A patient, agreeing to receive care for a terminal illness, is experiencing the side effect of confusion from the treatment. If the health care providers follow the patient benefit model of ethical care, which of the following would be done?
1. Determine if the patient would want to be confused and then either proceed or stop the treatment.
2. Continue with the treatment because the patient made the decision.
3. Continue the treatment because other patients might find out that the hospital does not provide required care.
4. Find health care providers willing to provide the care even though the patient is confused.
Determine if the patient would want to be confused and then either proceed or stop the treatment.
Rationale: The patient benefit model uses substituted judgment, which takes into consideration what the patient would want done if capable of making the decision. The staff should determine if the patient would want to be confused and then either proceed or stop the treatment. Continuing with the treatment does not take into consideration the patient's change in mental status and is a decision that would be made if following the autonomy model. Continuing with the treatment because of other patients' questioning the hospital's ability to provide care would be an outcome from implementing the social justice model. Finding health care providers willing to provide the care even though the patient is confused is not an example of an ethics committee decision.
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