leave their relationships or to report the abuse as they fear retaliation. Counselling should be offered to the patient

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Impaired Physician

Doctors also have an obligation to report impaired physicians to authorities for treatment.

A Physician must report another Physician when it is believed that the conduct of his/her colleague places patients at risk or is considered unprofessional or unethical.

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Impaired Drivers

All states require patients to report seizure disorders or visual acuity changes. Nationally, there is no consensus amongst states in regard to reporting practices. The Department of Motor Vehicles (DMV) is the only authority which can suspend or revoke driving privileges. Drivers should take it upon themselves to report any relevant impairments to the DMV, and physicians should encourage all impaired drivers to limit their driving. Physicians cannot suspend driving privileges.

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Reproductive Issues

An adult woman has an unrestricted right to abortion through the end of the first trimester. In the second trimester, the decision is still between a woman and her attending physician, but the ease of access is not so clear. States may place regulations on access to a second- trimester abortion.

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Doctor and Society

A physician’s humility should extend to recognize diversity, cultural values, orientation and their significance in a patient’s decision-making process. The physician should also identify some basic familiarity with today’s diverse cultures.

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End of Life

All adults with the capacity to understand their own medical conditions have the right to decide what treatments they wish to receive. There is no ethical or legal distinction between withholding and withdrawal of medical treatment.

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Physician as the Patient

A physician treating a patient who is also a physician must report if the physician-patient suffers from any medical condition where it is reasonably clear that patients of the physician-patient or others involved in his/her medical practice, could be harmed physically or psychologically as a result of the medical condition.

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Reportable Illnesses

The purpose in reporting illnesses is epidemiological in an attempt to interrupt the spread of certain communicable diseases. Reportable illnesses include AIDS, syphilis, tuberculosis, gonorrhea, and all childhood diseases such as measles, mumps, rubella, and pertussis.

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