Ethical principles implement a foundation for nursing care. They are defined as a base for nurse’s judgment on a consideration of consequences and on worldwide moral principles when composing clinical conclusion. The purpose of this discussion is to discuss the ethical dilemma that nurse faces in the case study about Lora, a young girl who is physically abused by her father and had been sexually abused by her stepfather. According to Nathaniel and Burkhardt ethical principles include autonomy, beneficence, nonmaleficence, veracity, confidentiality, justice, and fidelity (pg. 77). In the case study: Making the Best Choice (Nathaniel and Burkhardt, 2014), I believe that all ethical principles were involved.
The most fundamental one is autonomy,
…show more content…
Nurse’s options may include not to report the event, notify the supervisor, or call child care services. If the nurse chooses not to do anything and keep the matter confidential she faces the potential of being legally responsible for her action. In the case that she chooses to tell her supervisor, she may get support from him/her and realize that reporting the incident is the right thing to do. In case that her supervisor tells her not to report the case the nurse still has the legal obligation to report it. Calling the child care services without a delay may help Lora find the safest place for the time being and avoid returning home to her abusive father. If Lora was my patient I would try to gain her trust by listening, I would attempt to convince her to report the abuse, and I would try to find out what kind of relationship she has with her mother and if calling her would be a right thing to do. If all fails I would report the abuse because protecting my patient would be my priority. In conclusion, sadly child abuse is not that unusual in our society, and I believe that nurses must be educated about recognizing, documenting, and reporting a doubtful child abuse. Nurses face an ethical dilemma on a daily basis, but no matter how hard it is we always have to put our patient safety and well-being
If they inform the police, they can start an investigation. The health care institution also should make sure that elderly people attend to their appointments because that way they can know if elderly people receive an adequate treatment in their homes. Clearly identify the perpetrator and describe the circumstances leading to the abuse of the elder (risk factors) The perpetrator was a 59 years old women named Dorothea Puente.
In this case, the counselor had to collaborate more with the social worker to make that decision for the family. Furthermore, the counselor may have felt it was her duty to warn and protect. Lachman and Bernard (2006) illustrate that practitioners need supervision and training to determine factors such as class, gender, culture, and race that present a challenge in responding to child abuse. Also, the counselor did not have to provide proof of abuse only if she has reasonable cause to suspect that the child has been abused. Although the counselor was
1. Reporting and Responding Two Professional practice issues that correlate with the horrific case of the abuse and mistreatment of Clarence Hausler includes the Principle regarding Professional behaviour being crossed displayed by the employed Carer. ‘Person- centred practice’ furthermore demonstrated within the way Carer Corey Lucas’ nursing practice and MRCF appalling approach to adverse events and open disclosure in response to such incident. Both professional practice issues are seen to be disobeyed by Hausler’s employed carer as shown within the aggressive measures taken by Corey within the scenario. 2. Relating
REPORTER: The reporter/anonymous called concerns for the victims, Aysiaunna, and two unknown children. According to the reporter, 1 month ago, Gina Jones’ son (14 year old) molested Aysiaunna, and the unknown child was sent to a facility. The child disclosed the incident that took place to someone at the facility, and a report was made. The reporter said Gina’s daughter (unknown) told someone about the incident, and Gina knew about it
The child ran into the room of her brother, age 10 and grabbed him by his private parts and squeezed exclaiming repeatedly "I 'm squishing your nuts." When asked regarding her behavior, the child responded saying she was playing "doctor" the same way at her child care. The grandmother discussed the situation with the child 's teacher (name not provided) who stated "they were just playing doctor" with another girl. According to the teacher, she discussed the issue with the other child 's parents and the matter was handled. The grandmother requested to view videos due to the facility being equipped with camera; however, she was informed the cameras did not work.
REPORTER: The reporter/Therapist (Vanessa) called to report physical abuse for the victim, Pedro. On today (10/21/2015), the child received a write-up and he was sent to the office; the child stated that “he wanted to kill himself”. The reporter said “there was no plan or intent” in place to follow through with it. The reporter said “a risk assessment” was conducted on the child (10/21/2015), and the child said “he was terrified of his father” (Pedro).
The pertinent nearby referral process ought to be utilized. This might be a particular referral shape or a phone call. Check with nearby specialist/wellbeing and social administer to points of interest. Points of interest from the referrer about the claim of manhandle will be required so it is useful to have the actualities of the conditions prepared to hand. All worries of mishandle or disregard of a helpless grown-up in danger can be accounted for to the important nearby protecting grown-up 's referral point.
The victim has chronic pain, she's been diagnosed with scholasis, spinal scholasis, and has a knee injury that requires she remain in a wheel chair. The victim is able to care for basic needs but needs assistance when she's in her wheelchair. Ms. Larington stated that her mother hit and slapped her a week ago after she found her outside smoking a cigeratte. The reporter stated words were exchanged and the victim was slapped after calling her mother a bitch. The reporter stated her mother doesnt ask her if she's hungry or needs anything and that her mother is hard of hearing.
The ethical dilemmas in this scenario, center on mandated report obligations, disclosure, and confidentiality. Both the school counselor and teacher are mandated reporters in the state of New York and must report suspected abuse/maltreatment. However, the state specifies that “Mandated reporters are required to report suspected child abuse or maltreatment when they are presented with a reasonable cause to suspect child abuse or maltreatment in a situation where a child, parent, or other person legally responsible for the child is before the mandated reporter when the mandated reporter is acting in his or her official capacity” (Office of Children and Family Services, 2016). In laymen’s terms, the responsibility to report would fall on the
At Adult Protective Services majority of our work involves investigation of abuse, neglect, and exploitation. At Adult Protective Services our job is to protect the vulnerable elderly population, as well as the population that have disabilities. “Only APS is statutorily authorized and responsible for investigating elder and vulnerable adult abuse and taking steps to protect the victims, and it is generally only APS that helps the most frail and incapacitated older persons”(Quin, 2012, p.68). When abuse is suspected, a case worker will reach out to all parties involved, such as the alleged victim, alleged perpetrator, and all collaterals. Unlike many other professions, case worker are not required to have any written consent to speak with
Healthcare is an ever-evolving continuum consisted of many changes that occur in a day-to-day basis. The need of continuing education is necessary for us to advance our skills and knowledge as nurses caring for the general population. However, advanced knowledge that goes beyond the science of nursing is crucial to excel in the field. Excellence in nursing requires us to be politically active and informed of the constant changes that occur within the health care system. It is also important to be aware of the accessible resources and organizations to be able to seek the proper resources needed.
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
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. This ethical principle revolves around the idea that all patients must be treated equally and fairly.
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.
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