Ilene, many of the ethical dilemmas faced by nurses could be eliminated if people would take the time to let their family know what interventions they would want in situations like this. End-of-life planning and advanced care directives will increase the quality of life of a dying patient, ease the ethical decisions having to be made by family members, and will ensure that personal wishes will be abided by (Eggertson, 2013, p. E617). Many people talk about what they do and do not want but never write them down. This leaves the family, doctors, and other health care members second-guessing the wishes of the patient whenever they are too ill or sick to make decisions themselves. If your patient had made these decisions earlier and made it…
The legal concept of vicarious liability and the Doctrine of Respondeat Superior occurs when the employee commits a tort or civil wrong within the scope of employment and the employer is held liable although the master may have done nothing wrong( Regan 2002). Physicians and other healthcare providers need to be aware of this doctrine in the supervision of their staff and their day-to-day medical practice.…
Peter Allmark the author of “can there be an ethics of care” states that the notion of ethics base on care, for instance from the nursing profession, promoting an approach to ethics based on care. Is laughable. Allmark suggest that this approach is “hopelessly vague” and that the nebulousness is due to a scarce scrutiny of the concept of care.…
Within the health care field, effective leaders possess the ability to improve situations, act as patient advocates, and perform leadership roles as moral agents. As a developing professional nurse specialist, it is important to use clinical expertise based on the concept of evidence-based practice to advocate for both patients and staff. The purpose of this paper is to consider an ethical dilemma in the field of nursing and analyze the moral, ethical, and legal implications utilized in the situation.…
The Bartling case was about whether William Bartling had the right, over the objection of his physicians and the hospital, to have life-support equipment disconnected despite the fact that withdrawal of such devices will surely hasten his death. When he entered Glendale Adventist Hospital in California in 1984, he was known to be suffering from emphysema and diffuse arteriosclerosis, coronary arteriosclerosis, abdominal aneurysm, and inoperable lung cancer. At the end, He had to use mechanical respiratory and chest tube to assist his breathing in the ICU. Although each of these conditions could individually be lethal, he was not diagnosed as terminally ill. At first, Mr. Bartling asked his physicians to remove the ventilator but they refused. Then Mr. Bartling attempted to remove the ventilator tubes but was unsuccessful. Eventually, to prevent his attempt, he was placed in restraints so that the tubes could remain in place. The case was taken to Los Angeles Superior Court by Mr. Scott. Because he was not considered terminally ill, the court refused either to allow the respirator to be disconnected or to order that Mr. Bartling’s hands be freed. At the second time, the case was taken to the California Court of Appeal. However, the result was that Mr. Bartling had the right to make his own decision, which was obviously different with the first time. So I think the main issue in this case is about patient’s decision-making capacity, specifically, when patient is able to make make the decision of his own medical…
Bibliography: Beauchamp and Childress. (2002). Ethics of Care. Principles of Biomedical Ethics. Retrieved August 22, 2009 from http://caae.phil.cmu.edu/cavalier/80130/part2/II_7.html…
The ethical dilemma in this scenario is whether to risk Dr. John’s and Joseph’s life, also Margaret’s in an attempt to save more people, with no guarantees that they’ll be able to save any at all and safely come back to the roof. Margaret, the RN, already made up her mind as she disappeared down the stairs with Joseph expressing his reluctance.…
When thinking on the topic of ethics I never really gave it much because it happens every day without even realizing it. Ethics is involved in everything no matter whether it is at work or at home. As far as work goes it happens with customers as well as employees. The egoism is that one ethics is motived by self-interest or conscious actions. I can see this when some is working on something and it becomes apparent that there is a safety issue. Utilitarianism on the other is the theory of ethics that it gives the greatest amount of please to the group as whole not matter the circumstance. I see this when you have to fire someone because they are causing problems in the workforce. Deontology is the idea that ethics is based upon actions and/or…
allowed to do so as this will be treated as one of her daily activities which contribute to her feeling worth in life (Bainbridge & Rickets, 2013).…
Care is fundamental to human existence work has been done much before it has been as care ethics or care. Ethics of care is the experience or act of attending to someone’s needs and assuming their responsibility. There are two main people in any care relation a “career” and a…
Ethics refers to the study of situations that require practical reasoning. Ethical dilemmas are encountered in many instances of the nursing career. Therefore, some reasons determine particular ethical behaviors. For example, what individual regards as an ethical behavior may be considerably different from another person’s perception of the situation who may be applying a different approach. This situation results in moral distress that arises in the circumstances where a person is unable to decide on the ethical choices that may be available due to the various religious, moral as well as professional constraints (Amoah, 2016). This constraints influence actions that an individual can take or the way they believe is the right or wrong action to take.…
The Patient Protection and Affordable Care Act (PPACA) is commonly referred to as Obamacare. President Obama signed this federal statue into effect in March 2010. There are many provisions in this statue including the mandate requiring all US citizens to have health care coverage. On June 28, 2012 the Supreme Court Uphold the Individual Mandate. Chief Justice Roberts voted to up held the mandate the provision which requires citizens to buy health care insurance or pay a penalty. Robert’s decision created the majority ruling approving the mandate as a tax.…
2) The moral issue of physician-assisted suicide is a fascinating case due to the dividedness among people who either support or oppose the concept. When looking at physician-assisted suicide through the four moral principles of bioethics, one might come to a better understanding of the issue from an ethical standpoint. Autonomy, a person’s rational capacity of self-governance, describes the ability to make one’s own decisions and direct their own life. With the case of physician-assisted suicide, autonomy suggests the patient has the right to decide whether or not he/she wants to live with a terminally ill disease, and they therefore, can request the prescription of a lethal drug in order to end their life. If a physician only looked at autonomy, then the result would indefinitely be to prescribe that patient what he/she wishes because they have the right to control their own life decisions. Beneficence, the concept of doing good to others and avoid giving them harm, could contradict the idea of autonomy in this case, since prescribing a patient a lethal dose of medication could be seen as doing the patient harm. Although the medication would be self-administered, the physician would be enabling the suicide, and ultimately causing the patient to die. Utility, on the other hand, involves producing a favorable balance of good over bad, producing pleasure and happiness. In this particular case, utility could used to argue that the patient is in pain and ending their lives would ultimately produce pleasure. If the patient has less than six months to live, and the illness is irreversible, than physician-assisted suicide could bring them overall happiness, since they would not have to live with the disease any longer, causing a better balance of goodness over harm. The principle of justice refers to receiving what is fair or what is due, based on moral rightness. In my opinion, this is the grayest area of the…
According to the code of ethics for Nurses, written by the American Nurses Association (ANA), as cited by Lachman(2001), care is central to nursing practice. All professional nurses have a responsibility to care for patients under their care. Caring defined, is “a feeling and exhibiting concern and empathy for others; caring is a feeling that also requires an action” (Lachman, 2012, p. 112). The nurse’s first allegiance is to the client, providing the most ethical care for the patient. Care ethicseeks to maintain relationships by promoting the well-being of the nurse (care-givers) and the patient (care-receivers). The nurse seeks to develop the skill of giving care that is appropriate all while balancing the amount of necessary care needed…
For the purpose of this assignment, ethics in relation to nursing will be discussed. "Ethics; A code of principles governing correct behaviour, which in the nursing profession includes behaviour towards patients and their families, visitorsand colleagues" (Oxford Dictionary of Nursing 2004).…