Nvt2 Task 1

2266 WordsMar 15, 201210 Pages
NVT2 Task 1 The nurse in the case study is faced with an ethical and professional, dilemma. How can she be an advocate for her patient Mr. E? Dr G. is proceeding on a course of action or plan of care that is directly contrary to the patients advance directive and his verbalized objections to the course of treatment proposed by the physician and that is concerning for her. There are multiple issues to consider. For the nurse, she needs to think about her code of ethics, her scope of practice and the legal issues regarding advance directives and Durable Power Of Attorney (DPOA). She also needs to consider the patients right to privacy and confidentiality. As with most areas and issues in modern healthcare the statues can be…show more content…
It may not be entirely ethical but it is prudent. To date no physicians has been disciplined under the Patient Self Determination act for ignoring an advance directive. There have been some civil cases brought against physicians but they have been dismissed. “Few have been able to allege facts sufficient to withstand dismissal given the high burden of proof for such actions, which requires evidence of “extreme or outrageous conduct.”(Lynch, Mathes, & Sawicki, 2008) Dr G could argue that putting Mr. E on the ventilator was entirely ethical as he was not competent to make an informed decision and that the doctor’s obligation related to the duty to ‘do no harm’ mandated his action. Mr. B, the patient’s brother is Mr. E’s designee to make healthcare decisions in the event that he is unable to do so for himself. He is left to make these decisions without a code of ethics or without medical knowledge. He counts on the medical professionals to assist him. He has an ethical obligation to abide by his brothers wishes and directives. He is influenced by his own beliefs and his perceptions of what his brother would want. If he has the good faith belief that his brother did not understand the need for the ventilator or the outcome of refusing the treatment, then it is not unreasonable or unethical

More about Nvt2 Task 1

Open Document