For our second general meeting this quarter, Aware members were presented with a case study about a patient named Ophelia who is struggling with anorexia nervosa (the case can be found below). Members were split into teams, with each group assuming the role of a doctor, family member, or hospital administrator. The teams were then tasked with creating a treatment plan for Ophelia, keeping in mind the responsibilities and values they must uphold in their roles. After developing a rough idea of their plans in the same role groups, all members came together and created a cohesive treatment plan that considered every perspective.
These are some of the considerations each role took into account when developing their individual treatment plans and the cohesive plan: DOCTOR: Responsibilities: Quality of care, maximizing the number of patients you impact, ensuring patient health, ensuring patient autonomy
FAMILY MEMBER: Responsibilities: Relative is receiving the best possible care, financial impact on family, emotional impact on family, respecting Ophelia’s decisions
HOSPITAL ADMINISTRATION: Responsibilities: How do I provide equitable resources to every patient? How do I maximize the use of resources: How could I admit more people? How could I dismiss people?. How do I make patients comfortable? Avoiding lawsuits, ensuring people enjoy their stay in the hospital
FINAL TREATMENT PLAN:
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COVID-19 has affected all of us in this past year and everyone is excited to get back to their normal lives. With vaccines becoming more readily available, the question everyone is asking is "Who is going to get the vaccine first?" For our first general meeting of the quarter, Aware members discussed the ethical allocation of vaccine distribution. Prior to the meeting, all of our members read a short article outlining the main goals and approaches to vaccine distribution. There are three main goals that were defined: (1) reducing morbidity and mortality rates, (2) narrowing unjust health inequalities, and (3) minimizing the toll on our societal infrastructure. With these goals in mind, there are at least five approaches that communities can take in determining who should get the vaccine first. The first would be prioritizing the elderly in the community who are more at risk of morbidity if affected by COVID-19 (Goal 1). The second approach would be prioritizing the youngest members in the community to ensure that everyone is able to go through all stages of life (Goal 3). The third approach would be giving the vaccine to workers that are deemed as providing "instrumental value" to the community (Goal 3). Another approach would be implementing a first-come, first-served policy to prioritize equal access (Goal 2). The last strategy we discussed was prioritizing those who live in in close proximity to others (e.g. individuals in nursing homes or prisons) to reduce the spread of the disease (Goals 1 and 3).
During our meeting we posed several questions for our members to consider and discuss:
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