S.Z, a 65 year old Hispanic male, is being discharged from hospital after being admitted with a blood sugar of 589. He has been seeing a curandero to manage his diabetes mellitus type II, hyperlipidemia, and osteoarthritis. He has not taken his prescription medications for these chronic conditions, but instead takes traditional medicines the curandero tells him to take. His daughter approaches the nurse with her concerns over her father’s heath and asks the nurse if her father’s discharge orders can be cancelled; the daughter would prefer the doctor write orders for her father to be admitted to a nursing home.…
A potential ethical dilemma that I may face when I become a Nurse Practitioner (NP) would be the impact of the insurance reimbursement on the healthcare delivery. As a registered nurse (RN) working in an acute care hospital, the main objective would be to deliver the best bedside care possible to the patients, insurance reimbursement is not a main issue a RN has to worry about on the floor . However, as a NP, I have to think about issues like the patient’s insurance policy coverage on the diagnostic test deemed required or the types of medication. NPs have to have to pay attentions to the insurance coverage so that the patient would not be over burdened with the out-of-pocket expenses.…
The free dictionary defined ethical code as a system of principles governing morality and acceptable conduct. However, it was noted that no code can provide absolute or complete rules that are free of conflict and ambiguity. Because codes are unable to provide exact directives for moral reasoning and action in all situations, some people have stated that virtue ethics provides a better approach to ethics because the emphasis is on a person’s character than on rules, principles, and laws (Beauchamp & Childress, 2001). The core ethical principles in nursing are;…
Ilene, many of the ethical dilemmas faced by nurses could be eliminated if people would take the time to let their family know what interventions they would want in situations like this. End-of-life planning and advanced care directives will increase the quality of life of a dying patient, ease the ethical decisions having to be made by family members, and will ensure that personal wishes will be abided by (Eggertson, 2013, p. E617). Many people talk about what they do and do not want but never write them down. This leaves the family, doctors, and other health care members second-guessing the wishes of the patient whenever they are too ill or sick to make decisions themselves. If your patient had made these decisions earlier and made it…
In the United States, privacy and confidentiality are the basic rights of the society enshrined not only in professional practice codes of ethics but also in the constitution. Hence, nurses and for that matter, all health care professional have a legal, moral and ethical responsibility to protect patient's privacy.…
The profession of nursing must have high values and ethics, but how does a nurse make that tough ethical decision. Ethical decision making is defined as “The process of choosing between actions based on a system of beliefs and values” (Black, 2014, p. 347). The nurse has to go through a process to come to the most ethical and just decision based on their facility and their ethics.…
This case presents an ethical dilemma, a situation which arises when one must choose between mutually exclusive alternatives (Beauchamp& Walters, 2003). Decisions may have results that are desirable in some respects and undesirable in others. In Juana 's case, her decision to refuse the blood transfusion had the desired outcome of allowing her to remain true to her religious beliefs. However, her choice also resulted in her death. If she had followed the recommendation of the physicians and the team, the desirable outcome would have been possible survival but would have had the undesired effect of violating her religious principles. The major ethical dilemma was that by honoring the patient 's autonomy and religious beliefs, the physicians and…
As a nurse being empathic to the patient is part on my job as professional in as a humain.Nurses are almost always with the patience,sharing their suffering their feeli ngs…
Ethics refers to the study of situations that require practical reasoning. Ethical dilemmas are encountered in many instances of the nursing career. Therefore, some reasons determine particular ethical behaviors. For example, what individual regards as an ethical behavior may be considerably different from another person’s perception of the situation who may be applying a different approach. This situation results in moral distress that arises in the circumstances where a person is unable to decide on the ethical choices that may be available due to the various religious, moral as well as professional constraints (Amoah, 2016). This constraints influence actions that an individual can take or the way they believe is the right or wrong action to take.…
• Ethical Dilemmas Patient 1: This patient is admitted to ER with Respiratory Failure and Septic Shock. The patient was transferred to LTAC for long term management of disease. Patient’s chart states that she has DNR/DNI order, but her son was disagreeing with that decision. One of the ethical principles that direct ethical decision making in health care is the autonomy-the ability of the individual to chose for him or herself. Patient 2: This patient was admitted with endocarditis and had a tracheostomy tube and Peg tube in place.…
The purpose of this paper is to discuss the 7 principles of patient- nurse communication and how it applies to me and my interaction with patients, The 3 Methods of interdisciplinary communication and the SBAR communication applies to my own practice and the ethical principles that are applied to patient- clinician…
I became aware of this medical- ethical dilemma through my clinical assignment in pediatrics. My patient was a 3 month old female who was born dead. Apparently the mother suffered Placenta Abruptio, it is unknown how long the fetus suffered with hypoxia before birth. Nurses claim this infant was born dead. CPR was performed for more than 15 minutes before the heart started. Needless to say the baby was then placed on life support. A determination was made that the infant is brain dead. The major dilemma is that the Mother never returned to the hospital and is considered missing in action. Consequently leaving the infant without a guardian or family member to speak on her behave regarding whether to withdraw the life support and possibly…
The code of ethics is an important part of the nursing foundation where nurses are directed to practice with compassion and respect for human dignity, responsibility, accountability, confidentiality and patient safety (ANA, 2012). Nurses are expected to follow this professional morals and values but also to practice their own personal standards as well. Values are one’s fundamental beliefs acquired from childhood through family and society. Morals are values that attribute to a system of beliefs. Ethics is the ability to make right and wrong decision based on adopted morals (Navran F. J., 2010). Every human is shaped according to their culture, spiritual and individual values that were instilled upon them by their family and community and in the nursing world, one nurses’ beliefs may differ from how others may practice nursing and handle ethical dilemmas.…
Everybody have their code of ethics also known as their conscious. It is what motivates us to give our best in our personal lives, and our vocational ethics propels us to be best at our jobs. At times our personal and professional ethics may contradict each other and we have to make a decision to act on one. As nurses, we do our best to conduct ourselves and make ethical decisions, at times what we feel is the right choice may not be right for everyone involved, that is when we rely on the nursing code of ethics and its provisions to guide us.…
For the purpose of this assignment, ethics in relation to nursing will be discussed. "Ethics; A code of principles governing correct behaviour, which in the nursing profession includes behaviour towards patients and their families, visitorsand colleagues" (Oxford Dictionary of Nursing 2004).…