A second legal and ethical issue questioned is whether the patient has decisional capacity and has the ability to participate in autonomous decisions. Decisional capacity is not defined strictly by chronologic age. Many authors agree that children under age 13 years do not have the capacity to make decisions regarding serious intervention such as bariatric surgery (Inge et al., 2004a). Assent for surgery must be taken from the child/adolescent patient, and informed permission must be reported from the parents/guardians before surgery. Most of experts generally consider the age range of 8-14 years to be candidate for assent, with younger children unable to give meaningful participation in medical decisions and older individuals capable of giving
Juvenile Cancer affects those under the age of eighteen. This chronic illness is difficult for the child and parents; however, it becomes even more problematic when ethical disputes are involved. These disputes can cause an uprising amongst social workers and physicians. These disputes can cause dilemmas with social workers ethically and morally. One of the biggest disputes is giving these juvenile cancer patients the ability to decide on their own care.
Individuals have the right to a choice, to determine what will and will not be done to their body, including accepting or refusing medical treatment (Taylor, 2010, p. 148). However, one cannot make these types of decisions until they are 18-years-old. This provision explains that patients should be involved in their own plan of care if they are competent and choose to participate. In this case, C.C. refuses to participate and since she is a minor, her mother is the one who can make the decision by law. C.C’s mother agrees with her daughter in the refusal of medical treatment.
Gawande demonstrates his point through several different stories involving patients who had gastric-bypass surgery. For example, when telling the story of a woman named Carla, Gawande states, “She had slowly found herself to have a profound and unfamiliar sense of willpower over food.” Gawande argues that as a result of this change, “she no longer wanted to eat like she did before. She thought that the surgery was why she no longer ate as much as she used to. Yet she felt as if she were choosing not to do it” (174).
There are many different policies, legislations and reports that affected the practice of the ambulance crew, specifically the paramedic and student paramedic. NHS Constitution and the 6Cs- Created in March 2011, the NHS Constitution is a set of guiding principles, and values for all aspects of the NHS and its staff to follow. The aim is to provide the best experience to everyone that encounters the service, whether that is patients, staff, or their family/friends. The key principle of the NHS Constitution, is that they “provides a comprehensive service, available to all” (Department of Health, 2015), meaning that nobody can be discriminated against for any reason, whether that be with their access to treatment, or with the quality of the
Informed Consent “The Immortal Life of Henrietta Lacks” details the injustice and hardships that an African American woman endured when skin color determined the value of a person/during a time dominated by racial segregation/when racial segregation was the law of the land. Born in Roanoke, Virginia, on August 1, 1920, Henrietta Lacks was forced to follow to racial segregation laws that prohibited Blacks from interacting with Whites in such public places as bathrooms, seating areas, colleges, and hospitals. Like all African Americans, she was treated as an inferior member of society due to her skin color. At the age of thirty, Mrs. Lacks had developed cervical cancer and went to Johns Hopkins Hospital, which only treated Blacks at the time.
Ask any healthcare professional if critical thinking is a necessary tool to have while working with patients and the answer would be an overwhelming YES! IF you ask those nurses how did they develop critical thinking the answer varies, Nurses would not be able to provide sound patient care without book knowledge which aids in critical thinking. In the article Brain Power: Critical thinking skills are nursing’s stock and trade (2011), the author points out that critical thinking is not the same as problem solving. Critical thinking is the process of taking information and applying it to a situation to solve or improve. As an operating room nurse, I utilize critical thinking on a daily basis.
The doctors failed to use a properly consenting patient, neglected Charlie’s emotional state, and failed to conduct proper research. If Charlie had a caretaker who could give consent on his behalf, similar to a minor, an operation of this sort could be ethical. Moreover, it could be ethical if the doctors’ research and further develop their theory before using a human test subject, and pay close attention to Charlie’s emotional and mental health. However, Charlie’s operation was performed without these precautions and guidelines, and he suffers greatly in the
Ways of Knowing Related to Nursing Theory Emily Amstutz University of Missouri Kansas City MSN FNP Program Abstract Carper (1978) presents four fundamental ways of knowing that have been developed from emerging patterns in the discipline of nursing: (a) empirical way of knowing, (b) esthetic way of knowing, (c) personal knowledge, and (d) ethics. As a registered nurse, I primary utilize the empirical way of knowing in my practice because it is science based and encourages logical decision-making skills. The four fundamental ways of knowing apply to nursing theory by: Keywords: empirical, esthetics, personal knowledge, ethics, ways of knowing, Ways of Knowing Related to Nursing Theory
Self-Regulation and the New Registered Nurse Introduction self-regulation is Understanding self-regulation is an important In this paper, self-regulation in relation to nursing practice and quality assurance will be explored. Self-regulation of RN Practice As with many other professions, registered nursing is a self-regulated profession. The purpose of regulation is to ensure that professionals practice in a safe, competent and ethical manner (CNO, 2014, pp. 3).
Self-Regulation and the New Registered Nurse Introduction The nursing profession has been self-regulating in Ontario since 1963. Self-regulation is a privilege granted to professions that have shown they can put the interest of the public ahead of their own professional interests. It recognizes that Ontario’s nurses have the knowledge and expertise to regulate themselves as individual practitioners and to regulate their profession through the college (“What is CNO?”, 2018). Proactive self-regulation involves establishing learning goals, strategies to address goals, monitor progress of goals, creation of environments conducive to learning, and maintenance of self-efficacy (Zimmerman & Schunk, 2011).
Uncertainty in illness is a middle range nursing theory that explains how the patient copes with and processes uncertainty when faced with the challenges of acute or chronic illnesses. The uncertainty in illness theory explains how the patient’s cognitively react when experiencing illness and a relationship on how it will affect their overall well-being. The theory explains that you can view uncertainty as an opportunity or as a danger. Nurses can provide support and implement intervention to aid the patients in coping the quality of a patient is improved. Uncertainty in the theory is described as either a negative or positive state.
Strengths and Weaknesses My three major strengths are medication administration, communication with patients, and asking questions when I do not fully understand something. I feel like throughout my preceptorship these have grown stronger, and have helped me to be successful. My three major weaknesses that I have been focusing on throughout my residency are communicating with physicians, completing skills I am unfamiliar with, and improving my confidence. I would say that these have improved quite significantly, but I still have a ways to go.
Gardner’s effort on multiple intelligences from past two decades has been quite significant. It was identified that intelligence is basically the ability for solving issues that are actually valued with in the cultural practice. According to Meunier (2003), when adults are able to learn from their lives from multiple intelligence models, they are able to find liberation in inspecting potentials which were never developed or highlighted. Programs for self-development from hobbies, programs and courses can mainly re-integrate the native intelligences of an individual in a way that can be satisfying from personal perspective. Discussion When it comes to multiple intelligence types and factors involved in clinical practices, we often realize
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge
People under the age of 16 are not entitled to consent to medical treatment. However, exceptions may be made if hospital staffs are satisfied that patients are mature enough to make the decision for themselves. A hospital must not refuse to give you emergency treatment, unless the appropriate medical facilities or personnel aren't