As a registered nurse, we face ethical issues every day. Some days we understand the clear cut ethical issue at hand; however, other ethical issues can be disguised. In my year and half of being an RN I have come across many ethical issues. As mentioned before, some are clear cut and others are hard to tread through. Initially, these ethical issues can make you question your job; however, after some reflection I believe these issues make us stronger nurses. One of the biggest ethical issues I have had to face recently was a patient who was being abused by his “family.” On our floor we regularly see hip fracture patients. Upon the start of my shift, one of my hip fracture patients was clearly emaciated. His ribs were obviously sticking out, …show more content…
He had a traumatic brain injury that had occurred from a fall. He had been in critical care for over a month. They had taken him off the ventilator with the expectation that he would die. They did not expect him to start breathing on his own again. However, he had continued to breathe on his own for two weeks before he was transferred to our unit. Upon further assessment, he was “brain dead.” His other organs were trying to shut down. He was on every antibiotic imaginable, he had a PEG tube, and could no longer keep his body temperature regulated correctly. His ex-wife was making all of the decisions for him, even though the patient’s kids were disagreeing with his care. The patient’s kids wanted to let their dad go peacefully (no more PEG tube, no antibiotics, etc.). However, the ex-wife still remained the patient’s healthcare power of attorney after their divorce had taken place. I believe this was because the ex-wife was a registered nurse. The patient was constantly on a bear hugger or a cooling blanket. Finally, the ethics committee got involved. Multiple physicians, as well as the family were present. Each family member stated what they wanted for the patient. The ex-wife refused to believe the doctors that her ex-husband was dying. She believed that god would heal the patient. A week later he died. In the end, no one got what they wanted and it was a sad
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Upon discharge, she returned home with her son, Michael and Viva Hospice Service. During hospice admission at home, Ms. McGinnis fell out of hospital bed and got her head stuck in the bedside commode railing. The hospice nurse, Karen called EMS and she was transported
Schillinger. Mrs. Alfred’s husband filed suit against the hospital, citing lack of care as the cause of death. Expert nurses and emergency physicians reviewed the case and testified had Mrs. Alfred been properly classified, intubated immediately, and not given Valium due to her severe bradycardia and hypotension, she may have survived the event. Given the fact no autopsy was performed, the experts were only able to hypothesize Mrs. Alfred died as a result of a pulmonary embolism. The experts testified both Dr. Schillinger and Nurse Ackerly performed below the standards of care.
The gentleman is staggering all over the place and seems very confused and talking nonsense. When the nursing staff tries to take his vitals, he becomes combative and vomits on himself. The staff thinking that the gentleman is intoxicated they call a taxi to escort him home. The gentleman never made it home; he was brought back to hospital unconscious. The gentleman was never examined or seen by a Physician.
None of his family or close friends knew why he did this. He had never shown any signs of depression or suicidal tendencies. His family donated his brain to the National Institute of Neurological Disorders and Stroke (NINDS). They then found out he had Chronic traumatic encephalopathy.
His parents then took him to Seattle Grace where the patient is
He was wandering in the desert for 2 months, and disoriented to time, although; he continued to call his daughter’s name, and asked for his wife. He had a number of bruises on his face, and his toes on his right foot were black, in fact the toes fell off. The doctor’s had to auto transplant his kidney, except his BP dropped and the man experienced cardiac arrest. Then they ordered an Echocardiogram, which this disturbed Dr. Pierce, for she suggested that it be done first.
However, it did not go as smooth as one would hope for. We met with the patient 's family, which consisted of the son and daughter in law. After a quick assessment of the family, it was clear the son and daughter in law had the final decision.
In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her.
He was airlifted to a neurosurgical trauma center at Indiana University Health Methodist Hospital in Indianapolis. There was pressure on the skull and presents of brain swelling and a subdural hematoma, this is a collection of blood build up in the brain. He was in the hospital for 98 das, and suffered many other major problems related to his brain injury. He had softening of certain affected areas in the brain, low blood pressure, kidney failure, pneumonia, the dangerous infection sepsis, temporary cardiac arrest and an inability to walk and talk. Years later, he has regained most of his speech but still has some cognitive problems and uses a wheelchair to get
Nurses around the world have struggled with ethical challenges in patient care, especially here in the Virgin Islands. We face an ethical dilemma in the healthcare field every day. During my freshman year in nursing school, I was taught about Florence Nightingales. Her greatest achievement was to transform nursing into a respectable profession for women (Florence-nightingale.co.uk, 2018). She reflected ethical duties of confidentiality, communication, and the importance of meeting patients ' needs.
All in all this is a tough decision, especially for the nurses because they are faced with ethical dilemmas on a daily basis and it’s hard to make the right decision while trying to advocate for the patient at the same time. (Poikkeus
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.
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.