Introduction Mr. Ahmad has just been diagnosed with stage 4 lung cancer and his family has requested the healthcare team not to reveal the diagnosis to him, as well as not to treat him. The ethical dilemma encountered by the health care professions in this case scenario is whether, to tell the truth, or hide from him when he asks about his condition. Therefore, this assignment aims to discuss the ethical issue and dilemma with four principles involved such as autonomy, veracity, beneficence and non-maleficence. In addition, I will be discussing the legal issue based on SNB Standards of Practices, “Standard 2: Responsibility and Accountability”
She must understand the doctor's instructions and the patient's concerns. Her communications skills focus on both giving and receiving information as well as creating an environment of confidence. Some consequences of ineffective communication can be chaos, confusion, disorder, fear, conflict, inefficient systems, and wasted resources (Vertino, 2014). An ineffective communication can lead to errors in patient’s misdiagnosis and even medication on admission, during hospital stay, and after discharge, and whether these errors were potentially harmful.
The hospital has a moral duty to give care to each patient unless the patient has an advance directive stating otherwise. The care team decisions to place Jamilah on palliative care and not performed invasive sugary is unethical. Jamilah openly said that she wants to live which is an indication that she needs care. When addressing the concerns regarding patients cognition, the physician should request a psychological evaluation to determine the level of perception for the patient; therefore, determining her ability to express her desires. If the care team has decided that Jamilah is mentally stable, her decision should overrule that of her sons.
For this particular discrepancy those choosing exemption puts others in the community as well as hospitalized patients at risk. For us this ethical principle is better addressed if nurses advocate vaccination rather than dismiss it. Fidelity can be described as being truthful, fair, and loyal and advocate for our patients (American Nurses Association). The best way this principle is relatable to the topic is by educating our patients and the community about vaccinations. With the media being so influential people tend to use it as their source for vital information.
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.
1. What makes this problem important? The issue of nurse staffing and patient safety is vital to the health of our patients and the longevity of out nursing licenses. No one wants to be the sentinel event that forces the change, so they leave making the problem of staffing worse.
The dilemma lies in how the social work practitioner would respect the patient’s autonomy and determining whether the patient is competent. Furthermore, the social work practitioner is responsible for assessing whether the patient understands the consequences of his or her behaviours. Because, often than not, there are different risks associated with the patient’s refusal to medical treatment and services. Thus, in such cases, social workers would face the ethical dilemma of deciding whether to protect or limit the right of how the patient should live his or her life.
However, a competent nurse in my mind should try to avoid those personal factors while giving care to patients. The basic responsibilities of nurse are promote health and give care to patients. Even the belief of patient is different from me, I will still try to respect individual differences and give standardized care as it is my role to be fair while treating different patients and not to be judgmental. Attitude determines the altitude of our
An open culture is also important because it makes the workers to be free in discussing their concerns and experiences with other health care officials. Humanity and empathy are also professional values that are central to appropriate nursing. In the light of this, it is important for nurses and doctors to consider patient needs and ensure that the dignity of the patients is maintained throughout care and treatment. Cvengros (2008) claims that attending to distressing symptoms, personal care, and food needs is among the practices that maintain patient dignity. Leavitt and Leavitt (2011) claim that nurses and doctors should act without delay in case they feel that patients might be at risk.
Ethical dilemmas, also known as a moral dilemma, is a situation in which there is a choice between two options, neither of which resolves the situation completely. In other words, both options will result in negative results based on society and/or personal guidelines. Labor and delivery nurses are often confronted with ethical dilemmas in practice. To help student nurses prepare for this eventuality, nursing programs do their best to incorporate education about ethics and professionalism into courses. This introduction to ethics in nursing school also assists future nurses to begin recognizing and managing their own personal values in a way that can help guide them in resolving ethical conflicts they will encounter throughout their professional careers.
Outline ethical issues that impact the APN Ethical issues can impact the health care system in a variety of ways. The APN is expected to provide excellent regardless of the work environment. One issue that continues to influence the entire nursing profession is staffing inadequacies. “Without sufficient staffing it is difficult to meet ethical standards of professional practice responsibilities, including protecting the rights of individual patients and families, alleviation of suffering, and preserving their integrity”(Ulrich et al., 2010, p. 1).
An ethical issue related to medical care is pain management and the inappropriate judgment of patients being labeled as “Drug Seeking”. There are statistics that prove there is a rise in abuse in opiates within communities. However, at what point does the nurse or provider get to decide what is an adequate pain threshold and how much they should endure? When does the ethical duty to relieve pain and suffering subside to personal biases?
Ethics is the sole base of distinguishing between right and wrong; however, right and wrong are controversial issues that usually are determinate through other words like good and bad. It is clearly evident that the context within a sentence can determine the actions done were good or bad. For example, Chaloner stated, “It was so good of you to bake me a cake”, but there is a possibility that the ingredients in the cake were bad so the context indicated good but in reality is was not a good deed. Laws are usually based on good ethics; therefore, it is sometimes easier to make decisions because certain laws require certain actions to be completed.
Paradise Hill Medical Center – Case analysis 1. Recognize the background: the key of this step is to understand the medical issues involved. The medical issue in the Paradise Hill Medical Center (PHMC) was that 22 oncology patients received excessive doses of radiation therapy. The patients have not been informed yet that they received and overdose of radiation. The CEO alleged that it was the responsibility of the medical staff to inform the affected patients, and the medical team decided not to inform them about the error.