The free dictionary defined ethical code as a system of principles governing morality and acceptable conduct. However, it was noted that no code can provide absolute or complete rules that are free of conflict and ambiguity. Because codes are unable to provide exact directives for moral reasoning and action in all situations, some people have stated that virtue ethics provides a better approach to ethics because the emphasis is on a person’s character than on rules, principles, and laws (Beauchamp & Childress, 2001). The core ethical principles in nursing are;…
The ANA Nursing Code of Ethics applies to this case study in that it addresses ethical responsibilities and the nurse’s role in advocating for the patient. Section 1.4 of The Code of Ethics for nurses is the right to self-determination and applies to this scenario. This code should impact the nurse in his or her profession decision when caring for this patient. The code of ethics should serve as a guide to the nurse in this scenario empowering the nurse to use the knowledge that the patient had previously set forth in legal documents to discuss with the physician, the legal and moral obligations of the healthcare team in regards to this patient’s treatment plan. The Code of Ethics provides a basis for the nurse to guide his or her practice and support of the patient. It would be unethical for the doctor to place this patient on a ventilator. The patient took steps to ensure that future healthcare decisions would be addressed in the event that he could not make his own decisions. This legal document not only specified Mr. E’s wishes, but also included a durable power of attorney to make decisions for him in the event that he was unable to do so himself. By placing Mr. E on a ventilator,…
During the first day of my clinical, I had the opportunity to shadow my preceptor because of some technical problem I did not have my login, so I couldn’t have access to the patient records and all the information’s I needed. Consequently, I shadowed my preceptor. In fact, it was a learning since I did observe how she does her charting, reporting, how to start, organize and prioritizes during a shift. The culminant point of the day was the admission of a patient from the PACU. Before the patient came to our unit, there was a great communication between the nurses who took care of the patient before his admission to our unit. The patient had a surgery on his neck and he looked fine at first glance. We assessed him and followed all the protocol…
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…
In the United States, privacy and confidentiality are the basic rights of the society enshrined not only in professional practice codes of ethics but also in the constitution. Hence, nurses and for that matter, all health care professional have a legal, moral and ethical responsibility to protect patient's privacy.…
However decision making is essential for nurses to participate in order to focus on ethical and moral issues and note situations that appears to be dilemmas with the help of professional and ethical competence (Tschudin, 2002). Moreover unprofessional ethical practice may result to litigations if care was deemed not to be professionally sound.…
The profession of nursing must have high values and ethics, but how does a nurse make that tough ethical decision. Ethical decision making is defined as “The process of choosing between actions based on a system of beliefs and values” (Black, 2014, p. 347). The nurse has to go through a process to come to the most ethical and just decision based on their facility and their ethics.…
I was just starting out working as getting my clinical hours and I remember looking at my patients care plan and I didn’t see anything about this particular patient being a DNR = Do Not Resuscitate and I went into the patients room to check on this man and I realize that he isn’t breathing and I called the nurse as quick as I could and I went into the room and was about to start chest compression and as I was about to start I heard the nurse shouting at me don’t touch him. The nurse didn’t do anything as well I was upset because I was under the impression that we suppose to do everything in our power to keep these patients alive. Me and the nurse argued because I didn’t see the DNR on the man’s chart and as I sat down with the charge nurse she showed me where it was located.…
Great post Hannah! I agree that when care is not up to nurses’ personal standards, it may lead to conflict and hard feelings. I have seen this happen on my unit, when a patient was transferred from the ICU and the nurse seemed frustrated, because the patient had a high acuity and was placed on a medical surgical unit. She reached out to the physician about her concerns and he assessed the patient and started discussing discharge. The next day the patient coded and was transferred back to the ICU. The nurse was upset and talked badly about the physician, ICU staff, and their decision making. I understood her frustration, but instead of talking about the health care professionals, she could have talked to the unit manager to voice her concerns.…
Healthcare providers such as nurses are given unique opportunity to touch not only patient’s lives but also their families. For many years, this author collaborated with many nurses and encountered exceptionally competent ones and experienced meeting nurses that are burned out. Multiple issues can arise during a shift that can lead to nurses taking extreme shortcuts and risking the well-being of their patients. Increasing workload, under staffing, and demanding patients can affect a nurse’s performance. One ethical situation that was experienced by this author was the care of an elderly patient who was admitted for diagnosis of failure to thrive, who ended up passing away due to hospital acquired complications. The admitting nursing, as well as, the following nurses who cared for the patient failed to assess the…
As patient’s advocates, nurses need to provide care that is qualitative, safe and at the same time beneficial to the patients. My patient was a cancer patient that was going through much pain and at the same time, the doctors were worried about the adverse effect of too much pain medication being administered to this patient which is liver damage and dependency on narcotics. On the other hand, the patient’s cancer has advanced to stage II and her chances of survival were very minimal. In this case, palliative care would have been better for the patient but the patient and her family members were still in denial of the outcome of the patient’s condition and refused to accept hospice care. If I did not act the way I did, the hospital would have been reported to the ombudsman and would have been under…
Prior to this assignment, I thought that medical ethics meant to practice nursing as a prudent nurse would practice, in a socially acceptable way. Ethical behavior is one doing what is right rather than what is wrong. I knew that all medical professionals had to comply with patient confidentiality, but I did not realize that all medical professionals, including writers, were held accountable just as if they were providing bedside patient care. I never considered medical writing before and never wrote medical information, other than charting. Charting is a big part of patient care, so naturally I understood the ethical responsibilities that were associated with charting. I also knew that research professionals were also held to high ethical standards because of their interaction with medical patients. After this assignment, I realized I knew less than I thought I did about medical ethics. I learned that all medical professionals, regardless of their position, are held to a high ethical standard.…
S.Z, a 65 year old Hispanic male, is being discharged from hospital after being admitted with a blood sugar of 589. He has been seeing a curandero to manage his diabetes mellitus type II, hyperlipidemia, and osteoarthritis. He has not taken his prescription medications for these chronic conditions, but instead takes traditional medicines the curandero tells him to take. His daughter approaches the nurse with her concerns over her father’s heath and asks the nurse if her father’s discharge orders can be cancelled; the daughter would prefer the doctor write orders for her father to be admitted to a nursing home.…
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).…
The ethical dilemma is that the children of the woman with cancer are not being cared for adequately. The nurse must decide if it is ethically and morally sound to tell the school nurse about the daughters’ situation at home. Since the nurse is the caretaker of the mother and knows that she needs to keep her information about her health confidential. However, it is affecting the mental stability of her daughters because they are afraid of their mother’s declining health. Also, their intellectual abilities are being demised as shown by their worsening grades at school. She also needs to decide if she needs to report the situation as a case of neglect. Since the mother cannot properly even care for herself, let alone her daughters, it is logical to think that as the mother’s health declines, so will her daughters.…