The Ethical Journey

NM
by Natasha Morales0 views·Updated Dec 4, 2022
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Ethical issues in USA's history and the CHW's Code of Ethics

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  1. Hello.
  2. My name is Natasha Morales and I'm going to cover
  3. the ethical issues that have occurred with the tuskegee experiment.
  4. The forced sterilization involving Latina,
  5. women in Puerto rico and the research industry profiting off of Henrietta lacks.
  6. Towards the end of the presentation,
  7. I'm going to show how each of these instances
  8. relate to the community health workers Code of ethics.
  9. These are the three objectives relating to this presentation.
  10. We're gonna cover the importance of ethics,
  11. ethical issues that have occurred in the United States of America.
  12. And finally, the community health worker code of ethics
  13. ethics is defined as moral principles that govern a person's
  14. behavior or the conducting of an activity with respect.
  15. So why is ethics important?
  16. The purpose of ethics is to create a conscious effort to operate in
  17. dignity and treat individuals with respect
  18. while establishing a positive coexisting environment.
  19. While there seems to be a simple task, history has unfortunately proven otherwise.
  20. There are numerous ethical issues surrounding three
  21. major occurrences in the United States.
  22. In the name of research. Although knowledge has been gained.
  23. Um and the medical field advanced in some cases,
  24. this came at a high cost where involved parties
  25. were uninformed and abused and even resulted in death.
  26. So, first we're going to look at the tuskegee experiment.
  27. The tuskegee experiment began in 1932 at a time when there was no
  28. known treatment for syphilis in order to attract the diseases full progression.
  29. Researchers provided no effective care as the men succumbed
  30. to several severe health problems due to their untreated
  31. syphilis even at the time when penicillin was known
  32. to be effective in 1947 this experiment was racially motivated
  33. violated bioethical principles of respect for autonomy as participants
  34. were not fully informed in order to make informed
  35. decisions and participants were harmed because treatment was withheld
  36. after after penicillin became the treatment of choice.
  37. Next, we're going to look at the coerced,
  38. forced and involuntary sterilization of Latina women.
  39. So what birthed from the neo eugenics movement in the early 19th
  40. century developed into the involuntary and
  41. forced sterilization of numerous Latina women.
  42. Beginning in 1930
  43. American colonizers occupying the island of Puerto Rico asserted their beliefs on
  44. how to control population which were
  45. racially motivated and politically supported.
  46. This resulted in over 34% of Puerto Rican women between
  47. the ages of 20 and 49 receiving sterilizations by 1965,
  48. which is five times the rate two decades prior.
  49. The disheartening truth in this practice is that um this
  50. still occurs today as recent as September 2020 complaints were
  51. filed concerning the rate at which hysterectomies were performed on
  52. immigrant women under the us immigration and customs enforcement custody.
  53. This complaint also includes reports from many detained
  54. women who described not understanding why they had received
  55. a hysterectomy and even details miscommunication that led to
  56. patients receiving hysterectomies they may not have needed.
  57. Next, we're going to Miss Henrietta lacks,
  58. we hear the many positive contributions.
  59. Henrietta lacks sales have had advancing medical research,
  60. but the origin of ourselves in research was
  61. not disclosed before 1970 the first immortal ization
  62. Human um Cell line was called Hila.
  63. It was sourced unknowing leader Henrietta and family from a tumor biopsy.
  64. During treatment for cervical cancer.
  65. At johns Hopkins hospital in Baltimore Maryland in 1951
  66. No consent was required to culture the sales
  67. because no safeguards existed at that time.
  68. Neither she nor her family were compensated for the sales,
  69. extraction or used for medical research and for commercial purposes.
  70. Henrietta's story continues to raise concerns about privacy and patients rights.
  71. In 1950 for Henrietta's cells were used to develop the polio vaccine.
  72. Hela cells were put into mass production,
  73. being mailed globally for research into cancer AIDS,
  74. the effects of radiation and toxic substances,
  75. gene mapping and countless other scientific pursuits.
  76. Being the first human cells successfully cloned in 1955
  77. there are almost 11,000 patents involving hela cells.
  78. So now we move to the code of ethics concerning us Ch W worker.
  79. So these three major ethical issues related to the community health workers.
  80. Code of ethics by ensuring appropriate care, equitable relationships,
  81. respect and teamwork are extended to each patient
  82. responsibilities and the delivery of care helps to
  83. build trust with the clients served as their health and quality of life is priority.
  84. The promotion of equitable relationships,
  85. ensure the client and community are respected for their
  86. knowledge as we are all core members of the
  87. team interactions with other service providers as maintaining professional
  88. relationships are necessary to serve the community effectively.
  89. Professional rights and responsibilities hold CHW accountable,
  90. being members of the health care system to remain educated
  91. for the welfare and safety of the communities we serve.
  92. And then finally,
  93. I'd just like to end this presentation with a quote by Aldo Leopold that
  94. says ethical behavior is doing the right thing when no one else is watching,
  95. even when doing the wrong, it's legal.
  96. And then finally, we have the references that I use for this presentation.
  97. Thank you all for your time.