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An Ethical Decision Making Principle Essay

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2. An ethical decision-making principle that came into play in my clinical experience involved a competent patient refusing a blood transfusion because he was Jehovah Witness. This patient was actually a physician himself and the ethical dilemma it raised was that it conflicted with my nurse and I’s commitment to provide beneficial care while avoiding harm. While we could advise our patients our own views on why they should receive this blood transfusion we had to make sure we avoided coercion, and deception that could deny our patients autonomy. Out patient ended up changing their mind and agreeing to the blood transfusion, but we still had to make sure the change wasn 't a consequence of illness impairing the patient to decide and that the patient was basing their decision on facts. The ANA code of ethics states the right to self-determination. Self-determination is also called autonomy and forms the basis for informed consent within the health care system. The patient has the right to make his healthcare decision. Knowing this had an impact because ultimately a signed blood refusal card is equally and ethically equivalent as a component patient with an advance directive. Knowing this I had to treat the patient according to his wishes.

5. The healthcare delivery system in the United States consists of both public and private healthcare systems. My clinical agency is a public healthcare delivery system that demonstrates acute care. I would say that the organizational

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