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Ethics of healthcare
Ethical issues in heathcare
Ethics of healthcare
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Long-term care facilities have become home to some individuals due to loss of capacity for independent living which normally caused by some illness that result in them not being able to care for themselves or to perform any daily living activities, such as cooking, eating, bathing, and toileting. Now as an administrator of a long-term care facility, I am responsible to make sure that everything runs smooth; in another word I play most important role in the facility. I am in charge of everything that goes on including patient admissions, facility policies, laws, finances, facility maintenance, residential care and staffing. A number of ethical issues can and will arise in a long-term care facility, such as providing patient care, dealing with
The case study that I chose was from Nursing Ethics Journal is titled, The twins: a case study in ethical deliberation. This case presents a nurses perspective about nine year old, Roman Catholic, Hispanic twins, who survived a very difficult preterm birth and were in a persistent vegetative state since childbirth. The parents took care of the twins along with their four other children, but the growing demand of the twins was starting to take a toll on the parents, so they decided to place the twins in an institution. From the time that the twins were admitted to the institution, they have been frequently admitted to the hospital related to respiratory illnesses and urinary tract infection, which were a result of their deteriorating immune system. The nurse’s role was to obtain a do not resuscitate (DNR) order from the parents due to the doctors stating the twins have less than a year left to live, and “why prolong the inevitable?”
“Medical Law And Ethics.” Hoboken, Nj: Pearson Education. Jones, A.L. (2011) “Use of Advance Directives in Long-Term Care Populations.” Video:
Healthcare professionals should have a clear understanding from the beginning of their jobs to provide care that is catered to their patient’s needs and does no harm to their patient, yet some caretakers tend to walk the fine line between what is ethical and what is convenient. In Carolyn Buppert’s article, “Can I Prescribe for My Elderly Father?” , Buppert describes a situation involving nurse practitioners prescribing medications to family members for different reasons; nevertheless, this is a violation of the principle of justice because it is against the law to provide medications to family members without proper medical documentation (citation).
The code of ethics is important—providing nurses with the knowledge of exactly what to do in certain situations. The code of ethics for nurses make the nurses’ job easier because the provisions promote knowledge, team collaboration which makes caring for patient almost effortless. In contradiction, the third provision states imply that “nurses advocate for, and protects the rights, health, and safety of the patient” (Lachman et al., 2015). The third provision could present with a dilemma when it comes to whistle blowing. Whistle blowing is described as “telling the truth about individuals or systems that are harming or potentially could harm patients, regardless of personal outcome” (Hopper 2011).
(2018). Ethical practice in nursing: A review of the literature. Nursing Ethics, 25(8), 919-941. https://doi.org/10.1177/0969733017734625
Depending on the ANA Code of Ethics, nurses are often a lot of ethical dilemmas these days, informed consent of the patient for the right to refuse treatment, length of life versus quality of life, euthanasia passive versus active euthanasia, for use of adult stem cells compared to the use of embryonic stem cells and maintaining the treatment process versus withdrawing treatment. Patients, family members, and the successful resolution of internal multi-disciplinary skills of nurses and health care professionals to collaborate in this dilemma can affect the quality of care. Medical ethics, for example, the idea for the (moral) was the main characteristic of the good treatment results. More specifically, the moral principle of respect for autonomy
The Code of Ethics emphasizes that every patient has inherent dignity and worth, regardless of their background or life choices. This means that a nurse should respect the patient’s autonomy and decisions, even if they conflict with the nurse’s personal beliefs or the objectives of the institution they work for. The Code also stresses the importance of providing care without bias or prejudice. This means that a nurse should not let their personal beliefs or biases interfere with the quality of care they
Nurses have the foundational code of ethics to provide guidance for professional behavior, particularly in human dignity, emphasis nurse-patient relationship, and collaborative care with the patient and team member. However, other ethical principles –autonomy, fidelity,
Dementia patients have the right to privacy. They have the right to exceptional care. They have the right to their faith and beliefs. Dementia patients may not be able to make the decisions based on what is best for their care, however they still have the right to say no, even if that right is based on their mental competencies (Draper, 2004). They can decide that they do not want their medication, or a bath, or even that they do not want a certain person to care for them.
In this reading, the ethical issue is related to decision making for an incompetent patient. Here is some background information about the case: Robert became incompetent after a car accident in 1993. His physical and mental functions were permanently disabled. The right side of his body was paralyzed so he couldn’t carry out any activity in daily life even swallowing.
The provision one of nursing code of ethics stated that “the nurse practices with compassion and respect for the inherent dignity, worth, and personal attributes of every person, without prejudice” (Fowler, 2010). Under this provision, the nurse needs to respect for human dignity, establish a trusting relationship with patients without bias or prejudice, and respect patient’s autonomy. According to this provision, as a future nurse, I am obligated to respect patient’s health care choices regardless of my personal belief. I can assist the patient in making health care choice for patient’s best interest; however, I should not impose my personal belief in influencing patient’s decision. I should also care for all patients without judgments.
Utilitarianism and Deontology are two major ethical theories that influence nursing practice. Utilitarian principles of promoting the greatest good for the greatest amount of people parallels the nursing tenet of beneficence. Deontological principles of treating individuals with dignity, and promoting the well-being of the individual parallels the nursing tenet of non-maleficence. Utilitarian and Deontological principles can be utilized to resolve ethical dilemmas that arise in the nursing profession. The purpose of this paper is to define utilitarianism and deontology, discuss the similarities and differences between the two, and to address an ethical dilemma utilizing utilitarian and deontological principles.
The critically issues or impact which are in nursing those are daily facing these things us per the types of patient but nurses are everywhere they have long struggled with ethical challenges for patient care Nurses face daily ethical challenges in the provision of quality care for retain nurses targeted ethics-related interventions that address caring for an increasingly complex patient population are needed because ethicla issues the stress of the nursing practices and patients rights also, also ethical issue can occur in any healthcare situation where profound moral questions of rightness or wrongness underlie professional decision-making and the beneficent care of nurses for the patients but the appropriate and general institutional review
The nurses should conversant with the patient’s bill of rights and apply them in practice to protect themselves and patients too. 7. Understanding Ethical Dilemma: The topic is taken from module 7.1 of BMN03 of the Ethical Issues in Nursing Practice. The topic deals with the ethical dilemmas that nurses encounter daily in the practice of their profession, origin of ethical issues, types of ethical dilemma, common ethical dilemmas faced by nurses every day, decision-making model in ethical issues, and lastly scenarios of ethical issues with examples.