Facts are established
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Matao Ramirez is a young Latin American male that had been diagnosed with HIV. Mateo’s doctor advised him to tell his fiancée about his HIV status and practice safe sex. Mateo assured the doctor that he would do so. After the wedding, the doctor accepted the fiancée as a patient. The fiancée was pregnant and a blood test revealed that she wa HIV positive. The doctor respected the fiancée’s request to share the result of the blood test infront of her husband and her mother-in-law, as family input is important in the Hispanic culture. After revealing the results, the wife was attacked by Mateo, who accused her of cheating on him, and the mother. The wife was a virgin before her marriage.
Identification of …show more content…
The two models of doctor-patients relationships that are most prevalent; the paternalistic model and the feminist model. The paternalistic model suggests that the doctors take the role of the knowledge parent that makes all the decisions as they know what is best for their child, the patient. The problem with this model is that it sees the patient as an ignorant child and gives the physician too much powers that can easily be abused. When applying the paternalistic model to this case, the doctor will be given the power to do what they think is right, regardless of the patient's interests. Meaning, the doctor can break confidentiality agreement to protect the mateo’s wife from further harm or if the doctor did not wish to break the confidentiality they can keep quiet. It all depends on how the doctor feels about the issue. The problem here is that the doctor is assumed to know the interest of the patient and what is right, but that is not always …show more content…
Therefore, exceeding the limit of his autonomy as it breaks the harm principle. According to the feminist approach the doctor can share Mateo’s disease status to protect his wife. In addition the feminist approach seeks to protect disadvantaged females and marginalized people, like his wife. Who is an innocent female who has been harmed a male of social power. Therefore, the doctor needs to protect her and do her justice.
Alternatives and Recommendations -Spend 1/2 to ¾ page
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The autonomy-based model seems to be a more appropriate model. The paternal model does not acknowledge the conflict between maintaining someone's confidentiality and preventing harm to others. Instead, it simply allows the doctors to do whatever they please, because they know what is best. Although, the paternalistic can be easier to apply, it does not do justice to this