Genene Jones Research Paper

1. When meeting with the neonatologist, the NICU charge nurse, the infant’s primary nurse, the hospital chaplain, and the social worker in the NICU about the situation I would contribute many things to the group’s discussion as the nurse manager. I would do my best to advocate for Baby S. and Mrs. S. and both of their rights. Additionally, I would do my best to remind the group of the legal issues that those involved may face and the possible outcomes of this scenario. Due to the fact that the group has not previously been in a situation like this one I would encourage the group to use previous experiences that are similar so that we could problem

As The role of the neonatal intensive care nurse in decision-making: Advocacy, involvement in ethical decisions and communication defines an ethical dilemma, “An ethical dilemma exists when some evidence indicates that an act is morally right and some evidence indicates that the same act is morally wrong, but the evidence on both sides is inconclusive… Thus, an ethical dilemma is not between the good aspects and bad aspects of a situation or between what can be done and what one wishes could be done, but among two or more morally right, but inconsistent, alternatives” (International Journal of Nursing Practice, 109). West Park Hospital states on their tree of ethics that compassion and respect, commitment, advocacy, competency, accountability/ responsibility, professional growth, knowledge, collaboration, and integrity are the roots and branches of a healthy nurse-patient relationship. Not only do nurses have to deal with everyday ethics, but they are also given the responsibility of making life-and-death decisions for patients who don’t have the ability to advocate for themselves. Within the domain of nursing, ethical decisions of all types occur within the job, but the level of education and responsibility that you have acquired determines many of the ethical decisions that one is required to make on a daily basis. Over the years, technological advances have changed the ethical decisions that occur within the job and the way that we handle those decisions. Technology has changed our world in many ways, especially within the medical field- some for the better and some for the worse, and this is very noticeable within a nurse’s daily life. Nurses have a lot of responsibility when it comes to making ethical decisions, but they are not the only ones that are involved in those decisions when it comes to vulnerable

Genene Jones was born on July 13, 1950 in San Antonio, Texas where she was given up for adoption and taken in by a couple named Dick and Gladys Jones. Genene’s adoptive parents also adopted three

A university student who has already made headlines for having sex with a married doctor has now been banned from driving after being described as ‘nothing short of a lunatic’.

Firstly, Every hardship and obstacles she endured throughout her childhood helped Jeannette to become a successful adult.Jeannette’s parent were very unpredictable, her mother was self absorbed in her hobbies, and her father was an interminable alcoholic. Even though her parent neglected and gave less attention to Jeannette,

Jerrel Muse Jr is well rounded in all areas. When he was six he demonstrated strength in reading, writing, speaking, listening and math. Now that he is eight, his scores were average to above average in word word reading and spelling. On the verbal portion Jerrel Jr scores were all above the one standard deviation. He is also doing very well in math, he understanding the concepts very quickly is and working in a fourth grade math group in third grade. Jerrel now into soccer has a real knack for sports.

Pregnant mothers are viewed as a business made for doctors and hospitals as insurances typically cover infant birth and hospital bills. As Patricia Burkhardt, Clinical Associate Professor, NYU Midwifery Program could not speak the truth any better, she states, “Hospitals are a business. They want those beds filled and emptied. They don’t want women hanging around the labor room.”

Neonatal nurses spend their career working with babies, those that are healthy and those that are not. Working with newborns is guaranteed to have its challenges, especially for those particular nurses who choose to work in the neonatal intensive care unit. The neonatal intensive care unit, or NICU, is where the infants suffering from potentially fatal diseases/disorders are held. NICU nurses struggle with life and death situations each and everyday, which is sure to be accompanied by specific emotions such as moral distress. In the words of researcher Kain (2006), “moral distress is defined as uncomfortable, painful emotions that arise when institutional constraints prevent the nurse from performing nursing tasks that are deemed necessary

“The moral duty to protect vulnerable populations is dogma in ethics and research principles. One would have to argue that the fetus is the utmost of vulnerable populations and yet there are circumstances in which the protection of the fetus is effaced in a maternal decision to refuse delivery by cesarean” (Deshpande, Oxford, 2012). In cases like these, respecting a patient’s autonomy is important. In order for the patient to maintain autonomy though, it is crucial for the medical team to help Maryam and Hossein fully understand the implications of not going through with the cesarean section. Our job as a healthcare provider is to maintain a level of beneficence for our patients; that is, we are to act in their best interest. However, acting in their best interest comes with many legalities as well. It is important to remember though, that what may be ethical is not always

Obstetricians and midwives both have a standard that they all need to be aware of and know when working with women in antenatal, birth and post natal. They need to both be able to help assist the women in choosing a mode of care that is suitable for her needs. (Ranzcog.edu.au, 2011)

This plays a role of the woman who is independent. No woman should be forced to carry a pregnancy to term if the person has no desire to do so. “Informed consent is a basic principle in medical ethics and "a critical element of any theory that gives weight to autonomy," according to medical ethics scholar Robert Veatch. For a woman to be able to properly exercise her autonomy, she must be given factual information as to the development of the fetus, how the procedure is performed, and the possible physical and psychological risks involved.” Decision-making would be considerable at ease if we preserved our autonomy in making the decision. Healthcare leaders need to apply veracity in this dilemma. For example, if there was a woman who was unsure of what to do, you should tell her what you know is true and be able to apply beneficence. It is important to make sure that you know of the patient’s beliefs and culture before stating anything. This is how you could achieve to state your view and apply veracity as an ethical principle. Beneficence dominates the patient’s autonomy for their personal good. The physician has an important part to perform in the care of the health of the patient. Nonmaleficence is when the physician must avoid causing any harm and understand stating the boundaries of beneficence. Nonmaleficence tells us how important it is not to harm any individual. However, if a

In the United States, as many as eight babies out of 1,000 live births suffer a significant birth injury and nearly half of those are avoidable. In many cases, there were steps that could have been taken to avoid injury to the infant and have a more positive outcome. Although parents may not be able to control every situation that could result in an injury, such as an error made by a doctor or midwife, there are some things they can do to minimize the risk of injury to their child.

As a society, why should we care if babies are born in the hospital or with a midwife? As technologically advanced as the United States is, we rank 29th in infant mortality. Even more shocking is that 99% of all births in the US take place in the hospital (Kluger, 2009). These numbers are staggering. Modern medicine should be eliminating most of these risks but looking at the statistics there is a lot of room for improvement when it comes to birth experience. Why should we care about using a midwife? The United States needs to decrease the numbers of infant deaths and the key component is using more midwifes.

You talked about not able to breastfeed after cesarean section since breast milk is very important in providing immunity for the neonate, how can the nurse overcome this issue to prevent legal and ethical issues? Another legal consideration would be advocating for moms who may not have access to appropriate prenatal care. Legal and ethical principles to keep in mind are Beneficence which is doing or promoting good for others. Thank you for sharing you

Most maternal deaths are avoidable, as the health-care solutions to prevent or control problems are well recognized. All women require access to prenatal care in pregnancy, skilled care through delivery, and care and support in the weeks after delivery. It is mainly essential that all deliveries are done by experienced health experts, as timely management and treatment can be the difference between life and death.