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” The Ethical Issue Firstly, one of the ethical principles that support to reveal Mr. Ahmad’s diagnosis
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. Medication use is potentially dangerous.
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.
Beneficence in nursing is used to benefit patients by preventing harmful situations or improving quality of patient care by advocating for them when they cannot. 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.
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.
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 departures cause inexperienced nurses to arrive and make the critical situation of staffing even more challenging.
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. The second ethical dilemma is that social work practitioners and their clients have different personal values.
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.