What are the principles involved? First and foremost are the principles of beneficence and non-maleficence. The do good, do not harm and prevent harm principles for nursing. So as the nurse who is examining Lora, you have to think of removing her from harm by reporting your findings as well as what she has said to prevent her from continuing to live in that abusive environment. The nurse also has to consider Lora's autonomy. She as a person over the age of 14 and able to make her own medical decisions. But, she is not an adult. She is not able to govern herself according to the law and that has to be considered. Advocacy is another issue. Nurses are to advocate for their patient. In this instance, you don't want Lora to go back to a sexually …show more content…
Anyone can report anonymously to child protective services. Give the information and let CPS handle it.
#4) Report the incident to child protective services and the police. As an automatic reporter it is our duty to report all instances of abuse that we see. Giving detailed information, and tell the authorities what Lora said about the sexual abuse as well.
What are the possible outcomes of the different options?
#1) Lora can choose to take your advice and tell or she could choose to keep quiet. Either way you will not know what happened and you still fail to report which you are mandated to do. It can be held against you license and in court.
#2) Keeping quiet would eat at me if I were the nurse who assessed this young girl. It would also send Lora back into a volatile situation and there would be no resolve. You also failed to report the incident and that can be held against you in a court of law.
#3) Reporting anonymously can keep your name out of it, Lora won't know it was you who told, but I am sure the list of people who know the real truth isn't very long. She would be able to surmise who was the culprit. This action could get CPS to investigate the home, allegations against her biological and step father. The will do a full assessment of the situation and if warranted take it a step further. You have done your due diligence to report what you observed and were told.(ODJFS,
On 01/27/16, Lakirah told the reporter that she was whipped by her stepfather the night before and her mother before school today. According to the reporter, Mr. Bryant found a second cell phone Lakirah used to contact her biological father. The reporter stated Mr. Bryant told the child to pull her pants down and begin to beat her with a cow skin leather strap and his fist. The reporter stated Lakirah was hit in the eye with her stepfather’s fist and her left eye is swollen. Per the reporter, Lakirah tussled trying to get away from Mr. Bryant because it hurt and this is when he hit her with his fist.
Once the awareness of the sex abuse became known, the investigation began. During the investigation, witnesses of the abuse came forward
While I was standing in the atrium around 1115 I noticed the patient I just escorted out was walking into the heart lobby with a woman Ellen Laney. as they entered the atrium she was yelling that he just hit her. So I pursed Thompson through the breeze way to the parking garage stopping him and asking him if he had hit that women back there he told me no I was just standing to close to her I was just asking for a ride home. I proceeded to escort Thompson off campus and stayed in the heart parking lot making sure he did not come back.
“It is an affirmative duty to report all actual or suspected cases of child abuse, abandonment, or neglect.” (Florida Dept. of Education, 2015, Section 1006.061) Reference: Florida Dept. of Education. (2015). “Child Abuse Look for the Signs.” Florida Depaartment of Education. Retrieved from: http://www.fldoe.org/core/fileparse.php/7725/urlt/0072440-mandatoryabusereport08.pdf Florida Dept. of Education. (2015).
The teacher assured the grandmother the situation would not happen again. The grandmother believes the other child has been exposed to inappropriate situation and/or sexual abuse or neglect; however the teacher refuses to report the suspected child
What is The Healing Tree? The Healing Tree is a team of highly trained, compassionate counselors who help children and their families through the process of healing from recent or past trauma. The Healing Tree offers confidential counseling in the form of individual, family and group therapy for children ages 3 through 17 years who have experienced physical or sexual abuse. Using evidence-based treatment methods, The Healing Tree also offers counseling to family members and caregivers. Recognized as one of Florida’s premier providers for counseling children who have experienced trauma from abuse, our licensed counselors combine their expertise with warmth and compassion to facilitate the healing process.
Informing child protective services and notifying others about the abuse in his household resulted in no action, to fourteen-year-old Ybanez, the only way out of the atrocious sexual abuse from his own mother was to murder her. This is not to say Ybanez should go unpunished,
Operational definitions: Critical care nursing is defined as the field of nursing with an attention on the most extreme care of the unstable or critically ill patients following extensive surgery, injury and/or life-threatening diseases. (Australia 's Future Health Workforce - Nurses, 2014) Implications: The consistency in the reactions to moral distress experience among participants is remarkable and informative to those working in critical care units and for decision makers. Moral distress as defined by Leggett, 2013 is a state of the psychological disequilibrium that, ones experience when they know the right ethical decision to make but they cannot make it due to institutional constraints (Leggett, 2013). Additionally, Weinzimmer, et al, 2014 characterized moral distress as a phenomenon in which a healthcare professional perceives an ethically preferable or morally right course of action to take, yet internal or external constraints make it nearly impossible to pursue that course.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
If we as nurses respect the confidentiality of a patient, we should do so for all the patients. However, Griffith (2007) argues that the duty of confidence should not be absolute and nurses should always consider sharing information if required. Though the principle of respecting patient autonomy and their right to confidentiality is broken here, the principle of beneficence and non-maleficence is uphold. Nurses have an obligation to protect patient’s confidentiality but the duty to warn an innocent party of imminent harm is far more critical. Therefore, breaking confidentiality here is potentially doing more good than
Victims may experience an array of emotional, physical, and psychological effects of sexual assault (Baker et al., 2012; Fernandez, 2011). Victims report emotional reactions ranging from shock to denial and numbness. Many victims experience acute fear and anxiety, inability to trust others, self-blame, confusion, disorganised thinking, and a disruption in regular daily activities (Baker et al., 2012). Individuals who rely on
Nursing is a responsibility to provide the finest care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past. Nurses must keep up to date on education, new processes, policies and keep informed about new laws and regulations in healthcare, so outstanding healthcare can be administered. As a nurse, you have undertaken a responsibility to provide people the finest quality care that can possibly receive. It is a nurses’ duty to follow the code of ethics, to act
Describe the duties of the professional nurse in this case with Mr. Cole As a nurse we are supposed to have compassion and build a rapport with our patients but we must uphold our ethical principles when it comes to this dilemma. As for analyzing this situation and coming to a decision I would use the nursing process since it provides a helpful mechanism for finding solutions to ethical dilemmas. (Whitehead 2007). I would assess the situation and ask myself about the medical facts, psychosocial facts as well as cultural beliefs, patients’ wishes and what values are in conflict. I would then move on to planning and make sure that everyone is involved during this stage and continue on down the line with the nursing process.
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.
The therapeutic nurse-client relationship is established for the purpose of promoting client health and well-being. RNs practice in accordance with standards for nursing practice and the Code of Ethics for Registered Nurses (CNA 2008). RNs are responsible for setting and maintaining the appropriate boundaries within the therapeutic nurse-client relationship regardless of the wishes of a client or the setting in which the relationship occurs. RNs are responsible and accountable for their own actions in the therapeutic nurseclient relationship, including actions which result in outcomes that may have been unintended, but should have been foreseen. RNs recognize the impact that the determinants of health*and individual characteristics of the client have on both the therapeutic nurse-client relationship and the health of the client.