1. The early years of American hospitals were characterized by a very top down model, which might be succinctly described as “doctor’s orders.” What the doctor said was considered correct, and seldom did a nurse or patient even think about questioning the doctor. However, recent decades have seen a shift in this regard, and we now have an increasing emphasis on patient rights. What are some of the most important patient rights in your view? How do we make sure that both patients and staff are aware of these rights and honor them?

2. One of the most interesting and controversial pieces of legislation passed in recent years is Oregon’s Death with Dignity Act. Students of health care administration need a solid understanding of this legislation and its ramifications for American medicine. What are the key provisions of the Death with Dignity Act? Have any other states followed Oregon’s lead in this regard?


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Your first question could move in many different directions depending on your personal feelings. I can give you a few ideas to think about and further research. Many of the more current patient’s rights are strongly, if not directly, related to research on human subjects. The Belmont Report outlined three basic areas of ethical concern: respect, beneficence, and justice. Respect encompasses the individual’s right to make choices (autonomy) and knowledge of the possible choices and potential consequences (informed consent). Some …

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