9 Patient Consent

The roles and responsibility of a nurse are that most nurses face moral problems similar to these faces by the physician as well as a moral problem uniquely related to their professional role thus nurse must sometimes choose between doing what they believe will promote patients well-being and the respecting the patient ’ self-determination. Lisa explained the role as a role, is a “norm-governed patterns of action that undertaken in accordance with the social expectations” (Lisa page 690). Thus, the ability to serve and work according to the

The nurses did not act as sentries towards the patient or the family. They did not protect the patient’s choice to die in peace, instead they just let the doctor jump in into the situation and try to resuscitate her even though she did not want that.The nurses should have stepped in and asked the frazzled husband what he wants the nurses and doctor to do. Not let the doctor yell at him until he is forced to allow it.

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligations to provide optimum patient care. (Bosek & Savage, 2007, p. 59) The nursing student realized that she wasn’t an expert in pharmacokinetics and requested the help of a pharmacist to provide quality care for her patient. (Bosek & Savage, 2007, p. 59) Delegation is a huge responsibility and should never be taken lightly. The duty of the nurse is to ensure the patient receives quality care. This means delegating responsibilities to others to ensure that care is met. If a nurse feels she is unsure of a certain area of care, that nurse is obligated to find the precise person who can provide that care. The author’s daughter (Bella) was in the hospital for a reoccurring MRSA infection. When the nurse walked in the door they were asked a question regarding infectious disease protocols and how best to handle the situation. Instead of giving an answer they thought might be correct, the nurse requested that an infectious disease doctor be called in to answer all questions concerning the patient.

Healthcare professionals have an ethical obligation to respect patient’s wishes. Consequently, many legal and ethical dilemmas arise in healthcare in response to clinical decisions related to the needs, beliefs, and preferences of patients and families. Other dilemmas result over concerns about the integrity, competence, or actions of other healthcare professionals. Preserving human dignity, relieving suffering, equality, integrity, and accountability are essential nursing values (Kangasniemi, Pakkanen, & Korhonen, 2015). Nurse leaders have an

The civil and common laws to protect the client´s rights are calls Torts: A Tort is a civil wrong made against a person or property and this are classified as Intentional Torts when violate another´s right such as false imprisonment and assault battery; Quasi-Intentional torts that is when lacking but volitional action and direct causation occur such as invasion of privacy and deformation of character Unintentional torts with includes Negligence and Malpractice. The improper act that she performed is a Quasi-Intentional tort. In to avoid legal and ethic problems the nurse must always follow the Standard of

Nurses have to respect the dignity of patient’s rights. Patients have the right to refuse

Constantine A. Manthous’ article Counterpoint: Is it Ethical To Order “Do Not Resuscitate” Without Patient Consent? looks at the issues of withholding life-sustaining therapies, such as CPR, in cases where these therapies will only prolong the suffering of the patient. Manthous begins his argument by stating that CPR, which is often ineffective, remains the only medical procedure in cases of cardiac arrest. Manthous goes on to state that a doctor issuing a “Do Not Resuscitate” order unilaterally is unethical, as it deprives the patient of their right to self-determination. Only after receiving informed consent from the patient is the issuance of a DNR order ethically appropriate.

In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that

The idea of electronic records is relatively new, and electronic patient consent also falls into that category. The goal of this type of consent is to make sure that patients can get the treatment they need quickly and efficiently, and that any hospital or doctor can access the records in that same manner. That way, patients get what they need and doctors are not as pushed for time and information. That allows them to better help their patients and save more lives. Addressed here are three methods for electronic patient consent. While this is part of a patient's medical records, it does not comprise all of their records or all of the methods that could be used to create those records. Instead, it is focused on the patient giving consent for a procedure or other event, and how doing so electronically (and storing that information in the same way) can help any medical provider address issues of speed, confidentiality, and everything else that goes along with medical care.

Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

Nurses effectively carry out their duties by constantly providing care for patients without prejudice or discrimination, however sometimes it might be difficult if the patient is not actively participating in their own care plan. This might be frustrating for nurses because the patient refusing to adhere to taking prescription might not yield to better treatment results. But patients active participation in their own care plan provided by a nurse increases motivation for the nurse and gives satisfaction to both the nurse and patients.

attending told them that the patient would not feel any discomfort. When it was Janet turn,she knew it was an experience that she wanted to gain, but she also hesitated because she had conflict thoughts about what was happening in that moment such as, is the three extras exams for the patient too many, did the patient consent the multiple exams, what would Janet think if she was the patient, and if the patient benefits from learning what happened in the procedure. After presenting the case the authors explain “ In these situations, the physicians is not only teaching the student about proper technique for physical examination but also modeling what one hopes is an appropriate attitude towards the patients. The attitude presented by Janet

When the nurse checked patient medication, the next pain medication was due after one hour and she called patient’s doctor and explained the situation. Later, the doctor orders another pain medication. In this case, the nurse acts as the patient advocate and got doubled his pain medication.

The nurse felt as if what she was thinking and feeling was what’s best for the patient. The conflict style the nurse should have chosen was collaboration. This is a win-win situation for the nurse, patient, and the family members. By the nursing do this will be allowing the family to express what their needs are, and the nurse will be able to what she feels the patient