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Advanced practice nurse competencies national organization of nurse practitioner faculties
The role of the advanced practice nurse
Informed consent in healthcare
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Recommended: Advanced practice nurse competencies national organization of nurse practitioner faculties
An advanced practice nurse (APN), will be faced with different types of ethical-legal dilemmas that in most cases will require the APN to make urgent decisions that will include both moral and ethical attention. Ethical dilemmas are conditions that have to scenarios course of actions to take that will contradict each other (Westrick, 2014, pp 258-265). The APN will have to choose between the two urgent decisions because each of these choices is deemed to be equally right and urgent. This is the reason that makes dealing with ethical-dilemmas very stressful for the APN and other experienced caregivers involved. It is very noteworthy that an APN has many medical responsibilities to provide care, and are also in the position to make urgent medical decisions that is independent because of being the person in authority at that time. Many of the existing ethical dilemmas will fall in with a variety of treatment withdrawal vs maintenance, the quality of life vs the quantity of life, euthanasia vs non-euthanasia, and pro-choice vs pro-life (Westrick, 2014b, pp.77-83).
This paper will address the ethical dilemma of informed consent vs the right to refusal of treatment by the patient. I will show the
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Her physician recommended that the leg be amputated but she failed to consent to that decision (Relman, 1978). This forced her daughter Lane to file a petition in court with an aim of being appointed as an authority on her mother’s behalf in order that she consents to the amputation procedure. It was established by the court that Candura was in a position to make her own decisions and so her leg was not to be amputated unless she agrees to it (Relman, 1978). In my case above, the patient is in a position to make his own decisions and is even supported by his son who happens to be his power of
Siegler, M., and W. Winslade. "Ethics in Medicine." Clinical Ethics. By A. R. Jonsen. 7th ed. N.p.:
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
The case study addresses the rights of the parents to decline further medical treatment for their son and his rights as the patient to refuse further treatment. The authority to...
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.
Ethics has been a popular topic in nursing for a long time. Nurses are expected to demonstrate ethical decision-making as well as professionalism. I believe that in order to accomplish this, they need to use the ANA Code of Ethics as framework for their decision-making. It is also imperative for nurses to have a strong understanding of ethics, because they will be faced with many difficult ethical decisions that do not always have a straightforward solution.
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
...endent judgments about their own fate. In keeping with this trend there is now a growing drive to review the current laws on euthanasia and assisted suicide.” (McCormack, 1998) Nurses are faced with various ethical dilemmas every day. If theses ethical decisions are not treated in a professional manner there can be harsh consequences for both the patient and the nurse.
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)
As a FNP working in an acute/critical facility, a possible ethical dilemma could arise with end-of -life care with a patient and disagreement between families members. Available resources an advance practice registered nurse (APRN) can use to help resolve ethical dilemma include requesting assistance from other colleagues
In this diverse society we are confronted everyday with so many ethical choices in provision of healthcare for individuals. It becomes very difficult to find a guideline that would include a border perspective which might include individual’s beliefs and preference across the world. Due to these controversies, the four principles in biomedical ethic which includes autonomy, beneficence, non-maleficence and justice help us understand and explain which medical practices are ethical and acceptable. These principles are not only used to protect the rights of a patient but also the physician from being violated.
Any individual has a right to accept or refuse medical treatment which is protected by law. At times, serious illness, injury or mental incapacitation makes people incapable of talking and what medical treatments they want. Such situations pose hard questions to patients, friends, health care workers and even family members. An advance directive is a legal document that allows doctors, family and friends to know your desired health care. This paper discusses the legal and ethical basis of advance directives. A sample advance directive (a living will) is given at the end of the discussion.
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
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.
For legally competent adult patients, regarding medical care per se - according to Anglo-American law -- every competent adult has the freedom to seek or not to seek medical care and to refuse to consent to any specific treatment proposed, under the common law right of bodily integrity and intangibility:
Roughly, the concerns surrounding problems for which ethics consultation may be requested consist of; refusal of treatment, surrogate decision m...