Heart Failure: A Case Study

Studies have shown that many factors have been contributing to influence patient’s care in an ethical manner. What factors could affects one decision for their medical care? Does it also included the nurse’s individual views or should consider their moral obligations? But what is ethics really is? Based on the book Nursing Ethics by Butts & Rich, “Ethics is a systematic approach to understand, analyze, and distinguish matters of right and wrong, good and bad, and admirable and deplorable as they relate to the well-being”. Ethics should follow the current AMA guidelines.

Ethical practice is another component of the social contract of nursing which is a reflection of the values, beliefs and moral principles of the nursing profession. The American Nurses Association (ANA) has established the “Code of Ethics for Nurses” which serves as a “guideline” for the nursing profession in which clinical judgements and

Situation: Two patients in their 70s present to the office at different times today, each with documented heart failure: one diastolic and the other systolic, and both are hypertensive. First, discuss the difference between systolic and diastolic heart failure, providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity and mortality in CHF. Be specific. Diuretics must be used very carefully in diastolic ventricular dysfunction. EXPLAIN this statement using appropriate physiology. Now considering all of the above, describe an appropriate comprehensive plan of

After further questioning you learn she is strictly following the fl uid and salt restriction ordered during

Heart Failure is a progressive heart disease when the muscle of the heart is weakened so that it cannot pump blood as it should; the blood backs up into the blood vessels around the lungs and the other parts of the body (NHS Choice, 2015). In heart failure, the heart is not able to maintain a normal range cardiac output to meet the metabolic needs of the body (Kemp and Conte, 2012). Heart failure is a major worldwide public health problem, it is the end stage of heart disease and it could lead to high mortality. At present, heart failure is usually associated with old age, given the dramatic increase in the population of older people (ACCF/AHA, 2013). In the USA, there are about 5.7 million adults who have heart failure, about half of the people die within 5 years of diagnosis, and it costs the nation an estimated $30.7 billion each year (ACCF/AHA, 2013).

Although the concept of principles guiding right and wrong conduct is not new to nursing, professional ethics has received increasing attention in nursing circles. Professionals such as nursing require a code of ethics on which practice can be based and evaluated (Black , 2017). There are sic ethical principles based on human dignity and respect: autonomy, beneficence, non-maleficence, justice, fidelity, and veracity. Today, I will talk about two ethics that nurses have to face a lot in patient care: beneficence and fidelity.

6. What laboratory tests should be ordered for M.G. related to the order for furosemide (Lasix)? (Select all that apply)

The main points of provision five of the ANA code of ethics are as follows: section 5.1, which is moral self-respect, suggests that nurses must care for themselves as much as they care for their patients. Nurses must do their best to maintain professional respect to themselves in regards of their competence and moral character. Section 5.2, which is professional growth and maintenance of competence, suggests that nurses must continue to self and peer evaluate themselves throughout their careers. Nurses must continue to learn current, up to date nursing practices through self, peer, and higher education. Section 5.3, which is wholeness of character, suggests that nurses must develop and take into consideration their own

The ANA is a professional organization that represents all the nation’s registered nurses. It helps the advancement of the nursing profession by issuing high standards of practice, and promoting the rights of nurses in the profession. The Code of Ethics is developed as a guide for carrying out nursing responsibilities, along with an appropriate quality in caring with the ethical obligations of the profession. Ethic has always been an essential part of nursing as nursing has a history of concern for the sick, injured. The Code of Ethics for Nurses serves these purposes: it serves

The Transtheoretical Model of Change has become popular over the past few decades in explaining health behaviors like substance and alcohol abuse, dieting, and smoking cessation. It has four parts to it, the first being the stages of change. The Stages of Change Model gives explanations for different points on the path to intentional behavioral change (Vilela, Jungerman, Laranjeira, & Callaghan, 2009). Intentional behavioral changes are changes in the habitual patterns of behavior that are related to issues such as substance or alcohol abuse. There are six steps in the Stages of Change Model: precontemplation, contemplation, preparation, action, maintenance, and

According to the Heart Foundation (2010), “Best-practice management of chronic heart failure (CHF) involves multidisciplinary care” (p. 3). A care coordinated with his different physicians including cardiologist, pulmonologist, and referring physicians, as well as clinical nurses, and dieticians will be an important step in Mr. P’s CHF care. As they are concerned about the mobility outside of their home, a telephonic follow-up after discharge from the hospital, and door delivery of medicines could be beneficial. It is also very important to help him to overcome his polypharmacy. Since Mrs. & Mr. P seem emotionally weak, they need emotional support to cope up with the situation. They are worried about the heaping medical bills. Provide information about the possibility of getting qualified for Medicaid/Medicare as well as grants from organizations like Patient Access Network

The Code of Ethics for Nurses was created to be a guide for nurses to perform their duties in a way that is abiding with the ethical responsibilities of the nursing profession and quality in nursing care. The Code of Ethics has excellent guidelines for how nurses should behave, however; these parameters are not specific. They do not identify what is right and wrong, leaving nurses having to ultimately make that decision. Ethics in nursing involves individual interpretation based on personal morals and values. Nursing professionals have the ethical accountability to be altruistic, meaning a nurse who cares for patients without self-interest. This results in a nurse functioning as a patient advocate, making decisions that are in the best

Ethics is an essential aspect of health care practice and those working in the nursing profession are often subject to frequent ethical dilemmas. It is essential for all nurses to be aware of the importance of ethics in health care and to practice within the ethico-legal parameters that govern the profession. However, while this is relatively easy in theory, ethics is not a black and white subject and often one’s culture, upbringing, attitudes and beliefs can influence what one views as ethical and this can therefore influence practice. This report will discuss the importance of ethics in nursing practice. The definition of ethics will firstly be presented followed

The process of change describes how people change. These processes of change are divided into two categories; cognitive and behavioral. Cognitive is the thinking process of change and behavioral is the action process of change. The transtheoretical model suggests that people use different strategies, techniques or different amounts of each at different stages in their change process. Self-efficacy refers to confidence and an individual’s experience with confidence to perform specific behaviors in specific situations. Self-efficacy is a good predictor of behavior change. An individual with higher self-efficacy may be more likely to change a behavior even if the situation doesn’t have any positive reinforcements (Campbell, Eichhorn, Early, Caraccioli, Greely, 2012).

The primary objective of this paper is discuss the Transtheoretical Model of behavior change and its application in healthcare settings, and discuss the strength and weakness of the Model. Number of theories and analytical models were described that helps us to understand how people modify their behavior but no one of them accepted universally.