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A medical ethics dilemma
Essays on clinical decision making
A medical ethics dilemma
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Situation Assessment Procedure Step 1: Identify the ethical issues and problems. Answer these questions: • What are the different perspectives? - Mrs. Dawson wants the healthcare team to do everything they possibly can to save her husband and live at home with him. The health care providers are divided; some of the members believe that he will recover and some believe additional treatment is prolonging the inevitable and perhaps causing Mr. Dawson more suffering. • What is the main issue? - The main issue is whether the health care providers should start antibiotics for Mr. Dawson’s pneumonia. The team is divided on starting the treatment or don’t start because the treatment would just prolong Mr. Dawson’s suffering. • What are the hidden, unstated issues? - …show more content…
- If all of the options were explored, and patient is given antibiotics and is treated without any pain or suffering than the treatment identifies with the ethnical principles of autonomy, non-maleficence, and veracity. In turn, Mrs. Dawson will be happy with the outcome of the procedure. • How does your personal value system apply to this situation? - The health care team should do everything they possibly can to care for the patient before they give up treatment. The health care team should provide top care to every patient and the treat the patient as they were treating their mom, dad or grandparent. • How are the nursing profession 's values applied? - Nurse should place the patients well being above their personal beliefs and values. They should focus on treating the patient and making sure the patient’s needs are being met. This also means that tough decisions have to be made in the process whether it goes against what the health care team wants or it goes against what Mrs. Dawson wants. Step 4: Justify the selection. Answer these questions: • Specify reasons for the
According to the Case Management Society of America, case management is "a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes" (Case Management Society of America [CMSA], 2010). As a method, case management has moved to the forefront of social work practice. The social work profession, along with other fields of study, recognizes the difficulty of locating and accessing comprehensive services to meet needs. Therefore, case managers work with these
This collection of subjective data from the patient or family is key because it gives us an idea of where to look or what steps need to be taken. At this time their cultural and ethnic preferences become aware to us and it is our responsibility to be competent enough to understand in order to respect and advocate for their preferences.
The healthcare system is very complex, and the nurses should be aware of all the policies, laws, ethics, and available sources to provide quality care to all patients. The following case study will explore some of the decision-making processes the nurses consider while caring for their patients to keep high standards of care.
Nurses have many different roles which include promoting health, preventing illness, and the daily care of patients in all different kinds of settings. It is important for nurses to treat the whole patient and address not only the acute concern but all factors that contribute to the patients’ health and well-being. We are each responsible for our health, and it is the role of the nurse to help their patients be accountable for their health. Nurses have also to ensure
Nursing is something that cannot be simplified to one word or phrase; it is more than treating the ill and more than just a profession, rather it is a standard of care and service to others, and it is constantly evolving. Nursing should revolve around commitment and a desire to help those in need. As I reflect on my nursing education, I have realized that I have inadvertently created a set of values and beliefs for myself, otherwise known as my personal nursing philosophy. A product of my knowledge obtained from classroom lectures, my interactions with an array of patients, family members, and healthcare professionals at my clinical sites and my job in a long-term care facility. I believe each patient should be treated as an individual and given the best quality of care, regardless of their gender, race, age, sexual orientation, religious preference, socioeconomic status, or choices they may have made. Every patient is worthy of respect, even when their views differ from my own. Each patient has the right to honesty, and to feel safe.
By establishing a code of ethics the nursing profession provides a framework for judgment calls dealing with these difficult situations. This set of moral principals sets a standard for thinking through ethical problems, which ultimately helps nurses settle these types of issues. These ethical nursing dilemmas usually arise from disagreements in personal values and social issues that regard the decisions or beliefs of patients. The objective is to come to a common understanding which upholds the best interest of the patient while reinforcing the personal values of the healthcare professional.
I believe that each patient deserves the highest quality of care, regardless of their life choices, gender, ethnicity, religion, sexual preference and socioeconomic status. Each patient, including their family is entitled to respect and honesty, despite the circumstances. Aspects of providing the highest quality of care are safety, competence, honesty, caring and continuous learning and improvement. Concepts that have been ingrained from a young age and molded by the SUCON mission and American Nurses Association Code of Ethics ("Baccalaureate Student Nursing Handbook 2012-2013," 2015; ”Code of Ethics for Nurses," 2015).
Nursing is a varied career that offers opportunities to many. It offers a range of facilities and options for all. Nursing is an ethical centered profession that requires its members to give of themselves. Each individual must maintain a professional atmosphere while upholding his or her personal integrity. Each nurse brings his or her own unique values and beliefs to their work and care. A strong conviction toward those ideals is essential in the profession. Nurses are faced with differing views, ideas, and expectations every day and must maintain neutrality for the betterment of their patients. They care for those experiencing illness, loss, and health and have to nurture accordingly. Nursing is not about the skill set or knowledge we have but about those we help in the process. Nursing goes beyond a career; it is a
The job of a professional nurse today is one that requires high intellect, accountability, expertise, selflessness, dedication, and a compassionate heart to help those who are hurting. In past years, nursing has been regarded as a job and not a profession. Today, professional nurses assume the vital responsibility of upholding the moral and ethical principles of nursing in order to better advocate and care for their patients. These principles include autonomy, beneficence, nonmaleficence, fidelity, justice, and veracity (Zerwekh and Garneau 2015, 423). Nurses today work autonomously to assist patient and write appropriate care plans, mentor student nurses, and facilitate communication between families, patients,
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
Nurses must, at all times, put the wellbeing of the patient at the forefront of care
As a nurse, we must know right from wrong and hold true to our judgments on certain issues. Therefore, nurses must
My philosophy of nursing incorporates knowledge, compassion, competence, and respect for each patient. It is based on my personal and professional experiences, both of which have helped me to positively contribute to a patient’s recovery and wellness. These are the attributes that give me a sense of pride and strengthen my commitment to the nursing profession. This paper explores my values and beliefs relating to a patient’s care, as well as, the responsibilities of health professionals.
Nurses play a critical role on patient’s health; the relationship that a nurse and patient develop can in some cases be life altering. Applying these characteristics and being a servant leader to patients establishes life long impressions and makes critical difference in treatment allowing for optimal care to be received. Always listen to patients concerns, be empathetic in their concerns, and help while committing to their personal growth, one never knows whom they are actually a leader for. Some individuals look up to nurses and count
b. Should the Agency has taken any actions in previous years (such as restricted distribution, withdrawal of product, or Dear Doctor letter) that they did not? Why or why not?