{"id":3180,"date":"2014-08-07T10:58:48","date_gmt":"2014-08-07T14:58:48","guid":{"rendered":"http:\/\/www.crto.on.ca\/?p=3180"},"modified":"2015-10-07T10:08:11","modified_gmt":"2015-10-07T14:08:11","slug":"care-values-collide","status":"publish","type":"post","link":"https:\/\/www.crto.on.ca\/fr\/members-blog\/care-values-collide\/","title":{"rendered":"When care and values collide\u2026"},"content":{"rendered":"

Earlier this summer there were several stories that appeared in the news about physicians who allegedly refused to provide certain non-emergency treatments (e.g., artificial contraception) on religious or moral grounds[1]. \u00a0Consequently, the College of Physicians and Surgeons of Ontario (CPSO)\u00a0undertook a review of its Physicians and the Ontario Human Rights Code<\/a> policy and invited the general public to weigh-in on whether doctors should be permitted to deny patients specific treatments or procedures if they conflict with the doctors\u2019 beliefs. The Ontario Human Rights Commissioner also expressed a keen interest in this matter, as it potentially means that patients may be unable to access care because of race, age, ethnicity, gender, sexual orientation, or disability.\u00a0<\/p>\r\n

This issue of providing patient care or not when it conflicts with our own personal values is not as pressing a concern in RT practice, as we are generally not the health care professionals proposing plans of care.\u00a0 However, I suspect many of us have been in situations where we were asked to do something that was contrary to our belief system. \u00a0For example, it may have been a circumstance where we felt a terminally-ill patient should be withdrawn from life support, while the family insisted that all possible medical interventions be continued. \u00a0Although we may believe it\u2019s cruel to subject a patient to painful, invasive procedures when there is \u2013 in our opinion \u2013 little chance of recovery, the family may believe life to be so sacred that it must be preserved at all cost.\u00a0 Values collide \u2013 but there is still a patient that requires care.<\/p>\r\n

Even beyond objecting to the treatment itself, our belief system can cause us to make judgments about what \u201ctype\u201d of people are worthy of the care that we provide.\u00a0 I recall being involved with managing ventilation on an alcoholic individual recovering from the most recent of several liver transplants, and I questioned why he deserved another chance if he could not stop drinking. I felt it was wrong to \u201cwaste\u201d an organ when there is such a shortage and so many other people in need. Did it change the way I provided his care? I don\u2019t think so. I hope not. \u00a0<\/p>\r\n

Some of the people expressing opinions on the physicians\u2019 issue have stated that doctors must leave their personal beliefs at home, as they have no place in medical practice. Yet I question whether this is possible for any health care professional?\u00a0 What we believe and what we consider to be most important in life are the things that make us who we are, and we just can\u2019t park that at the door of the patient\u2019s room. \u00a0It isn\u2019t as simple as saying \u201cit\u2019s not about you\u201d, because you and what you believe are an integral part of the patient-health care professional relationship.\u00a0 The best any of us can do is to recognize that our core values and beliefs are constantly at play, and they have the potential to shift our focus inward and away from the patient who needs and deserves our full attention. \u00a0<\/p>\r\n

The CRTO\u2019s Commitment to Ethical Practice<\/a> document offers some insight into how our belief system impacts us both personally and professionally, as well as guidance on the integration of our values with our obligations as health care professionals.\u00a0\u00a0 \u00a0<\/p>\r\n

 <\/p>\r\n

[1] Grant, Kelly. (2014, July 2). Policy allowing doctors to deny treatment on moral or religious grounds under review. Globe and Mail<\/em>. Retrieved from http:\/\/www.theglobeandmail.com\/life\/health-and-fitness\/health\/policy-allowing-doctors-to-refuse-treatment-on-moral-or-religious-grounds-under-review\/article19434118\/<\/a><\/p>\r\n

 <\/p>","protected":false},"excerpt":{"rendered":"

Earlier this summer there were several stories that appeared in the news about physicians who allegedly refused to provide certain non-emergency treatments (e.g., artificial contraception) on religious or moral grounds[1]. \u00a0Consequently, the College of Physicians and Surgeons of Ontario (CPSO)\u00a0undertook a review of its Physicians and the Ontario Human Rights Code policy and invited the […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,25,26],"tags":[33,35,34],"class_list":["post-3180","post","type-post","status-publish","format-standard","hentry","category-members-blog","category-practice-blog","category-students-blog","tag-ethics","tag-professional-practice","tag-values"],"yoast_head":"\nWhen care and values collide\u2026 - CRTO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.crto.on.ca\/members-blog\/care-values-collide\/\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Carole Hamp\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.crto.on.ca\\\/members-blog\\\/care-values-collide\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.crto.on.ca\\\/members-blog\\\/care-values-collide\\\/\"},\"author\":{\"name\":\"Carole Hamp\",\"@id\":\"https:\\\/\\\/www.crto.on.ca\\\/#\\\/schema\\\/person\\\/735be909695f42c138918a4206a82cfc\"},\"headline\":\"When care and values collide\u2026\",\"datePublished\":\"2014-08-07T14:58:48+00:00\",\"dateModified\":\"2015-10-07T14:08:11+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.crto.on.ca\\\/members-blog\\\/care-values-collide\\\/\"},\"wordCount\":588,\"commentCount\":0,\"keywords\":[\"ethics\",\"professional practice\",\"values\"],\"articleSection\":[\"Members\",\"Practice Blog\",\"Students\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.crto.on.ca\\\/members-blog\\\/care-values-collide\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.crto.on.ca\\\/members-blog\\\/care-values-collide\\\/\",\"url\":\"https:\\\/\\\/www.crto.on.ca\\\/members-blog\\\/care-values-collide\\\/\",\"name\":\"When care and values collide\u2026 - 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