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Ethical Dilemma Case Study E.K. was a 62-year-old male admitted through the emergency room after losing consciousness in his automobile. His blood glucose was 612, breathing was shallow and rapid, oxygen saturation was 54, the patient was unresponsive to verbal or physical stimuli, and his alcohol level was 1.3, his primary doctor was a staff physician and was consulted about his care. The physician shared the patients past medical history of diabetes, hypertension, anxiety, and depression with the attending. E. K.’s glucose was stabilized, he was intubated and admitted to the intensive care unit. The family was notified, and his wife and 23-year old son arrived. Speaking with the nurse and primary care doctor,r who assumed the role of
advice, the health care professionals did not treat the situation in a way that respects and dignifies the patient. The patient’s state of mind barred him from making competent decisions regarding his health care. Considering Mr. T’s psychiatric state, as evidenced by his suicidal tendencies, he should have been placed on a psychiatric hold so as to prevent any harm that he may inflict upon himself. The health care professionals did not take Mr. T’s value/worth as a human into consideration and allowed him to leave against medical advice.
Abortion has been a political, social, and personal topic for many years now. The woman’s right to choose has become a law that is still debated, argued and fought over, even though it has been passed. This paper will examine a specific example where abortion is encouraged, identify the Christian world views beliefs and resolution as well as the consequences of such, and compare them with another option.
Tabitha walked onto the medical-surgical unit and received report on five patients in a record ten minutes before she began her busy shift Tuesday morning. The off going nurse managed to talk about the pet peeves and subjectives of each patient but was in a rush to make it to the monthly nursing practice council meeting and ‘everyone is doing fine’. Tabitha was unaware of the potential chaos that would ensue as her day progressed. As Tabitha walked into her patients’ rooms that morning to introduce herself, little did she know that Mrs. Jones is a high fall risk with no signage or alarms plugged in; Mr. Hill has fluids infusing at one hundred and fifty milliliters per hour with a history of congestive heart failure (CHF); and another patient is scheduled for surgery with no pre-operative paperwork or consents completed.
My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to protect her safety and dignity, whilst also trying to ascertain what was going on. During the unresponsive episodes we returned the patient to the stretcher where she spontaneously recovered and refused hospital treatment. I completed my patient report form to reflect the patient's decision and highlighted my concerns. The patient’s intoxicated husband then carried his wife back into the house.
It was a quiet and pleasant Saturday afternoon when I was doing my rotation at the surgical medical unit at Holy Cross Hospital. It’s time to get blood sugar levels from MM, a COPD patient. His BiPAP was scheduled to be removed before his discharge tomorrow. When I was checking the ID badge and gave brief explanation what I needed to do. The patient was relaxed, oriented and her monitor showed his SPO2 was 91, respiratory rate was 20. His grandchildren knocked the door and came in for a visit. I expected a good family time, however, the patient started constant breath-holding coughing and his SPO2 dropped to 76 quickly. With a pounding chest, the patient lost the consciousness. His grandchildren were scared and screaming,
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
The patient is a female in her early twenties who came in the hospital due to sickle cell crisis. She was in grave pain especially in the joints. Her hemoglobin level was low so the Physician ordered 2 bags of packed red blood cells and pain meds Q4hrs. The patient explained many times that the dose the physician ordered was not sufficient and that she needed more help. The nurse promised to contact the physician and to inform her of the response. The fact is she never did and was called urgently hours after to calm her patient who was crying in agony and wanted to go home to be in pain. She screamed out that no one cared. Some nurses were even callus enough to say if she wanted to leave then hand her the relevant document and allow her to go.
A confused man presents into the Emergency Department in a dishevelled and unkempt state, the nurse assigned to this patient recognises the following; the man is in his mid-sixties, confused and disorientate, anxious, has an acetone breath odour, also at examination locates a haematoma on the right side of his forehead while the patient also states repeatedly that he wants to pass urine. As acknowledged previously the nurse responded in an inappropriate manner therefore making a significant impact on the care of this patient for the upcoming shift, the nurse presented signs of neglect thus actions need to be taken to keep the patient safe with the best suitable care possible.
The facility should have written statement to refer to in case of emergency to help and protect the health care workers that are onsite. So that it would minimize the confusion. We all know that in the case of cardiac arrest time is very critical. The nurse wasted the patient greatest opportunity of survival by standing there and refusing care. It’s the policy of this facility to not make care for cardiac arrest patient difficult. I understand at 87 years of age the end result is most likely not going to be a promising, but I would help to know that there are some people who are willing to help. I hope the nurse learned her lesson and stand clear of confusion for future patient that reside the
In this assignment we will be identifying an ethical dilemma an individual has experienced. We will begin with a short introduction of what an ethical dilemma is, moving on to providing brief details of the dilemma an individual has experienced. We will then go on to selecting one ethical theory, to show how it can help an individual understand and deal with the situation when placed within, followed by a conclusion.
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 interest, social environment or norms, and religious beliefs (“Strategic Leadership”, n.d.). The 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 in 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
Ethics can be difficult due to the many different backgrounds people come from. It is difficult to know where their personal ethical compass sits. What one person thinks is completely acceptable another may not. Having a baseline in which to deal with ethical decisions helps to keep that waters from becoming muddied.
I’m going to review the case of a 73 year old female who was transferred to the Emergency room after collapsing in back yard. Prior to her collapse she was talking on the phone with a friend who reported “patient seemed confused”. Upon arrival to the hospital patient complains of difficulty with breathing. Her respirations and heart rate are elevated and her previous history includes diabetes and hypertension. Patient states she “just started a new blood pressure medication, Lisinopril”. Her other medications include metformin for diabetes and hydrochlorothiazide for fluid retention. Patient becomes unresponsive and is having more difficult time breathing.
An ethical dilemma is defined as a complex situation that will often involve an apparent mental conflict between moral imperatives in which to obey one would result in transgressing another . When individuals are faced with an ethical question, we tend to search for a “correct answer” when responding. However, these types of questions do not always seem to have a straightforward answer. The arguments which may arise from an ethical dilemma question are typically examined in two ways: whether people are being consistent in their judgment and whether the alleged facts on which those judgments are based are truth. In this essay, the ethical dilemma being presented is as followed: A man cheats on his wife early in their marriage. Twenty years later he wants to “come clean” about his infidelity. Should he? The ethical interpretations of philosophers Aristotle, Benedict de Spinoza, Immanuel Kant, and myself will be addressed regarding this particular dilemma.
As humans we are faced with many decisions in life, which in and of itself, distinguishes us from the animal kingdom. I’m sure other animals make decisions, but as humans we take into account our values and morals. In choosing which path to take with some of life’s decisions, ethics, are often at the center; heavily influencing our choices between what is right and what is wrong. Which are usually defined by society, as to what is acceptable and what is not. As time goes on, society evolves, so do the right and wrongs, our values and morals, and ethics. In philosophy, there were three ethical theories by Aristotle, Kant, and Bentham & Mill and they were the “Golden Mean”, “Categorical Imperative”, and “Greatest Good for the Greatest Number” respectively.