Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient. All nurses should take positive actions to help their patients and to have the desire to do good. On the other hand, nonmaleficence is the core of the nursing ethics and it revolves around the idea that nurses have to remain competent in their field as to avoid causing injury or harm to patients. Nonmaleficence also requires all health care professionals to report any suspected abuse. The last ethical principle is justice.
Therefore, the clinical staff, at Pro-Active Resources, can diagnose the level of care a person needs and will make referrals based on those needs such as: detoxification, half-way house and inpatient treatments. Referrals create an ethical dilemma with therapist because one always needs to put the client’s needs before your own. Therefore, therapist must be careful when referring a client as not confuse competence/scope with personal beliefs and values. Another ethical dilemma stems from dual relationships because counselors, who were once addicts, are now attending the same AA meetings as their clients. This ethical issue leads to the major legal concern in substance abuse counseling.
Nurses got to ensure that patients have the required knowledge and skills before discharge (Collins, 2014). Wagner et al. (1996) had argued that, for chronic conditions patient’s they learned to empower self management by gain knowledge and skill from nurses whom had done the plans for discharge. Lorig et al. (2009) had agreed that, the concept of empowering patient in self management is crucial.
Trust relationship is a kind of interactive process that requires care and concern (Chin, 2001). In this incident, if I told any incorrect information to my patient, she would start to suspect whether I am a medical student or not and start not to believe me. Hence, our relationship would be destroyed. It is important for us to stand from patients’ point of view to think about their thought and ensure the information shared must be accurate before starting any conversation with the
Nurses must follow beneficence which means to do good. Nurses do not want to harm a patient in any way. They must provide confidentiality and privacy when going thru the process with their patient. Patient’s have the right to autonomy which is the freedom to make choices about issues that affect one’s life, free from lies, restraint, or coercion. Nurse’s must provide care that is patient centered even when the nurse might not agree with the patient, he or she still has their rights.
One barrier that embodies multiple categories of barriers is a circumstance where the loved ones of a vegetative patient are requesting all measures to be taken despite very low odds. Financially, these desperate measures are commanding a vast amount of resources that boost costs not only for the hospital but for the family as well. Legally, the healthcare professionals are required to respect the patient’s wishes and if they wish to remain attached to expensive machines, the healthcare professional must adhere to those desires. Another ethical and legal barrier for families is knowing when to pull the plug and when to wait for a miracle. Letting go of a family member is an excruciating task to ask of anyone; however, if a patient requests to not be hooked up to life preserving machines or requests to have a DNR code status, the family must legally respect those wishes although it may not seem ethical to them.
However, upon reflecting on this facilitation process I have come to realize that at the bedside in nursing I will be interacting with some very strong personalities, in particular frightened and frustrated patients and family members. Some of these people will sit back and trust in the medical system completely, and others will want to control everything that they possibly can to gain some sort of semblance in their lives. It is crucial that I be able to read when a person has a “need” for control, and if I can safely turn that control over to them, then I should. When it comes to fighting for control, it comes down to the old saying of “how important is it
It is important I do this project because … Patient and nurse safety matter. This is a fixable problem with solutions that can be done with the proper recognition and attention. Nurses should not have to practice in fear. 3. Challenges in taking on this topic include … Finding the research to support the topic and offer realistic solutions that could be practical and universally applied.
Patient centered deontology is specific to euthanasia as it is dependent upon patient's consent. Jim desires the removal of the ventilator to avoid pain and discomfort. Although Kant would believe that euthanasia is morally impermissible, autonomy is used for arguing that euthanasia is morally permissible when the patient has consented. No one forced Jim into this decision, he exercised his rights to acting as a free rational being. Jim is acting on voluntary active euthanasia, he is giving consent and has acknowledged all the legal implications.
They want to have this bubble of protection. But when you have to tell them that as your counselor and of knowledge of possible abuse you have to report it to the authorities, as it is your job. Once they know they they shut down. They don't see us as their safe place anymore and they don't feel that we are there for them. To take care of this situation I would make sure that they know that this still can be their bubble of safe.