Scenario 32 years old male having three children diagnosed with CLD, was operated liver transplantation in public sector hospital. The liver was taken from live donor 28 years old wife of the patient. On 3rd post op day the patient start severe bleeding with tachycardia and hypotension. Patient become unconscious and was rushed to operation room (OR). Meanwhile patient crashed and Cardio Pulmonary Resuscitation (CPR) started. After 6 hours of CPR patient cardiac activity was resumed, but still bleeding from drain and body orifices. Patient was on high inotropic support and back to back transfusion of blood and blood product to maintain hemoglobin and platelet of patient. Later on patient expired and his wife remain in hospital till her recovery Analysis of ethical issue Principle of Non-maleficence Violation Essay

Scenario 32 years old male having three children diagnosed with CLD, was operated liver transplantation in public sector hospital. The liver was taken from live donor 28 years old wife of the patient. On 3rd post op day the patient start severe bleeding with tachycardia and hypotension. Patient become unconscious and was rushed to operation room (OR). Meanwhile patient crashed and Cardio Pulmonary Resuscitation (CPR) started. After 6 hours of CPR patient cardiac activity was resumed, but still bleeding from drain and body orifices. Patient was on high inotropic support and back to back transfusion of blood and blood product to maintain hemoglobin and platelet of patient. Later on patient expired and his wife remain in hospital till her recovery Analysis of ethical issue Principle of Non-maleficence Violation Essay

The procedure was performed without enough resources and principle of non-maleficence was violated. The hospital management and transplant team were responsible for the malpractice. They assured the patient and his family that the hospital has cutting age technology, expert human resource and outstanding material resource comparable with other advance liver transplant center in the developed countries. But in reality the situation was worse with no training of health care staff, three bedded intensive care unit (ICU) without isolation, and small operation theater with poor infection control measures. Lack of standard laboratory without computerization increases the misfortunes of liver transplant center. In short these facilities were not sufficient for such advance level surgery which risks the life of donor as well recipient. These leads to negligence and malpractice on part of hospital management and liver transplant team which arise the question in mind that “Is this ethical to perform liver transplant in limited human as well material resources.”?Principle of Non-maleficence Violation Essay  The ethical principle of justice non-maleficence and virtue of veracity are violated. Moreover, the act of hospital management and transplant team were against the theory of deontology. According to news in media initially a memorandum was signed between the hospital and Royal Free Hospital, London but later on after inspection of infrastructure and human resource they refused to perform such complicated procedure in this facility (Wasif, 2012). Although government provided 200 million PKR to build state of the art facility in capital city of Pakistan but these huge amounts were wasted and golden opportunity of liver transplant in public sector hospital was misused.

Ethical principle violated in decision making to perform liver transplant Principle of Non-maleficence Violation Essay

My preposition is that without adequate expertise and material as well as human resource performing such intricate surgery is not justifiable and against the ethical principles.

While performing their duties health care professionals must adhere to ethical principle and rules. Any breach or violation of these principles may lead to malpractice and negligence. The patient trust on health care professionals and believe that they will apply their knowledge and skills to provide benefit to patient. Similarly, according to Hippocratic pledge health care professionals will abstain their self from harmful and mischievous act (Markel, 2004). Obligation of non-maleficence not only include to avoid harm but also not to impose risk of harm (Beauchamp and Childress, 2001). In the above situation the health care workers lack proper training, skills and material resources to perform such sophisticated procedure. Moreover the professional standards were violated which determine due care in such situation and risk of harm was inflicted on patient. The hospital management and liver transplant team act negligently and harm the patient, his family and specially his wife.Principle of Non-maleficence Violation Essay

Hospital management and transplant team stance

The health care team stance was to maximize the benefit and happiness to the society. They support their position using act utilitarianism for the greater happiness of greater number of people. According to act-utilitarianism an action is right if it produces consequences like any other action available to the agent (barns, 1971). The hospital management and transplant team argued that patient was known case of CLD with complication and no other alternative, So according to act-utilitarianism our action is justified and if successful this center will provide care to thousands CLD patients waiting for miracle in the country. Our intention was good and according to Islamic principle of ethics actions are judged according to intention. One of the saying of Prophet Muhammad peace be upon him “the reward of deeds depends upon the intentions and every person will get the reward according to what he has intended.” (Bukhari: 1).Principle of Non-maleficence Violation Essay