Alright, so now let's think about applying
these 4 principles to an actual case.
So our 4 principles again are respect
for autonomy, respect for persons;
beneficence; and justice.
Take the case of a patient
with sickle cell disease.
They are presenting with
sickle cell crisis,
so they're having extreme amount of pain
as a result of their disease process.
Studies have demonstrated that patients
with sickle cell disease, their autonomy,
their personhood may not be respected when
they enter into the healthcare system.
One way we demonstrate respect for the
person is to believe their symptoms
when they tell us they're in pain and that we then do
something to help them make choices about treatment.
harm the patient.
If so, you know, we
don't want to do it.
Then studies have demonstrated the patients that present
in sickle cell crisis to an emergency department
if they're not believed, you
know, they can be left in pain.
They may not get adequate analgesia to
take care of their sickle cell crisis.
That is an incidence of being
maleficent toward that patient.
So really trying to prevent
that harm from occurring.
Beneficence on the flipside would be well
how do we actually help this person,
how do we help them manage their disease, how
do we prevent them from going into crisis.
But if they are having a pain
crisis that we adequately treat it.
And lastly for justice, and you're thinking
about the consequences in the wider community.
So, in the United States, we have African
American community where there's been, you know,
studies demonstrating systems of injustice
and lack of access to healthcare.
So a person that's got sickle cell
disease, African American patient,
now coming into the healthcare system,
are there consequences for them
in terms of managing their
sickle cell disease?
Are the systems fairly set up to
give them the treatment they need?