Describe the duties of the professional nurse in this case with Mr. Cole As a nurse we are supposed to have compassion and build a rapport with our patients but we must uphold our ethical principles when it comes to this dilemma. As for analyzing this situation and coming to a decision I would use the nursing process since it provides a helpful mechanism for finding solutions to ethical dilemmas. (Whitehead 2007). I would assess the situation and ask myself about the medical facts, psychosocial facts as well as cultural beliefs, patients’ wishes and what values are in conflict. I would then move on to planning and make sure that everyone is involved during this stage and continue on down the line with the nursing process. It seems like The …show more content…
When it comes to decision making the patient has the right to exercise autonomy. The patient has a right to know their treatment plan, alternative treatments, choose to implement the treatment of choice or chose not to. The patient also has the right to stop the treatment plan that was implemented, but he also has the right to know the consequences of his decisions when he chooses to refuse, stop or postpone treatment until further notice. As I mentioned previously the patient has the right to exercise autonomy, but they are also responsible for the outcome of their choices. If the patient chooses to leave AMA or be transferred to another facility they also hold the right to do that, but we as nurses must always tell them the truth regarding their decision as well as the outcomes of those decisions. (Florida Patient 's Bill of Rights and Responsibilities, …show more content…
Mr. Cole seems to favor autonomy, which is the right to make his own decision. I as his nurse must exercise my right of nonmalificence (duty to do no harm) especially if I feel that the patient is unstable. I feel that it is my duty to be honest with Mr. Cole (veracity) and let him aware of what can happen if he chooses to go home even though he is still coughing up blood. At the end of the day I am held accountable for the outcomes, whether they are good, bad or poor, so I must do my best to cover all bases not just for myself but more importantly for the patient. (Whitehead 2007) Sometimes the patients are not aware of the possible outcomes unless the outcomes are explained to them. Would you chart the incident and would you report it to anyone, why or why not? I would definitely chart the incident and discuss my findings with the physician. I feel that it is my duty to let the physician aware of the situation and let him decide if the patient is stable enough to go home. I would hope that the patient understands my reasoning for discussing the findings with his physician. All in all this is a tough decision, especially for the nurses because they are faced with ethical dilemmas on a daily basis and it’s hard to make the right decision while trying to advocate for the patient at the same time. (Poikkeus
Patient decision should be honored unless the patient or a legal appointee makes changes or agrees to rescind, for example when the patient is scheduled for surgery. The care provider should not assume that the patient will agree to hold DO-NOT-Resuscitate orders due to scheduled surgery or procedure. It is required of the physician to inform the patient, family, and/or surrogate of the intent to hold DNR orders and allow them to make an informed consent (HCEHC, 2005). In such situations where the care provider is torn between following the patient’s decision and implementing procedure that in one way or another conflicts with DNR orders, the risk management team at the institution, state or national level should be consulted for advice. All
Like traditional modalities, alternative or complimentary modalities intend improve the health and well being of clients. These modalities can hope to increase comfort or relaxation, maintain, improve or restore health and harmony of the body, mind, and/or spirit, or increase the client’s sense of well being. They are often used either in addition to or in place of conventional treatments, and can be seen in the examples of massage, acupressure, and herbal supplements, among others. The National Center for Complementary and Alternative Medicine (2015) states that complementary modalities are those used together with conventional medicine and alternative therapies those used in place of conventional medicine. NCCAM says that Integrative Care combines complementary and alternative approaches with conventional medicine.
Issue: Is it legal and ethical to withdraw life-sustaining medical treatments from a terminally ill adult patient? Yes, the right of an adult patient in receiving or not receiving medical treatment under the legal and ethical standards requires the patient to provide informed consent. If the patient cannot provide informed consent, a legally authorized surrogate can make a decision. The same legal and ethical standards apply for the terminally ill adult patient in the case of withdrawal of life-sustaining treatments.
Respecting your patient’s autonomy while acting in their best interest may contradict each other. While PAs are not expected to ignore their own values and scientific or ethical standards, or the law, they should not let these personal beliefs interfere with their patient’s access to proper care. It is their ethical obligation to see that each of their patients are given appropriate care. The third principle, nonmaleficence, goes hand in hand with beneficence.
The ACF code of ethics states (among other pledges) that any professional chef should provide services that contribute to the health and welfare of society, to act with honesty, integrity, and fairness, to provide services in non-discriminatory way, and to show professional respect for all coworkers (American Culinary Federation, 2008). As a professional chef and as a member of a staff including chefs, Jared should be following these guidelines and his coworkers should be as well. As Jared has come to the clinic and is asking for advice from the nurse, another relevant ethics code is from the American Nursing Association (ANA). Provision 1.4 in the ANA states that patients have the right to make the decisions that will affect them; nurses must respect their autonomy but also make sure that their decisions are informed and that support is being provided.
Ethical principals include autonomy, veracity, and fidelity. If we look into each principle, there is violation in all three. Autonomy is the respect for an individual’s right to self-determination. Veracity is the obligation to tell the truth, and fidelity is our duty as healthcare professionals to do what one has promised (Silvestri, 2011). The patient’s has the right to decide whom does he want to be involve in his care.
The physician is rendering the aid the patient requests and respecting the patient’s autonomous decision to exercise their right to
The study of right decision making, or ethics, is something that every health-care professional has to deal with at some point. Although certain specialties deal with these kinds of decisions more than others, everyone benefits from physicians having knowledge about ethics. Without physicians looking out for the best
As a result, I will focus on the machines on the patient, but also the patients on the machine. Conclusion Ethical decision-making begins with a nurse aspiring to become a nurse leader. A nurse leader cannot provide the best care for a patient without proper communication. Communication allows the patient, nurse, and other healthcare team members to work coherently for the best plan of care.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
According to the case scenario, this is an ethical dilemmas because there is a choice between two equally appealing mutually exclusive choices that is shown as the nurse’s awe while against the prisoner’s wish among of the fear of reprisal if disobeying orders. The RN is working in military, so obeying orders is the most important rules in where the nurse practices. Therefore, the nurse notes that a moral distress arise while following the healthcare members’s decisions which are considered as
As previously mentioned, health care professionals need to continue to improve the way the face ethical dilemmas. When a surgical doctor faces a moral situation where he faces when a patient refuses a blood emergency transfusion, he is guided by the broader ethic principles and laws dealing with beneficence (providing benefits and balancing them against risks to a patient of specific treatment), but at the same time he is guided by broader principal of non-maleficence (where a physician’s obligation of first, do no harm’ to a patient). When both of these principles conflict, then the patients right of autonomy be violated. This paper provides possible recommendations that prepare a medical professional to find the best solution that saves
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to
According to CNA code of ethics (CNA, 2008, p. 11), as a nurses I should identify and respect decision of my client. I should support person’s right to refuse for treatment. As in Lucia’s case, I will respect her decision to refuse consent for the transplantation. The parents are disagreeing with decision made by her and wanted to impose their wishes on her. In this case, I will help family to understand the person’s decision and I will meet family to answer their questions.
Ethical Issues in Healthcare There are many ethical issues facing health care at any time and it is impossible to say definitively which is the most pressing or the most important. Health care professionals are expected to base their practice on a set of ethical principles, including truthfulness, beneficence, nonmaleficence, justice, and confidentiality. Ethical issues can arise, however, when a l professional is called upon to act in opposition to personal values or in cases where the values of patient, health care worker, and sponsoring institution conflict. The following issues are presented in no order. Neonatal Ethics Neonates are babies within their first twenty-eight days of life.