In the following essay I will explore a moral problem within today 's society. The moral problem that I will be addressing is restraints used in care settings specifically in residential care homes towards elderly persons. The reason I chose this area is because it is a growing issue within today 's society with more and more cases being reported. I also have seen restraints being used in past work environments. "Ethics is the discipline concerned with what is morally good and bad, right and wrong". ‘It deals with such questions at all levels. Its subject consists of the fundamental issues of practical decision making. Its major concerns include the nature of ultimate value and the standards by which human actions can be judged right or wrong’. …show more content…
Nurses and care staff are not only responsible for their patients but also other employees, the public and the entire profession. Therefore it is important that they have a strong understanding of various ethical, legal and professional issues that they may be faced with throughout their career. There are three primary duties of care amongst several others, these are: · The duty of autonomy · Confidentiality · Duty of care to all patients These duties are accompanied by the principles of benefince (meaning doing good and acting in patients’ best interests) and non-maleficence (meaning to avoid harm). (UK Essays, 2015) Ethics in nursing focuses on the concept that nursing is collaborative, therefore patients have a basic right to bodily autonomy whenever possible, including a human rights component. The need for allowing informed consent underlies the ethical notion of autonomy, which outlines the minimum standard of behaviour accepted by the community. (UK Essays, …show more content…
From the perspective of a person within the health sector, autonomy may and may not be practical for the purposes of preventing liability from litigation and avoiding ethical criticism, especially when it 's measured against the patients’ best interests. In certain circumstances such as cases where patients don 't have the decision-making capacity, then nurses may treat the patient without consent. This type of situation is usually grounded on the principle of necessity. When professionals working within the health sector act under necessity, they must be able to prove that they did no more then what was necessary and in the best interests of the patient. This is a common problem in today 's nursing homes as many residents are not of sound mind and are unable to make decisions that affect them. A lot of residents who don 't have the decision-making capacity may also have no family members and are now 'ward of courts’. This normally means that a nurse working in the nursing home is in charge of making medical decisions relating to that specific resident. For this reason legal and ethical issues are common in health care industries, mainly within nursing practices, where nurses have daily individual contact with patients. Ethical issues are wide-ranging from organ donation, assisted suicide, withholding treatment in end of life care, or more
Gaining consent is essential in healthcare practice because it is a legal and ethical value (Welsh Assembly Government [WAG], 2015). Obtaining consent is an ethical requirement because it enables respect for the patient’s autonomy as it includes them in part of the decision-making process (McHale, 2013a). Valid consent must be gained before any action on the capable patient regarding treatment, personal care or investigation (Tidy, 2016). The National Health Service [NHS], 2016) outlines consent as permission given by the patient to the clinician before receiving any medical investigation irrespective of the technique type. Taylor (2013), agrees and adds that consent is a patient’s right to make informed choices regarding their care and treatment.
In class autonomy was defined as rational individuals being permitted to be self determining. Everybody that is deemed rational has the freedom of choice, especially when it comes to their body and free will. Medical physicians need to honor the patient’s rights and confidentiality in order to prevent violation the patient’s autonomy. To do this the physician always needs to tell the truth, list all options and potential outcomes, and know that the patient has the right to say no. Patient’s can’t be forced into treatment or misinformed.
I believe that our patients have many basic rights that must always be provided, and must always be upheld. Our ethical duty as healthcare professionals ensure that we must give our patients these basic rights so we can provide the highest level of care possible. These basic rights include, privacy, respect, and also patients should be given the opportunity to give informed consent, among many other things. First and foremost, our patients must always be provided with a high level of privacy. Privacy allows our patients to feel comfortable coming to our healthcare facility and not have to worry about their confidential medical information getting released to anyone from the outside.
Ethics of healthcare depends on 4 moral standards and how they are utilised; autonomy, non-maleficence, beneficence, and justice. Autonomy, which means self-governance, is the rule for regarding the privileges of a person to settle on a choice for them self, and respecting that decision. In healthcare this implies regarding a patient's choice on treatments, regardless of the possibility that it could bring about damage or demise to themselves. Autonomy is about self-rule, control free, without impact or influence from any other person, and is tied in with making an educated and un-forced choice about their care and medicines, based from their qualities and inclinations. Alongside autonomy is the principle of justice, which incorporates reasonableness
Every individual has the right to obtain information about the availability of healthcare, on one's own terms and on relevant treatment strategies. Informed consent is grounded in the ethical principle of respect for people as autonomous beings and it is a cornerstone of patient autonomy. The concepts of autonomy and informed consent are different, but they overlap in areas of definition, too. Over the past two decades, the advancement towards patients' rights in the European area. European Consultation on the Rights of patients meeting is supported by the WHO Regional Office for Europe in 1994 formulated the principles of patient rights (WHO, 2002) approved by the 36 participating countries.
Principlism is an ethical theory applied particularly in relation to bioethics, divided in four prima facie: respect for autonomy, non maleficence, beneficence and justice. Respect for autonomy results in freedom to make choices without external control which is expected to be both accepted in binding in others (McLean, 2009). In this essay i am going to discuss the person’s autonomy and the role of the health care professional regarding the implementation of an advanced care directive including the features of a valid consent and how that relates to an advanced care directive, the importance of respecting a patients choices and the exceptions to this, when paternalism is ethically justified. These concepts will all be analysed from the perspective
By autonomy being one of the four principles of bioethics, it means that in the healthcare field, patients have the right to make decisions based on how they feel and what they know. This is where informed consent
In the module 4 the article, “ Ethics: Ethical Challenges in the Care of Elderly Persons” was very iinformative to read. According to Ludwick & Silva (2003), ethics is a important part when taking care of older adults. Nurses should acknowledge and respectful of patient’s wishes when making decision regarding the interventions need to be implement in taking care of the older adults. Agesim play a very important role when it comes to decision
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
Informed Consent: An Ethical Obligation or Legal Compulsion? Retrieved September 4,
The four core ethical principles that are called into question in the movie “Miss Evers’ Boys” are autonomy, beneficence, nonmaleficence, and justice. Autonomy refers to the right of the patient to function independently and the ability to self-direct. This means that patients are entitled to decide what will happen to them, and if deemed competent, they have the right to either consent to or refuse treatment. All nurses and healthcare personal would be required to respect the patient’s wishes, even if they do not agree with them. Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient.
Autonomy: In a healthcare setting, the right of a patient to make informed choices about their body is defined as autonomy. The moral principle of respect for autonomy directs healthcare providers to refrain from preventing patients from making their own decisions unless these choices pose serious risks to the patient or society. This means that an informed and competent patient has the ability to either accept or decline treatments, surgeries and medications. From the information gathered in the assignment case, it can be assumed that Joseph is in a rational state of mind.
Autonomy is when patients have the right to make decisions about their medical care without a health and social care professional trying to influence the decision. (Medicine net) For example, gaining consent or informal agreement of the patient before any treatment takes place. The principle may at times cause problems when patients exercise their autonomy by refusing life-saving treatments. Another barrier to patient autonomy is if one is being forced into a decision.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to
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