The Ethical Dilemma Of Pediatric Nursing

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In pediatric care, nurses are regularly faced with situations where they must make ethical decisions that impact them and their patients. An ethical dilemma occurs when the options for a solution present both favorable and unfavorable outcomes (Burkhardt & Nathanial, 2008). In pediatric nursing, ethical dilemmas arise when there are conflicting views on how course of treatment should be perused. If a patient’s wishes conflict with others, nurses help resolve the conflict (American Nurses Association, 2001). When ethics play a role in conflicting views, personal and professional values are tested. Nurses need to be self-aware of their values in order to guide their decision-making. The ethical scenario described in this paper involves a 15 year-old patient named Mike. At age 7, Mike was diagnosed with acute myelocytic leukemia (AML) but treatments of radiation and chemotherapy put him into remission. However, at age 13, he relapsed and has been hospitalized numerous times for fever and neutropenia after having a bone marrow transfusion. Mike is now 15-years-old who is to begin another aggressive round of chemotherapy and possible transfusion. Mike is tired and weak and tells the nurse he no longer wishes to continue his treatment. However, his parent’s demand that he continue treatment, saying they have the right to make this decision. The nurse must make the decision whether to suspend or continue with Mike’s chemotherapy. The purpose of this paper is to explore the

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