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Healthcare ethical dillema
Ethical priciples in health care ethical dilemmas
Ethical priciples in health care ethical dilemmas
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Bridgett Beuckens How sad it is that nursing leaders allow, much less participate in such acts. The stress and responsibilities this author was subjected to are not fair nor safe. The ANA Code of Ethics addresses occurrences as in this scenario. Provision 4.1 states nurses are responsible and accountable for the nursing care
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.
A recent ethical dilemma that I faced was regarding a physical therapist assistant (PTA) I was working with at the outpatient rehab clinic that I am working as a rehab aide. The PTA was treating different patients differently and unfairly base on the diagnosis that was being treated for therapy. The PTA would often refuse treatment, or shorten the regular treatment time from 45 minutes per session to 30 minutes or less. The process that I went through to resolve this dilemma was first, I gather up all the facts regarding the situation.
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Military Nurse’s Dilemma Chi Tiet University of Michigan - Flint Nurses are a group of professionals who faces a variety of ethical dilemmas while working. Therefore, these dilemmas cannot only impact on their personalities but also affect their patients. However, ethical dilemmas are argumentative and difficult to deal with, so there is no “right” or “wrong” answer for them. In a military nurse’s dilemma, a military RN is ordered to force feeding a terrorist prisoner while he is undergoing interrogation, and the prisoner is on a hunger strike protesting. The nurse is torn, but fearing of reprisal if orders are disobeyed, so the nurse is appalled at the over-riding a patient’s wish by force feeding him agains his wish.
The APA established ethical standards for internal factors including competence, privacy/confidentiality, record keeping and fees, education and training, and assessments for the purpose of government and/or professional associations, employers and other funding bodies that require accurate and appropriate records to be kept of the contact that they have with clientele. The vital aspect of keeping records is an of immense importance to the professional world. Simply put, the mere reason is that professionals need means of accountability for the services that they provide to others. They need a method of showing accuracy, and up-to-date data on their services provided. The aforementioned data would in fact best be served and supported through records.
During this past 6 week I have reinforced the knowledge previously learned about ethics and Laws and also learned new information as well. Our textbook was very informative on Ethics subjects that I can apply during patient care. I had to realize that cannot always act based on a “gut -feeling” when there is an ethical dilemma occur. Using the appropriate steps to analyze the situation and make the most desirable decision is not always easy. I think the most challenging part was to give real life ethical dilemma examples that happened to me during work since I have not been practicing too long.
Monday October 26th: Today at Moses Cone hospital, I was in the role of student nurse. I had two patients; one a returning patient, and the other a new patient. The nurse I was working with is someone I have never worked with before or even seen on the floor, but she seemed to be familiar with the unit. It was about 3-5-45 minutes into the shift before we received hand off report. After about 8 minutes of waiting to get report on the rest of her patients, my nurse went ahead and started to see patients.
D-The patient arrived on time for her session and informed this writer that she has decided to remain with the clinic as she learned on her own that no detox facility will accept her because she is testing negative and currently on methadone. The patient further mentioned that she is questioning as to whether or not her sister and her mother would help her as they said they would; however, the patient had a moment and looked back when her family did not help her as she struggled with her children. Furthermore, the patient reports, her sister did not give her the $80.00 for her rent. The patient reports that she had asked some guy for assistance. This writer addressed with the patient about her employment status and money management.
Therapeutic Communication: Quote: “That discharge looks miserably uncomfortable for you… Do you think you could hold this?” (p.21 Baier) Background:
My patient is an 89 year old male; the patient will be referenced as WP. WP was admitted to Lutheran 3 East for a primary diagnosis of pneumonia. His health history consists of COPD, acute respiratory failure, chronic kidney disease, coronary artery disease, vascular dementia without behavioral disturbance, CAD, carotid artery disease, and hyperlipidemia. My client also has a permanent cardiac pacemaker and use hearing aids. He’s allergic to oxycodone and Vicodin.
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it.
I feel that the one provision in the Code of ethics that sticks out to me is provision 2. This is “The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population” (Lachman, O’Connor & Winland-Brown, 2015, p.21). The first part of this provision is the primacy of the patient’s interest. This means that the patient’s primary commitment is to the health care client. One of the best examples of this is nurses being patient advocates.
What is Situation Ethics? Situation Ethics was popularized by Joseph Fletcher around 1960s to 1970s. It claims that the morality of an act depends on the context rather than absolute moral standards. The situation is defined as “…the relative weight of the ends and means and motives and consequences all taken together, as weighed by love” In short, the absolute truth in Situation Ethics is “love”. Furthermore, if there is a right or wrong, it would be determined based on the desired result of the situation.
I worked day shift and came into report that fateful day to hear about a dying patient I was assigned. Apparently, she was brought to the hospital from a nursing home because of uncontrolled pain. The doctor who admitted her was notorious for berating a nurse at a moment’s notice and was the head physician at the hospital and ruled the roost (so to speak) and was impossible to please – reportedly. The off-going nurse was giving me report, and it went something like this: “She is in there crying and squirming in pain.
