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Nursing ethical case study examples
Nursing ethical case study examples
Nursing ethical case study examples
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Ethical dilemmas can occur in every business in our country, this is especially true in the healthcare industry. Understanding what makes something an ethical dilemma is beneficial in solving the issue at hand. Having moral principles is also important and can guide a person to make an ethical decision. The story of Baby Boy Doe is a good example of an ethical dilemma that can be viewed as being handled ethically and also not ethically.
The story of Baby Boy Doe is most certainly an ethical dilemma. When the parents of the baby chose not to get the atresia surgery to save their boys life, they were legally in the right. The doctors had to choose between following policies while listening to the parents and doing the surgery without their permission
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Unfortunately they made the decision to essentially end their child’s life. One can assume they chose this because of his mental disability which is extremely unethical in our society today. There was a similar story that made headlines in 1982 when a boy was born with downs syndrome and a tracheoesophageal fistula. The parents of the child decided to refuse surgery for their newborn baby and it resulted in the baby dying of dehydration (White, 2011). This caused an uproar and there was a revision made to the Child Abuse Prevention and Treatment Act that made physicians able to make medical decisions for infants even if the parents do not concur (White, 2011).
Baby Boy Doe’s story was interesting to read and analyze when thinking about ethics. The doctors in this story did what they should have as far as hospital policies are concerned, but they may not have acted as ethically as some would expect. The hospital and the parents are responsible for the death of the child, they each acted as ethically as they could but the end result was devastating. Ethical decision making can be difficult but understanding how to identify an ethical dilemma and moral principles can make the decision easier to work
The case of 17-month old Emilio Gonzales was seen and heard nation wide. A conflict between the mother and the physician emerged after the physician no longer expected there be an improvement in his health. This led to the decision of discontinuing providing care for the child and requesting the parents find another facility willing to provide such medical care. The main issue of this case revolved around whether the physician’s decision was morally permissible or legally just. Under Kantian Ethics, Children’s Hospital has moral reasoning to terminate treatment for Emilio and thus is morally justified in withdrawing treatment.
During week 4, we became familiar with the application of ethics in the nursing practice settings. We learned about ethical theories and principles, which are crucial when practicing in any clinical settings during ethical decision-making and while facing one or multiple ethical dilemmas. Also, we were introduced to the MORAL model used in ethical decision – making progress. The MORAL model is the easiest model to use in the everyday clinical practice, for instance at bedside nursing. This model can be applyed in any clinical settings and its acronyms assist
Ethical issues are present in every aspect of healthcare. Ethical dilemmas in the Neonatal intensive care unit (NICU) are especially difficult because the patient cannot express him/herself. It is therefore the responsibility of the parents to make the decisions regarding treatment. It is the nurse’s job to advocate for the patient to ensure that they are receiving the best possible care. The cost of care, termination of treatment, and the nurses’ role in the termination of treatment are all factors that are included in the care of patients that are suffering in the NICU.
Ethics is an important proponent when considering any decision. Knowing the difference between right and wrong is something everyone should know. However, the importance of ethics gets minimized when a decision that seems wrong actually has benefits. In the efforts of improving society, often ethics is violated. Sometimes in order for society to be better off as a whole, there has to be little sacrificing of ethical practices along the way to do so.
An ethical issue or dilemma is a situation that is usually complex and it often involves an apparent mental conflict between moral imperatives. The moral imperatives must be obeyed resulting in transgressing another. When it comes to medical assisting, ethical issues frequently arise in health care according to the article on the ANM healthcare website. A medical assistant is an unlicensed support person who must work under the direction of a licensed professional and also may come upon ethical issues related to the field of practice. Ethical codes in the health care often derive from medical ethics in which they include expectations such as compassion, competency, and professionalism. “The AAMA Medical Assistant Code of Ethics requires medical
Haiselden allowed a blue, deformed baby boy to die rather than performing surgery. On November 12, 1915, Anna Bollinger gave birth to a blue and badly deformed baby. A litany of physical defects were diagnosed for the baby boy. Dr. Harry Haiselden predicted that without surgery, the baby would die soon; however, Haiselden advised against surgery. “During a news conference, Haiselden announced he would ‘merely stand by passively’ and ‘let nature complete its bungled job’” (ProCon.org 1). The baby died after only living for five days. By declining to operate, Haiselden managed to accomplish what other defenders of euthanasia before him could not. More people than ever before started talking about the debate as a result of being inspired by Haiselden. People spoke out in favor of letting deformed infants die for the good of society. This case increased public support of euthanasia, and almost half of Americans had begun to believe that the mercy killing of infants born permanently deformed or mentally handicapped was
“Kindness is the language which the deaf can hear and the blind can see”—Mark Twain. Health care is a profession that should epitomize kindness. Cultural competence, being open-minded to other cultures, is essential for effective and kind healthcare in our current multicultural population. This case analysis will examine the ethical dilemmas, moral theories, principles, alternative actions, and give a recommendation about the morally best action for the case “Confronting a fetal abnormality” by Karen Peterson-Iyer.
A. A. The "Best Possible Child" Journal of Medical Ethics 33.5 (2007): 279-283. Web.
Ethical principles are judgments that serve as a basic justification for the ethical evaluation of one’s action. They are the viewpoints from which guidance can be obtained along the pathway to a decision. According to the Journal of the American Nurse Association, ethical principles are the general goals that each theory tries to achieve in order to be successful. The widely accepted prima facie ethical principles are; Autonomy, duty to respect one’s right. Beneficence, the desire to do good. Non-maleficence refers to avoidance of harm or hurt. Justice, duty to treat one fairly. (Beauchamp, 2004). While some of the ethical dilemmas includes: ensuring informed consent, determining decision-making capacity, promoting advance care planning, surrogate decision-making, withdrawing and withholdi...
The doctors in Haiti thought Charlotte should not be resuscitated, undergo anymore horrible treatments and die peacefully. Charlotte’s parents were not happy with the doctor’s guidelines and thought the United States medical care would have better technology and could save their daughter. Charlotte’s parents bought her a doll which Charlotte’s parents thought otherwise, the Ethics Advisory Committee had to get involved. The debate surrounded if the doctors were in the right to control the life of someone who were incapable of deciding themselves, or is it the parents right. The Ethics Advisory Committee, stated that the parents were superior to those of the hospital and the hospital should conduct with less painful test.
At times in a person’s life, they might come across a few situations that leave them with a major decision between two or more options that challenge what they believe or what they might think is wrong or right. These are known as ethical dilemmas. Be it seeing a friend steal something and choosing between being honest and speaking up or letting it go. It can also be getting paid more than you earned and deciding if you’re going to be greedy and keep the money or return it. We run into these situations in our lives, some bigger and more influential on our destiny’s while others are small with no real consequences.
Neonatal resuscitation is intervention after a baby is born to strengthen it’s breathe or to boost its heartbeat. Approximately 10% of neonates require some assistance to begin breathing at birth, but only 1% require serious resuscitative measures. Informed consent regarding neonatal resuscitation is a constant ethical debate. This discourse ordinarily occurs between doctors and parents; parents often feel that the decision has been made for them, believing that they were not fully informed of any consequences that may occur before making their final action plan, or thinking that their opinion was not taken seriously; however, doctors see the procedure in a different light, that the parents can’t choose the best option for the child regardless of counseling, or performing as the parents wished but believing that the result could have differed if the parents had known all the effects that it will have further down the line, or convinced that they would have made a better
An ethical dilemma is only examined in a situation which has the following conditions; the first condition takes place in a situation, when an individual has to make a decision on which course of action is best. The second condition is there must be more than one course of action to choose from. The third action is no matter what course of action is taken, certain ethical principles are conceded. In other terms, there is no perfect result. When defining what forms an ethical dilemma, it is important to make a division between ethics, morals, values, laws and policies.
Everyone in this world has experienced an ethical dilemma in different situations and this may arise between one or more individuals. Ethical dilemma is a situation where people have to make complex decisions and are influenced based on personal interests, social environment or norms, and religious beliefs (“Strategic Leadership”, n.d.). Leaders and managers in the company should set guidelines to ensure employees are aware and have a better chance to solve and make ethical decisions. Employees are also responsible for understanding their ethical obligations in order to maintain a positive work environment. The purpose of this case study is to identify the dilemma and analyze different decisions to find ways on how a person should act ethically when left with an ethical dilemma.
[2] An Ethical dilemma is defined as “a situation that arises when all alternative choices or behaviours have been deemed undesirable because of potentially negative ethical consequences, making it difficult to distinguish right from wrong” (Samson and Daft, 2005, p.158)