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). Not only do ethical situations arise within the professional standpoint but also most workers who do not have day to day contact with patients do not realize that they must also provide care that follows the four principles. For instance, a chef that prepares the meals for the patients may not realize that the principle of nonmaleficence affects them, but if they were to prepare a meal that consists of nuts for a patient who has a known nut allergy, then they would be causing harm to the patient. Although the chef may not have been aware of the allergy, it is still could affect the treatment given to the patient if he or she has a reaction to the food.
One must avoid over sedation during and following the dressing change, but always ensure enough post-procedural analgesia by considerably amount of pain assessment and monitoring of vital signs. The ideal analgesia method also need to reduce prolonged fasting as little as possible while adequate nutrition and hydration are important for the healing process. Among those criteria mentioned above the intravenous medications, such as IV opioids, are well suited to fulfill the requirements. However, IV opioids have its drawbacks in that some patients may require such high doses of analgesia that there will be increased risk of respiratory arrest and loss of consciousness. These issues can be problematic in the early dressings change of superficial burns, while patient needs more frequent dressing change.
But on the other hand, they need consider whether telling truth would help or make situations more worst. Ethical dilemma among health care professional arises, either telling the truth or withholding the truth would benefit the patient. In health care settings, truth telling about terminal care is a common ethical dilemma: either by telling truth or withholding the truth is the main concern. More often, doctors and nurses work closely
Summarizing is another important part when communication with the interdisciplinary team, especially if taking orders from an EMT or an order over the phone. Sometimes there is not enough time to go fix a confusion when the damage is done. Broken communications that was observed was at first everyone seemed to be doing the same thing with a patient and a lot of running around. After a couple of minutes the team was able to work out a plan where each had a specific patient that they were taking care for. This simulation demonstrated how important it is to communicate with each member of the healthcare team.
(Claffey, 2018) The best way to reduce the risk of medication errors is to enquire about which orders wouldn't be appropriate to give to the patient based on their condition. (Claffey, 2018) In addition to successfully completing a physical assessment on the patient, the practitioner must also view the patient holistically, and always report near-miss medication errors. (Claffey, 2018) Given that nurses are the ones administering the medication, they should be able to justify as to why the patient is receiving the drug and if it is safe for the patient to be given that specific dosage. (Claffey, 2018) As technology evolves, having an electronic entry for medication may perhaps help reduce the risk of many errors in a busy environment. (Claffey,
This could result in malpractice or lack of care standards on the part of the case manager. The case manager needs to talk to the physicians to ensure they are clearly communicating their patients' condition and that they are on board with the plan care all way to the discharge plan. (Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh.
Which further allows the individual to make an appropriate decision in their own interest even if not the best interest. For example, PTs consider a certain intervention to be more beneficial to the patient and the patient is not willing to undergo the treatment; in such circumstances it is the duty of the therapist to explain the need of the intervention and also provide the patient with other treatment options available and leave the decision for the patient to make depending on what suits him/her the best. Autonomy and beneficence have different ideologies but they need to be in sync for the healthcare provider to strike a balance between both and obtain optimum health care for the patient. Even with such an ethical dilemma it is the duty of the health care worker to provide appropriate information to the patient and to convince the individual to make the best choice without affecting the autonomy of the patient. [2,
Interruptions disrupt the nurse’s concentration and therefore making it easier for an error to be made that could harm the patient. Another aspect that can cause a medication error is when some drugs look alike. For example, Diprivan and Diflucan are easily mistaken for the other because they are spelled similarly. One way to prevent giving the wrong medication in this situation would be to use the tall-man method. Instead of looking at the words normally, write them out as DIPRIvan and DIFLUcan.
Greater understanding of health care practices and health care practitioners can bridge communication between the two worlds. Being respectful and education centered around the cultural needs is essential to patient's wellness and nursing care. Identification of patients perception of pain and illness is crucial in developing an understanding of cultural relationship between spiritual and medicinal care (Purnell, 2002). High-Risk Behaviors Although we may see some activities as high risk behaviors in the yup’ik culture maybe a daily occurence. Therefore addressing high-risk behavior in a nonjudgmental way and express the importance of abstaining from these activities during treatment if related to the possible interactions with medications for example drinking or hunting (Napoleon, 1996, pp
Current Issues and Trends One of the major issues that is currently impacting nursing leaders and managers is the ongoing problem with medication administration errors. It is a nurse’s job to verify that the correct dose, route, frequency, and duration of the drug is administered and monitored appropriately. Unfortunately, numerous studies show the significance of this problem amongst nurses. For example, within a certain study performed involving 237 nurses, 64.55% of them had made medication administration errors, while 31.37% of them were on the verge of making a mistake (Cheragi, Manoocheri, Mohammadnejad, & Ehsani, 2013). With the continuous problems related to this topic, it is evident that serious change needs to be made within the workplace in order to