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Midwifery case studies
Midwifery case studies
Outline of midwifery case study
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Midwives face various ethical dilemmas in the course of their duty because the profession is involving and more than just providing health care services. The midwives have the responsibility to grant the women the freedom to choose the kind of care and treatment they feel is appropriate. However, what happens when the same choice endangers the health of the woman and the baby and affects them negatively. As a healthcare practitioner, a midwife is supposed to analyse the situation and resolve the ethical dilemma rationally, while putting the interest of the woman first, upholding their rights and respecting their decision. This condition can be an uphill task as some situation in midwifery are complex and require a professional to provide advice and care objectively and compassionately regardless of their point of view. This article will analyse labor induction as an ethical dilemma and apply ethical principles of nonmaleficence, beneficence, justice, and autonomy.
Midwives face different ethical dilemmas on a daily basis while providing maternal care to women. An example of
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Therefore, they should consider the fact that induction of labour is a bad idea, especially when the mother and her baby are healthy. It also leads to an increased need for medical intervention such as epidural anesthesia, cesarean, and analgesia (Maslow, 2000). While applying the principle of beneficence, the midwife should act in the best interest of the woman. Thus, the midwife should realise that when using any medical intervention, the benefits should far outweigh the risks. Lastly, the principle of justice is concerned with the fair distribution of health resource. Therefore, while making the decision, the midwife should answer the question of whether the woman needs the induction yet it could be useful to other clients who may be in a critical condition (Nursing and Midwifery Council (NMC),
...s driven by non-maleficence, or the intent to “do no harm”. They know that withholding treatment for religious beliefs will potentially be fatal to both. While Maria is acting out of loyalty to her religious beliefs, the medical staff is acting out of loyalty to the patient’s well being and that of her unborn child. It would be unfair if no party were acting on behalf of that child. In conclusion, providers in this case must pursue every option in delivering life saving treatment for this child. This may involve legal action. If it were just Maria providers may attempt to influence her decision, but ultimately it would be up to her to refuse suggested treatment. Since her decision affects the life of the baby providers are called upon to save that child .
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
"I had traveled much on the Kennebec, by water, by ice, and, during those treacherous seasons when the river was neither one nor the other, by faith" (e.g., A Midwife's Tale). Martha's diary is one of the few documents written by a woman that exist today and that describes the behavior, occupation, roles, and daily activities of a common society in the 18th century during and after the Revolution. Although she dedicates her whole life to help others and her family, the diary exposes a very different world with the very different community. Many other history documents lacked the problems of women and the lack of written documents by the female gender. Through this document, Martha gives the importance of women in the community and how they
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.
In doing this project the literature drawn from is largely non-scholarly for the reason that I am prevailing upon the reader to think outside the box about birth. Most of the “scholarly” research that is available was written by doctors or nurses/nurse midwives who were trained in the medical model of birth. Since part of my premise is that the high rate of Cesarean sections is caused in part by viewing birth as a medical and therefore pathological event, and in part for its emergence as a capitalistic industry, it was then necessary to find literature written by people who have expertise in birthing though not from the traditional obstetrical/medical school approach.
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 profession, doctors and nurses run into ethical dilemmas every day whether it be a mother who wants to abort her baby or a patient who has decided they want to stop cancer treatment. It is important for the nurse to know where they stand with their own moral code, but to make sure they are not being biased when educating the patient. Nurses are patient advocates, it is in the job description, so although the nurse may not agree with the patient on their decisions, the nurse to needs to advocate for the patient regardless.
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Ethical dilemmas in nursing happen daily therefore nurses must treat all patients with respect and integrity for the patients’ best interest and health. Nurses must be the advocators for their clients, in this case being an advocate for the patient helped in the resolution because the nurse made sure to speak for the patient with mediation error and no affect on the patient’s health. The decisions nurses make can affect the patient’s health and quality of life, hence making the right choice is critical in nursing. The decision making can be based on the nurses’ values, experiences, ethical principles and theories.
An ethical dilemma is defined as a mental state when the nurse has to make a choice between the options and choices that he or she has at her disposal. The choice is a crucial task as the opting of the step will subsequently determine the health status of the concerned patient, hence it requires a great deal of wisdom along with proper medical and health training before any such step is opted as it is a matter of life and death. Strong emphasis should therefore be on the acquisition of proper knowledge and skills so that nurses do posses the autonomy to interact with patients regarding ethical issues involved in health care affairs and address them efficiently. It is normally argued that nurses are not provided sufficient authority to consult and address their patients on a more communicative or interactive level as a result of which they are often trapped in predicaments where their treatments of action and their personal beliefs create a conflict with the health interests of the patient. (Timby, 2008)
Abortion is a controversial issue in the United States and internationally even when it is legalized. Though women in the United States are able to receive abortions nurses still have many concerns about the ethical issues surrounding abortion. One of the biggest ethical dilemmas is whether the nurse’s role as a caregiver extends to the fetus. This paper will explore the issues faced by nurses who believe they should care for the fetus. If the definition of a patient includes the fetus then providing abortions is contrary to the nurse’s role as caregiver; however, the mother is definitely a patient and must be cared for as well. It is the nurse’s responsibility to support the woman’s decision so that she may obtain an abortion safely. Nurses who put the life of the fetus first are allowed to refuse to participate in an abortion, but this may affect the way women receive nursing care.
Abortion is the process of removing the unwanted contents of conception, which will develop into a human being, from a mother’s body. It has been a controversial topic for years and undoubtedly will continue as one until the end of time, with valid arguments being made from members on both sides of the isle. Many of the argument and issues pointed out are ethical, scientific, and moral in nature. When do these contents of conception actually become a person? Should abortion remain legal? If made illegal will women’s health suffer as back alley abortions are performed? These are some of the many questions that are asked when the topic of abortion is discussed. For the time being abortions are legal since the Supreme Court's Roe v. Wade decision legalized it. This law is in direct opposition of many health care workers and nurses’ personal moral and ethical beliefs, therefore, we as nurses must examine our own surrounding and beliefs while at the same time being aware that proper care must be provided to all patients. In situations where moral obligations are tested, the professional nurse will remain free of stereotyping or segregating and will either dismiss themselves from care of these patients or will be nonjudgmental and provide the best possible care.
“All over the world there exists in every society a small group of women who feel themselves strongly attracted to give care to other women during pregnancy and childbirth. Failure to make use of this group of highly motivated people is regrettable and a sin against the principle of subsidiarity.”
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face
All mothers, especially first time mothers need help moral support and advice during the first few days after their delivery to ensure proper care of their newborn. The care and help given to first time mothers is of utmost important during this period as to maintain the normality in their babies as well as to prevent any further complications. Typically all pregnant women are counseled during their antenatal period on how to prepare themselves mentally on the care of their babies after birth. Upon delivery, majority of the mothers would stay for a short period in the hospital. During this short stay, they would need time to recuperate, need to know what care to give their baby and how to carry out the care and also learn what to do if their baby is feeling unwell. Thus it is important for health care providers to assist first time mothers be it at the hospital or at home since it is a crucial period for them and they often requires more help and moral support especially when it comes to the proper care of their newborn. ("Routine care of a newborn baby")