There are many ethical decisions that a nurse will encounter throughout their practice. Therefore, it is very important for a nurse to identify an ethical decision making model that best suits them. This will prove to be a vital tool in the, “heat of the battle.” The internal moral/ethical battle that lies within.
The purpose of this paper is to evaluate a case study utilizing one of these ethical decision-making models. In this scenario involving a six-year-old, who has just been diagnosed with meningitis will be reviewed. In this scenario, the physician is requesting permission to treat from the parents. However, the child’s parents are divorced. The non- biological mother has primary custody …show more content…
In this approach involves patient preferences. This patient is not capable of making medical decisions for themselves. Therefore, the medical provider must look to the parents. In this case, the non-biological mother has primary custody of the child, and is refusing care due to religious preferences. On the other hand, the father lives in a different state, and is requesting medical care for the child.
In the third quadrant of this approach, quality of life is considered. Within this quadrant, benefits, nonmaleficence, and respect for patient autonomy are considered. Please treatment, this child stands to make a full recovery. With a few possible side effects. Some of which include general tiredness, frequent headaches, hearing problems, and mood swings. However, some children can be left with permanent damage and/or disabilities.
In the fourth and final quadrant of this approach, contextual features are considered. Loyalty and fairness is taken into account. In this case, it is important to note that the non-biological mother with primary custody of the child, wishes to deny treatment as per her Christian Science belief system. On the other hand, the father wishes to continue with medical treatment. Furthermore, reviewing the court’s orders on who has the final say in the event of a disagreement, may prove useful when considering the …show more content…
This is because the final resolution was in opposition to her religious beliefs and views. I would take her to a private room and discuss the reasons for our resolution. This would include the fact that the child has a good prognosis with few minor side effects, and a small chance of experiencing permanent damage or major deficits. I would explain that the court’s orders were taken into account, and that there were no rulings that pertained to the default decision in the case of a disagreement. Additionally, I would allow her to do plenty of talking and show her the respect and sympathy. She deserves. I would also include that she is not being looked down upon in any way, and that her religious preferences were carefully considered before making the final