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Principles in nursing ethics
Principles in nursing ethics
Principles in nursing ethics
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Compare and Contrast Growing up, I was taught respect someone regardless of their age. As a pediatric nurse, one must respect their patient even if they are not legally viewed as an adult. Mike needs to be respected as a patient and not brushed off since he is considered a child. Going off the value of altruism, the nurse needs to consider if it is the best well being for Mike to discontinue treatment. By doing so, the nurse will also follow the ethical principal of beneficence by causing no harm to Mike. In a study of AML pediatric patients if was found, although increased in the past two decades, that only 31% of patients with relapse have a 5-year overall survival rate (Sander, Zimmerman, Dworzak, Fleischack, von Neuhoff, & Reinhardt, 2010). Mike has to decide if going through treatment is worth those odds. If it is deemed necessary, Mike can look into the Mature Minor Doctrine that would allow him to choose his own path of treatment without the consent of his parents. …show more content…
Based off a study done by Ikeda, Collins, Alvaro, Marshall, & Garg it was found that although many pediatrics patients experienced side effects from the treatment of their cancer, their quality of life was satisfactory (2006). It was also found that patients with AML who had a poorer quality of life were easily able to adapt to a normal quality of life (Ikeda et al, 2006). Mike still has a chance of living a quality life with getting treatment. Also, since Mike is under the age of 18, according to the Age of Majority Act, his parent’s have the right to informed consent. Meaning, the parent’s have the right to decide which course of treatment Mike can purse. The nurse must accept that that parent’s have the autonomy to make the decision for Mike. However, before the parent’s make the decision to continue with treatment, they should have all the information given to them by the physicians and nurses based of the ethical principle of
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Although they bear some superficial similarities and differences between a Licensed Practical nurse (LPN) and Registered Nurse (RN) are well-defined. LPNs and RNs have many differences and similarities that many people are unaware of. Registered nursing and LPN are both types of nursing, but often have two different roles. Schooling, job duties, places of work and salary are all different when it comes to RNs and LPNs. The basic life support (BLS) had predicted 22% job growth for LPN between 2010 to 2020. For RN’s the projection is 26%. Even though both are growing but the registered nursing is growing a little faster. One will be Comparing and contras the difference between LPN and RN. One will also be comparing and contrasting how long one will
A child’s ability to have capacity is often loosely determined by the “rule of sevens” which states that children under the age of seven lacks capacity completely, children between seven and fourteen probably do not have capacity, and children greater than fourteen usually have capacity. Another consideration that needs to be taken into account when determining a minor’s ability to have capacity is if the child can be classified as an emancipated minor or as a mature minor. Emancipated minors, while the definition can vary slightly by state laws, are legally emancipated or separated from their parent/guardian, and have the right to consent for their own medical treatment as an adult. A mature minor, again the definition can vary by state law, is a minor that is 14 years or older, usually still under the care of his/her parents, that is deemed to be mature and intelligent enough to understand medical decisions. This mature minor is also able to take into account all benefits and risks for each of the treatment options presented and is able to make a rational treatment choice based on this information. The status of a mature minor is evoked either when a minor’s parent is not present at the
The individual will need to be encouraged to make decisions about the care they receive and the type of life they want to live and also ensure that their families are part of the decision making process.
When people think of a pediatric nurse practitioner, they normally think of a person who performs examinations, takes blood samples, and measures vital signs of children who are sick. What they don’t see are the countless hours spent getting to know the patient, showing sympathy and understanding, and having to explain the diagnosis and treatment plans to the parents and sometimes to the child. According to my career cruising inventory, any job in the medical field would be right for me. However, after reading the descriptions, I concluded that a pediatric nurse practitioner was the best path. I will be attending nursing school to receive my nurse practitioner license, while specializing in pediatrics. The skills, educational requirements,
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
Many people happen to confuse a medical assistant with a Nurse. I would see why people tend to confuse these two, because I mean they are both connected in the medical field. Being a nurse seem to be better than a medical assistant. You’re more independent working rather than a medical assistant; the hard work pay off at the end with that nice juicy check.
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.
My initial response to the issues was only based on the hospital policies regarding the care of the patients within the hospital. However, when I was guided down the different paths and made to look through the different ethical lens, I found it tough to do so and seem to resort to my core values of autonomy and rationality. By putting the patients’ first, hospital policies, and then their loved ones in the first scenario, I determined that a compromise was necessary. Whereas in the second scenario, I feel as no agreement was needed just staff education (EthicsGame Simulation, 2016). In this particular case, Carlotta, the RN shift supervisor, needed further training to understand the hospital policy on who is or is not considered to be family (EthicsGame Simulation,
Pediatric Nurse 1. A pediatric RN assists pediatricians by assessing a patient's needs and providing initial patient care. They help families deal with a child's illness or injury. They often offer information on nutrition, diet, and good health habits. The work of a Pediatric Nurse can range from assisting a Physician with the exam of a child to drawing blood.
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. Charlotte’s parents wanted the doctors to continue testing until it was determined that her life diffidently had no chance of remaining. Because, of Charlotte’s parents’ desires unfortunately caused Charlotte to die a painful death without her parents. If the patient is unable to speak for their selves, the family should be able to have some say in the medical treatment, however; if the doctors have tried everything they could do, the hospital should have final decisions whether or not the patient dies or treatment
In critical and complicating medical cases, family members often find it tedious to decide as to what mode or procedure of treatment is idyllic for the recovery of their patient. In such cases, well-qualified and medically educated can play a pivotal role in deciding the kind of treatment that should be given to the patient to enhance its recovery. In a contrary situation a nurse may know that administering a particular drug may improve the patient’s condition, but may be refrained from conducting the required action due to doctor’s absence or non-permission. There are numerous cases through which ethical dilemmas in the profession of nursing can be discussed. Nurses in order to remain within the defined boundaries ...
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
Another huge ethical topic is the patient’s right to choose autonomy in the refusal of life-saving medicine or treatment. This issue affects a nurse’s standards of care and code of ethics. “The nurse owes the patient a duty of care and must act in accordance with this duty at all times, by respecting and supporting the patient’s right to accept or decline treatment” (Volinsky). In order for a patient to be able make these types of decisions they must first be deemed competent. While the choice of patient’s to refuse life-saving treatment may go against nursing ethical codes and beliefs to attempt and coerce them to get treatment is trespass and would conclude in legal action. “….then refusal of these interventions may be regarded as inappropriate, but in the case of a patient with capacity, the patient must have the ultimate authority to decide” (Volinsky). While my values of the worth of life and importance of action may be different than others, as a nurse I have to learn to set that aside and follow all codes of ethics whether I have a dilemma with them or not. Sometimes with ethics there is no right or wrong, but as a nurse we have to figure out where to draw the line in some cases.
Caring for people is a prerequisite for becoming a nurse. This can often be effortless and second nature but then there are other times where caring for someone is not always the easiest thing to do. You see it in the frustrated mom of the two-year-old who is throwing a temper tantrum in Target. Or the nurse of a patient who presses his call light frequently for seemingly insignificant things. Caring takes patience. With nursing, in particular, you need to feel called to the profession. You need to feel as though nursing is something you desperately have to do. As if you would be disobeying or cheating if you did not become a nurse. This calling can come from many different places or people, but for me, it comes from the Holy Spirit. Throughout my life, I would get so excited going to the doctor’s office or the hospital. I longed to stay and discover parts of the hospital I had not had the pleasure of finding yet. I felt called to