Description of the topic and related ethical implications and obligations to your profession and work as a nurse
The 1973 case of Donald "Dax" Cowart, and the 2005 case of Terri Schiavo reveals the complex issues surrounding euthanasia, right to die, legal guardianship, and patient autonomy. These are issues that most nurses wish they did not have to face, but ultimately must during the course of our work. Nurses are on the front lines of patient care. In both the cases of Dax Cowart and of Terri Schiavo, nurses spent a great deal of time with the patients in their care. The nurse who worked with Dax Cowart admits that her compassionate and caring approach to practice allowed Dax, then known as Donald, to open up and speak openly about his wish to die. In the case of Shiavo, the patient was in a persistent vegetative state and could not speak for herself. Her family members spoke for her, which is why nurses here learn about the need to include families in treatment plans.
On the one hand, both cases point to the fundamental value system upon which a healthcare system is based. Is quality of life more important than quantity of life lived, or is the reverse the case? Each person will answer this question differently, based on cultural background and religious upbringing. In fact, religion played a major role in the Terri Schiavo case. The patient came from a religious family, and her family of origin believed that it was unethical to remove a feeding tube because it
between two sets of human values, both of which are judged to be “good” but neither of
Ethical issues have always affected the role of the professional nurse. Efforts to enact this standard may cause conflict in health care settings in which the traditional roles of the nurse are delineated within a bureaucratic structure. Nurses have more direct contact with patients than one can even imagine, which plays a huge role in protecting the patients’ rights, and creating ethical issues for the nurses caring for the various patients they are assigned to. In this paper I will discuss some of the ethical and legal issues that nurses are faced with each and every day.
Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia & Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of the organization, society and themselves. They strive to deliver the highest level of care for patients, but adjusting for limited organizational and personal resources often requires difficult decisions. This paper explores the following scenario suggested by Maville and Huerta: “You are a nurse providing home care to a mother, and you suspect child abuse after observing the mother’s reaction to her child” (as cited by Arizona State University, 2014). When faced with a moral dilemma, a competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story, incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will guide the nurse towards an appropriate and legal course of action.
Ethical issues can cause a lot of tension and emotional turmoil. Before starting a career in the healthcare profession, nurses must know the code of, the importance of the Nurse Practice Acts and other types of laws, as well as the nurse’s liability when working with patients. Nursing is an ever-evolving profession that has gone through drastic changes in the last few decades, but ethics is still as important as ever. Ethical concepts, nurse practice acts, laws and commitment admissions will be further discussed.
(Thesis, Description of the topic and related ethical implications, Obligations to your profession and work as a nurse) Debra Burden
The ethical principles for nurses to practice with beneficence and no maleficence. This legal battle between Terri Schiavo’s husband and her family was an ethical debate between continuing artificial life or remove her feeding tube by the request of her husband. Using the theories of utilitarianism and deontology can be applied or considered in making the most ethically correct resolution. The cases are very complex and raise many moral and ethical issues. The cases have brought awareness to society of “the importance of discussing end-of-life issues with family members and underscores how an advance directive, a living will and/or durable power of attorney for health care, are a healthcare proxy clarifies and provides evidence of the wishes of an individual regarding end-of-life decisions. Terri Schiavo should impress upon laypersons and professionals alike the uncertainty of the context in which issues of continuation and termination are argued ethically. Nobody knows what Mrs. Schiavo would have wanted. She left no advance directive and in its absence her husband says one thing and her parents
#1. According to Nursing Leadership and management ATI ethics is defined as an expected behavior of a certain group in relation to what is considered right or wrong. (Henery, McMichael, Johnson, DiStasi, Ball, & Holman, 2016) There are six ethical principles they are autonomy which is the ability of the client to make personal decisions, even when those decisions might not be in the client’s own best interest. The second principle is beneficence which is care in the best interest of the client. Third is fidelity which is keeping ones promise to the client about care that was offered. The next principle is justice which is fair treatment in matters related to physical and psychological care and use of resources. Then there is non-maleficence which is the nurse’s obligation to avoid causing harm to the client. The last principle is veracity which is the nurse’s duty to tell the truth. (Henery, McMichael, Johnson, DiStasi, Ball, & Holman, 2016)
Oftentimes, I am asked the question of why I am a nurse, and truth be told, sometimes I don’t know the answer why I want to be a nurse. All I really know is that I have wanted to help those in need since I was a little girl. Time has really flown, I‘ve been a professional nurse for almost 26 years. When we discuss the topic of making ethical decisions today, I look to the very beginning of my nursing career. I was very happy to see my pediatric patients had been discharged home from their illness (e.g. fever, pneumonia, diarrhea, and infection disease etc) after we took good care of them. One day, the parents of a patient who was 2 year old boy with acute kidney
Describe the ethical dilemma that the nurse is facing? Please be specific. What makes it an ethical dilemma?
The role of ethics in organizational behavior is the underlying factor to the success and longevity of any organization. A set of rules and guidelines focusing on promoting safety, trust, and responsible practice within the workplace must be established internally. Organizations develop code of ethics that center upon the promotion of good. Ethics are vital in developing trusting relationships between employees and administration within.
This question has major impact on many people’s lives, their deaths, and their quality of life. Many other questions can be asked in conjunction with this question. How would you like to be kept on life support? Would you want a doctor to make the decision of ‘life or death’? The questions just keep on coming, and every time we seem to find ourselves divided. This issue is relevant because of the recent media coverage over Terri Schiavo’s right to live or die and the fact that any of us could be in her situation. In the case of Quinlan1., the court asked, "If the patient could wake up for 15 minutes and understand his or her condition fully, and
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).
As an individual’s ethics will play a large part in their practice, there are specific guidelines and legislation that exist to ensure that nurses, as well as other health professionals, practice in a way that is ethical (Avery, 2013). These laws further exists to attempt to simplify the ethical issues that sometimes present in nursing practice and to attempt to guide one’s actions. The Nursing and Midwifery Board of Australia (NMBA) provides guidance to nurses by providing a number of professional codes and guidelines (Avery, 2013). The NMBA has developed a code of ethics for nurses comprising of eight codes (Avery, 2013). These are as follows; 1) Nurses value quality nursing care for all people; 2) Nurses value respect and kindness for self and others;
Butts, J.B and Rich,K., (2013,March 1). Ethics in professional nursing care. 3rd Edition. Jones and Bartlett.
The ethical dilemma is a situation by which it’s difficult to determine whether a situation is can be handled without disappointing both sides. Therefore, an ethical dilemma exists when the right thing to do is clear or when members of the healthcare team cannot agree on the right thing to do. Ethical dilemmas require negotiation of different points of view (potter, Perry, Stockert, & Hall 2011pg 78).