Ethical Decision-Making Model
Details ethical decision-making model chosen
Ethical dilemmas for the older adult create complex problems that frequently involve challenges in determining who should be the decision makers concerning a person 's health care.
The following case study represents concerns that are common to the physically-declining elder adult with end-of-life involvement. Discussion of this scenario provides a decision making model in which the DECIDE framework has been chosen to cover concerns regarding the case study, a discussion about the ethical and legal dilemmas specific to honoring the nurse/patient/family relationship, and a plan of action to be taken nurse practitioner.
Application of ethical decision-making model details to the situation
In utilizing the DECIDE Model the acronym stands for 1. D = define the problem, 2. E = establish the criteria, 3. C = consider all the alternatives, 4. I = identify the best alternative, 5. D = develop and implement a plan of action, 6. E = evaluate and monitor the solution and feedback when necessary (Guo, 2008). In the case study we have a patient that demands his dialysis be stopped and allowed to die. Advocacy, as defined by Guido (2006), involves the act of nurses who champion the legal and ethical rights of the patient, assist patients in asserting their rights to autonomy, and strive to protect …show more content…
Guido (2006) described that beneficence should always be involved as the preferred method of delivering care and that doing good must be inherent in the action itself, have the end goal of doing only good, be void of an undesired effects that are associated with attainment of the good effect, and that there must be a favorable balance toward the desirable effect over undesirable effects (pp. 5-6). A person could argue that with dialysis, the overall good effects of preserving this patients’ life outweighed the undesirable effects of potentially allowing premature
Ethical dilemmas for the older adult create complex problems that frequently involve challenges in determining who should be the decision makers concerning a person 's health care.
The following case study represents concerns that are common to the physically-declining elder adult with end-of-life involvement. Discussion of this scenario provides a decision making model in which the DECIDE framework has been chosen to cover concerns regarding the case study, a discussion about the ethical and legal dilemmas specific to honoring the nurse/patient/family relationship, and a plan of action to be taken nurse practitioner.
Application of ethical decision-making model details to the situation
In utilizing the DECIDE Model the acronym stands for 1. D = define the problem, 2. E = establish the criteria, 3. C = consider all the alternatives, 4. I = identify the best alternative, 5. D = develop and implement a plan of action, 6. E = evaluate and monitor the solution and feedback when necessary (Guo, 2008). In the case study we have a patient that demands his dialysis be stopped and allowed to die. Advocacy, as defined by Guido (2006), involves the act of nurses who champion the legal and ethical rights of the patient, assist patients in asserting their rights to autonomy, and strive to protect …show more content…
Guido (2006) described that beneficence should always be involved as the preferred method of delivering care and that doing good must be inherent in the action itself, have the end goal of doing only good, be void of an undesired effects that are associated with attainment of the good effect, and that there must be a favorable balance toward the desirable effect over undesirable effects (pp. 5-6). A person could argue that with dialysis, the overall good effects of preserving this patients’ life outweighed the undesirable effects of potentially allowing premature