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For this paper I read the novel The Memory Keeper’s Daughter by Kim Edwards, this novel is told in the span of 25 years, it is told by two characters David and Caroline, who have different lives but are connect through one past decision. The story starts in 1964, when a blizzard happens causing the main character, Dr. David Henry to deliver his own twins. During the delivery the son named Paul is fine but the daughter named Phoebe has something wrong with her. The doctor realizes that the daughter has Down syndrome, he is shocked and age remembers his own childhood when his sister was always sick, her dyeing at an early and how that effected his mother. He didn’t want that to happen to his wife, so David told the nurse to bring Phoebe to an institution, so that his wife wouldn’t suffer. The nurse, Caroline didn’t think this was right, but brings Phoebe to the institution anyways. Once Caroline sees the institution in an awful state she leaves with the baby and These ethical dilemmas were a big part of the story novel and caused most of the conflict that arose in the novel. One of the ethical dilemmas was David telling the nurse to bring his daughter to an Institution. By making that decision to send his daughter away based on his past experience with his sick sister and assumption about how the future will be. This connects to the ethical topic of techniques of neutralization by Joseph Heath. He uses an excuse to prove that his decision wasn’t unethical when it really was. According to the Denial of responsibility technique, he believed that he had no choice in sending Phoebe away, David saw it as the only option because he was so focus on his past experience. He imagined what Phoebe’s life would be like and the likely toll of caring for her would have on the family. Caused him to see Phoebe as a threat, with only one option to solve the
This book is about a girl name Ellen Foster who is ten years old. Her mother committed suicide by over dosing on her medication. When Ellen tried to go look for help for her mother her father stopped her. He told them that if she looked for helped he would kill them both. After her mother died she was left under her fathers custody. Her father was a drunk. He would physically and mentally abuse her. Ellen was forced to pay bills, go grocery shopping, cook for herself, and do everything else for herself. Ellen couldn't take it any more so she ran away her friends house. Starletta and her parents lived in a small cabin with one small bathroom. One day at school a teacher found a bruise on Ellen's arm. She sends Ellen to live with Julia the school's art teacher. Julia had a husband named Roy. They were both hippies. Julia and Roy cared a lot about Ellen. After Ellen turned 11 years old she was forced to go live with her grandmother. Ellen didn't want to leave Julia and Roy but her grandmother had won custody. Her grandmother was a cruel old lady. Ellen spends the summer with her grandmother. Living with her makes her very unhappy. Since her grandmother owns farmland she forces Ellen to work on the field with her black servants. Ellen meets a black woman named Mavis. Mavis and her become good friends. Mavis would talk about how she knew Ellen's mother and how much Ellen resembled her mother. Her grandmother didn't think the same. She thought that Ellen resembled her father. She also hated that man. Her grandmother would often compare her with her father. Her grandmother would torture her because she wanted revenge from her father. Her grandmother also blames her for the death of her mother. While Ellen was staying with her grandmother her father died. When her father died she didn't feel sad because she had always fantasized about killing her father. Ellen just felt a distant sadness. Ellen cried just a little bit. Her grandmother was furious because Ellen showed some emotions. She told her to never cry again. After that Ellen becomes scarred for a long time. One day her uncle Rudolph bought the flag that had been on Ellen's father's casket. Her grandmother turns him away. Later that day she burned the flag.
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
Reba is experiencing an ethical dilemma. Her 82-year-old father has recently had a stroke and is ready for discharge. She doesn’t know what actions she should take to provide the best care for her father. Her dilemmas are competing and have no satisfactory solution. Reba’s cultural and ethical beliefs are different than those of her husband. Reba thinks it is her duty to care for her father because he cared for her. Her husband thinks there is no way she will be able to take on so many responsibilities with the one she already has. She also has a dilemma concerning the appropriateness of her house and her ability to care for her father. Reba would have to remodel her house to put a bathroom downstairs and to make it assessable for her father.
Presenting the story from a third person perception and having the narration by the mother or “Mama” gives the story great relevance to real life situations that ha...
Every nurse will be faced with a decision making dilemma at some point in his or her career. Being familiar with the nursing code of ethics, what is ethically and morally expected in society and how to approach the situations can help make dilemmas less of a nightmare. “The purpose of nursing ethics is to inspire questions and examine what would be the ethically right action in health care situations demanding a choice between at least two undesirable alternatives” (Toren & Wagner, 2010, p. 394). There are many different ways one can approach a situation to reach a resolution, finding a method that works best with the situation at hand is ideal.
In the medical ethics case study given to me, Justin is new nurse at a hospital and has become great help to the other employees but he makes mistakes often. When it comes to medical ethics, it is important to do what you know is morally correct. We all want to be good Christians and make the right decisions but sometimes those decisions will affect others negatively. We may not always act how we ought to but those decisions do affect who we are.
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...
I was unable to experience an ethical dilemma at my clinical site; however, I have come across a few dilemmas in recent news. The ethical dilemma I have chosen to discuss took place in California. A two-year-old boy had a severe asthma attack that resulted in him becoming brain dead after having a heart attack. Although three doctors from two different hospitals declared the boy brain dead, the family asked the court to have their son remain on a ventilator, and then took off to Guatemala to receive treatment they felt their son was not receiving in California. There, a neurologist declared that the boy was not brain dead, so the family returned to California to a new hospital. After days there the court order they asked for was denied. The boy was taken off the ventilator and passed away (Miller, 2016).
1.19. Many elderly people have trouble remembering words, people’s names, and recent events. Imagine a memory-aid product. What features would it have? What technologies would you use if you were designing it?
582). Ethical decision making is defined as “The process of choosing between actions based on a system of beliefs and values” (Black, 2014, p. 347). The nurse handling the ethical problem must first identify that there is in fact a problem. The second step is to acquire all of the required information related to the current situation. The third step is to come up with multiple choices and options to solve the ethical problem. The fourth step is to actually pick one of the choices utilizing sound ethical judgement. The fifth step would be to enact the made decision. The final step in the process is to reassess your decision and look for effectiveness and
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.
Ethics and integrity are essential parts of the nursing profession since they provide nurses with the capacity for weighing in on the impacts that their actions may have on the profession (Guido, 2014). However, maintaining high levels of ethics and integrity may create significant challenges for nurses some of which impact on their position as healthcare providers. One of the key challenges that nurses experience as part of their profession is increased cases of ethical dilemmas some of which impact on their abilities to make decisions based on the interests of their patients. The nursing code of ethics indicates the need for nurses to ensure that the decisions or actions they take reflect on the interests
Case #2 is a perfect example of a case that causes one to question which ethical principles are most important and to whom those principles should be applied. Case #2 involves Jane Trause who has had a history of drug use and is currently pregnant. Upon being admitted into labor and delivery, it quickly becomes evident to medical staff that the fetus is medically unstable and needs to be delivered immediately. However, it is determined by the medical staff that the baby will not survive a natural delivery and that the only way the baby will be born alive is by a C-section. Jane and her husband Doug adamantly refuse to allow a C-section and remind the staff that they have a right to refuse treatment. The residents of the hospital must decide if they can morally respect Jane’s autonomy and allow her to deliver naturally, while putting the fetus’ life in jeopardy or if they will override Jane’s wishes and perform the C-section without her permission to ensure a safe delivery.
Based on the class discussion on truthfulness and paternalism, I believe that hiding the full truth from Mrs. Cortez is the most ethical act to take. The reading on the book and discussions on patient autonomy include the premise that the patient is mentally stable and able to understand and exercise free will as a result of the honesty that they were given. However, in Mrs. Cortez’s case, a patient with dementia, being honest only causes emotional harm and does not give her any long term understanding of the objective world. Furthermore, she is fragile and ill and most likely not able to handle being told such tragic news over and over again. The doctors and nurses at Grove Manor should keep the truth regarding George from Mrs. Cortez.
Various factors are associated with the development of ethical dilemmas, including advances in medical technology, increased life expectancy, the high cost of healthcare in an environment of limited resources, lack of time to provide care and conflicting values and cultures among patients, nurses and other healthcare professionals. All of which, including the growth of the nursing profession, have brought an increase in the nurses’ participation in human rights and life and death decision-making situations (Kim et al.,