Taking a Stand Essay

1324 Words6 Pages
Taking a Stand Barbara De Groot, RN Walden University
NURS 6053, Inter-professional Organizational

And Systems Leadership

Barbara De Groot, RN

November 14, 2014

Introduction Patient advocacy extends back to Florence Nightingale and remains relevant today. While Nightingale did not explicitly address advocacy in nursing, she did demonstrate advocacy in many ways (Selanders and Crane, 2012). Today advocacy extends beyond the individual patient to local and global populations, and nationally and globally to the nursing profession itself. The purpose of this paper is to describe this author’s role as a moral agent or advocate for a specific issue in this author’s work, and explain one or more negative outcomes that may
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She was scheduled for total hip arthroplasty three days following admission. The daughter wanted to proceed with the surgery, and the son did not. The ethical concern in this case hung on two issues. First, the patient demonstrated a sufficient degree of dementia to ask “will the patient be able to adhere to instructions and hip precautions following surgery.” Additionally, given her degree of debility due to her non-ambulatory status before the injury “would it be in her best interests to proceed with the surgery?” As a team, the nurse, social worker, and I discussed these concerns with the orthopedic PA who agreed that perhaps the fracture should just be allowed to heal on its own instead of going forward with a costly, painful surgery and extended rehabilitation that may or may not produce the desired outcome. The PA, nurse, social worker, and I met with the orthopedic trauma surgeon and the head of orthopedics and presented the problem. Using a duty-based, deontological framework for ethical problem solving, and the principle of beneficence (Marquis and Huston, 2012), it was agreed that in this particular instance it would be best to let the fracture heal. As a team, we spoke with the family and explained why this choice was the best for their mother. Although the daughter had an unreal expectation that her mother would be able to walk again following

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