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Ethical Issues In Nursing

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I know that in my 25+ years of nursing there have been many issues that have involved one issue or another involving ethics of some sort, but probably the freshest in my mind has to be the one presented a few weeks ago. We had a patient on my unit (step-down) that came in nearly unresponsive from home that was a 78 year old male. Family states "they found him like this. He did have multiple health issues such as chronic renal failure on hemodialysis three times a week that he had missed for a week, congestive heart failure, atrial fib (controlled), diabetes, history of CVA x2, c-diff on admission that the family states that he had off and on a few months, so mostly a very sick patient to say the least. He was worked up from head to toe and showed no signs of another CVA, his A1C was good, BNP for his CHF was really not too bad. …show more content…

Obviously, he had been without dialysis and this was to be expected. The adult grandchild that lived with him stated that he had been getting around fine and he wasn't aware that he had not been going to dialysis until he came in the hospital and the nephrologist was questioning why he had went without dialysis for a week. The admitting doctor(hospitalist), pulmonologist, nephrologist, cardiology, neurologist all kept passing the buck around the table about one thing or another playing the "wait and see game". He had been days without any nutrition (unable to have PO and no TF) and all MDs kept saying "let's wait another couple of days and then we'll decide on a DNR or put in a TF." The pulmonologist states he talked to part of the family about a DNR the day after the patient was admitted, and no one wanted to discuss a DNR status with him, but the problem was he wasn't talking to the POAHC. They plan was to do dialysis daily with the hopes of increasing his level of consciousness which did

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After the patient becomes stable, the patient will undergo more pain and suffering, thus not providing optimum patient care. Provisions 5 states, “Nurses have the same moral obligation to self as they do to others. The nurse must maintain self respect, professional growth and competence, wholeness of character and personal integrity“ (p. 10). The nurse neglected to create a comforting and healing environment, because of the doctor’s moral values and perhaps their own. There was no self-respect or professionalism present.

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In January of 2008, I began my LPN education at Fortis College. I worked diligently to maintain a 4.0 throughout nursing school; and accordingly, I was the class valedictorian. Passing the NCLEX exam in the summer of 2009 was my greatest accomplishment thus far. My education at Fortis included I.V. certification as well as CPR certification for medical professionals. Gaining my first nursing job was a challenge because almost every employer requires experience.

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Kelly, I agree with you. Mr. Henry needs to act now and complete an advanced medical directive (AMD) for when he is no longer able to make his own decisions for his medical treatments. Doctors needs to encourage their patients about completing an AMD as soon as when they give diagnosis of a chronic illness to their patients; and nurses have to provide education about AMD as soon as during their patient’s admission. It is the nurse responsibility to assess and educate their patients about AMD. “The trusting relationship between the medical-surgical nurse and the patient lends itself to an opportunity to provide supporting education needed for completion of this document” (Rigan, 2016, p. 2).

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When we arrived at Jefferson City I did not know what to expect in the hearings but it was much more interesting than I thought it would be. The first case involved an older woman who violated nurses practice act by having a positive drug test. She denied the drug use in an improper way. This registered nurse worked over night so she had been use to taking sleeping pills to help her with the insomnia. On the night she was disciplined she was reported by another nurse that she was not acting right and was slurring her speech, confusing coworkers, names, appeared disoriented and staggered while walking.

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Nonetheless, he also had high blood pressure. My grandmother on the other hand, from father’s side of the family, was broken, sad to say, and her death wasn’t as hard for us because she was suffering a lot. She had high blood pressure, diabetes, kidney stone, was blind in one eye and a few other health issues. The recent people that I’ve interviewed were my mother and father. My mother does not have any health issues (thank goodness).

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