Preview

Huntington Disease - Ethical Issue

Powerful Essays
Open Document
Open Document
1691 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Huntington Disease - Ethical Issue
PILOT HAVING HUNTINGTON’S DISEASE: ETHICAL ISSUES SURROUNDING THE “SACRIFICIAL LAMB” CASE.

THE QUESTION
When the father of an airline pilot dies of Huntington's disease, the airline does a routine random blood/drug screening. They instruct the lab to also screen for HD without informing the pilot. Now they want to fire him.

PROBLEM STATEMENT
The Airline instruct the lab to screen pilot’s blood for Huntington’s Disease without informing the pilot.
The Airline want to fire the pilot.
ETHICAL ISSUES
The privacy right of the pilot being violated.
Pilot’s career less significant than public safety.
DEFINITION AND TERMINOLOGY
Huntington's disease, chorea, or disorder (HD), is a progressive neurodegenerative genetic disorder, which affects muscle coordination and some cognitive functions, typically becoming noticeable in middle age.
The disease is caused by a dominant mutation on either of an individual's two copies of a gene called Huntingtin, which means any child of an affected parent has a 50% risk of inheriting the disease
The genetic test for HD consists of a blood test which counts the numbers of CAG repeats in each of the HTT alleles.
A positive result is not considered a diagnosis, since it may be obtained decades before the symptoms begin. However, a negative test means that the individual does not carry the expanded copy of the gene and will not develop HD.
Physical symptoms of Huntington's disease can begin at any age from infancy to old age, but usually begin between 35 and 44 years of age. If symptoms begin before about 20 years of age, they progress faster and vary slightly, and the disease is classified as juvenile, akinetic-rigid or Westphal variant HD.
Symptoms are: -lack of coordination -unsteady gait -jerky body movements -mental illness/psychiatric problems -pneumonia -heart disease etc
No cure
Only therapies to reduce physical and psychological symptoms.

AVIATION ACCIDENT STATISTICS
This 2 statistics clearly

You May Also Find These Documents Helpful

  • Good Essays

    In the case presented for discussion described above, it was imminent that Dr. Yarnell had a justifiable medical history that supported his symptoms. Nonetheless, it can be argued the way PA Brian decided to evaluate and treat Dr. Yarnell was biased or based on personal interests. PA Brian’s medical judgment was compromised. Mutual personal motivations existed between Dr. Yarnell and PA Brian. However, as a clinician PA Brian should have impartially evaluated Dr. Yarnell by properly and examining and documenting his findings or properly redirecting Dr.Yarnell to a different clinician. If the patient (Dr. Yarnell) was never appropriately examined, how can PA Brian as a health care provider substantiate that the medication prescribed was adequate and beneficial for the…

    • 683 Words
    • 3 Pages
    Good Essays
  • Good Essays

    An airline pilot goes for his regular medical checkup. The doctor discovers that he has developed a heart murmur. The pilot only has one month to go before his retirement. The doctor wonders whether, under these unusual circumstances she is justified in withholding the information about the pilot’s condition.…

    • 847 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The Brewster v. University Hospital is a case that deals with informed consent, in this case the plaintiff seemed to be wronged in the sense that their child was not given the best opportunity for a full recovery. The defendant, however, believes no wrong has been done since the professionals are certain that the diagnosis was best for the patient. The argument develops in the sense that the parents of the patient were not informed of all the different diagnosis, and how this illness could affect their child’s brain development. The patient suffered from hyperbilirubinemia, or jaundice, which seems to be of a normal occurrence for many infants, but it must be controlled because high levels of bilirubin causes great damage to the brain. This was part of the information the Brewster’s were not informed of, along with the fact that there is a much more aggressive form of diagnosis for this illness, which is blood…

    • 1006 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Mgt 200

    • 1105 Words
    • 5 Pages

    The TSA said in a statement that it "has a zero tolerance for misconduct in the workplace" and the agency "takes prompt and appropriate action with any employee who does not follow our procedures and engages in misconduct."…

    • 1105 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Case Study

    • 2545 Words
    • 11 Pages

    The tests that were run for the patient D.W. were performed to determine a diagnosis and treatment. Even though the disease systemic lupus erthematosus (SLE) doesn’t have a test that specifically diagnosis this diseases, there are test that are run to help with understand contributing factors. The significance of a positive antinuclear antibody (ANA) titer is that 98% of people with systemic lupus test positive, even though it is not enough for a diagnosis of lupus (healthy individuals can test positive) it is a good indication along with other diagnostics test in the presence of lupus. The anti-double-stranded DNA antibody (anti-dsDNA) is a specific type of ANA antibody found in about 30% of people with systemic lupus. Less than 1% of healthy individuals have this antibody, making it helpful in confirming a diagnosis of systemic lupus. A positive value is also indicative of more serious lupus. Anti-smooth muscle antibody is a blood test that detects the presence of antibodies against smooth muscle. This test can help distinguish between lupus and autoimmune hepatitis. C-reactive protein (CRP) is a protein produced by the liver, and high levels of CRP in your blood may mean you have inflammation due to lupus. ESR also tests for inflammation. It measures the amount of a protein that makes the red blood cells clump together (Lupus foundation of America). C3 and C4 test are low due to, Complement proteins are used up by the inflammation caused by lupus, which is why people with inflammation due to active lupus often have low complement levels (Lupus foundation of America).…

    • 2545 Words
    • 11 Pages
    Better Essays
  • Good Essays

    A diagnosis of Huntington’s disease can be very distressing for a patient and their family to receive as it has many effects.…

    • 125 Words
    • 1 Page
    Good Essays
  • Satisfactory Essays

    Analytical Summaries

    • 676 Words
    • 3 Pages

    Nancy Wexler’s Mother died of Huntington’s disease it is hereditary, fatal, and happens in midlife. Ms. Wexler is a 38 year old woman and is the president of the Hereditary Disease Foundation. She is not sure of her own fate in life, because she doesn’t know whether she has inherited the same deadly gene that killed her mother.…

    • 676 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Huntington’s disease is a familial disease that is passed down through generations. Out of all cases of HD, 97% of the disease is contracted from parents, and only the small 3% show independent mutation. Moreover, HD is inherited as a dominant trait, meaning a single copy of the mutation is enough to affect offspring. It is therefore vital that couples on high risk of carrying the disease take preventive measures to ascertain the existence of the mutation in their genes for future generations to not pass down the disease further. Methods of genetic screening is largely divided into three – prenatal, predictive and carrier testing. Prenatal testing is done on the fetus in the early stages of pregnancy, whereas predictive and carrier testing is performed on any individual at high risk for having HD. Prenatal testing is usually not recommended for most pregnant mothers, as it carries a high risk of damaging the fetus. Predictive and carrier testing, on the other hand, are harmless methods that determine the existence of the mutation, and thus shows its effectiveness. If couples and individuals…

    • 704 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Leah Alexander

    • 706 Words
    • 3 Pages

    The facts were that an employee left patients’ records on a subway. Information on those records was way too personal to just be taking out of the hospital. This also ties into the ethical issues as well. The employee should not of been so careless but they should not of taken those records home…

    • 706 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Genetics

    • 339 Words
    • 2 Pages

    -Huntington’s disease is inherited as a dominant gene. Any child born to a parent with the allele has a 50% chance of inheriting the allele and the disorder. The allele that causes Huntington’s disease is dominant but lethal when inherited in 2 copies.…

    • 339 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Ethical Healthcare Issues

    • 1180 Words
    • 5 Pages

    In today’s health care industry providing quality patient care and avoiding harm are the foundations of ethical practices. However, many health care professionals are not meeting the guidelines or expectations of the American College of Healthcare Executives (ACHE) or obeying the organizations code of ethics policies, especially with the use of electronic medical records (EMR). Many patients fear that their personal health information (PHI) will be disclosed by hackers or unauthorized users. According to Carel (2010) “ethical concerns shroud the proposal in skepticism, most notably privacy. At the most fundamental level, issues arise about the sheer number of people who will have ready access to the health information of a vast patient population, as well as about unauthorized access via hacking.” This paper will apply the four principles of ethics to EMR system.…

    • 1180 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Some patients may experience unintentional jerking or wriggling movements (chorea), muscle problems, such as inflexibility or muscle contractions (dystonia), Slow or irregular eye movements, disabled stride, posture and balance, difficulty with speech or swallowing, feelings of irritability, sadness or apathy, social withdrawal, insomnia, tiredness and loss of energy, or frequent thoughts of suicide, and death related ideas. Due to these symptoms the social consequences of Huntington’s disease can be disastrous. Humans with this condition will slur their words to the point of total mispronunciation and have a chance of completely losing their speech. The decision making process is altered and people in the later stages of the disease have hard time concentrating on memorization. Also the the affected patients might do out of the ordinary behavior, and say things without thinking. Other symptoms can be aggression, apathy, depression, and denial(7). Patients with the disease can have children, but take the risk for passing on the genes to their offspring(10). The disease itself is not fatal, but the complications related to it can shorten the lifespan of the people affected. Heart failure and pneumonia are two common complications of the disease. Many people develop symptoms in their 30’s to 50’s and usually live from 10 - 20 years after…

    • 973 Words
    • 4 Pages
    Better Essays
  • Good Essays

    The gene that carries the mutation for Huntington’s disease follows a heterozygous dominant line of inheritance. This…

    • 1026 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    While gene therapy holds promise as a revolutionary approach to treating disease, ethical concerns over its use and ramifications have been expressed by scientists and lay people alike. For example, since much needs to be learned about how these genes actually work and their long-term effect, is it ethical to test these therapies on humans, where they could have a disastrous result? As with most clinical trials concerning new therapies, including many drugs, the patients participating in these studies have usually not responded to more established the rapies and are often so ill the novel therapy is their only hope for long-term survival.…

    • 336 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    When asked by Dr K. to look in the chart to determine if anyone was responsible for Mr. E’s medical decision making, the nurse failed to inform Dr K that the patient had an Advance Directive (AD) that…

    • 2415 Words
    • 10 Pages
    Good Essays

Related Topics