Preview

Ladder

Better Essays
Open Document
Open Document
1396 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Ladder
Running head: LADDER OF INFERANCE 1

Susan Valliere
Ladder of Inference, a Case Study
Southern New Hampshire University

LADDER OF INFERANCE 2
Abstract
The case study given is a classic case where a patient’s belief, (real, false interpretation of facts) influences their behavior and is a barrier to receiving quality and/or appropriate care. The ladder of influence and its steps will show how ones “beliefs, accurate or not, affect quality of care received, and the importance of health care providers to dispel any misconceptions a patient may possibly have. The subject in this case study “Mia” jumped to the wrong conclusions. This short paper will use the Ladder of Influence, otherwise known as the “process of abstraction” to see how she (Mia) jumped to the wrong conclusion of being not wanted, or a burden in the ER came about and how it could have been prevented by putting focus on the facts and not mere “impressions “.

LADDER OF INFERANCE 3
Ladder of Inference, a Case Study This case study is a sad one but all too common. The subject in the study “Mia” is in a pretty venerable situation, even before her diagnosis of Osteosarcoma. Being a teenager is difficult and confusing time, as their hormones and emotions run rampant affecting their thoughts and impressions of things, but she also comes from a troubled home. Overhearing the head nurse obviously fueled her already loss of self, place in the world, and worthlessness and that she was just a burden. Her “Mias” interpretation of both facts, interpretations, and beliefs, lead her to ultimately not seek treatment at the ER, and affected her overall treatment. This short paper will analyze this case using the ladder of inference. This child “Mia” has more than cancer and pain management, but several mental and social wellbeing issues as well, which it is apparent none of



References: Arries, E. J. (2014). Patient safety and quality in healthcare: Nursing ethics for ethics quality. Nursing Ethics, 21(1), 3-5. doi:http://dx.doi.org/10.1177/0969733013509042 Jain, M., M.D. (2011, Jul). Doctors often struggle to show compassion when dealing with patients. Hearing Loss Magazine, 32, 23. Retrieved from http://ezproxy.snhu.edu/login?url=http://search.proquest.com/docview/920197903?accountid=3783 Philbin, G., & Keepnews, D. M. (2014). Edward L. bernays and nursing 's code of ethics: An unexplored history. Nursing History Review, 22, 144-58. Retrieved from http://ezproxy.snhu.edu/login?url=http://search.proquest.com/docview/1433806789?accountid=3783

You May Also Find These Documents Helpful

  • Powerful Essays

    AFT2 - Task 1

    • 912 Words
    • 3 Pages

    Mulloy, D. F., & Hughes, R. G. (2008). Patient safety & quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from http://www.nlm.nih.gov/books/NBK2678/…

    • 912 Words
    • 3 Pages
    Powerful Essays
  • Good Essays

    Olson, L. (2010). Provision Six. In Guide to the Code of Ethics for Nurses (p. 72). Silver Spring ,…

    • 460 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Ella is an elderly lady with breast cancer, she is now in the last stages of the cancer an soon her life will be over. The social worker in this case must be able to determine the best care possible for this lady. Ella has a background of trusting only in natural remedies for ailments along with her husband John who is of Native American descent, and trust only in traditional methods for healing. When looking at only John and Ella’s viewpoints of health, the answer would be easy on how to care for this lady. However John and Ella have three children along with their spouses and four grandchildren, who all have their own ideas of how Ella should be cared for. Ella’s father also has to be considered for his thoughts on her care.…

    • 1239 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Cultural safety plays an important role in nursing ethics. However, ethics is probably one of the most frequently applied yet commonly misunderstood components have missing practice. Everyday nurses make decisions about what is the right course of action but sometimes nurses make mistakes and pursue the wrong course and occasionally who will be called upon to explain the reasoning behind their decisions. Although much of this will be clinical there will be those times when the conditions are ambiguous where there are competing and conflicting claims. Cultural safety in its most practical sense provides a framework for making the best decision in any given situation with such dilemmas arise. It provides guidance for rules for right and wrong…

    • 192 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    For example, if a patient presenting with hypertension were to refuse undertaking or continuing their treatment, it can be detrimental to their health. In such circumstances, doctors may mislead the patient by, in this example, exaggerating the consequences of treatment refusal, and say that it would undoubtedly result in a stroke to coerce them into receiving the treatment. While the doctor knows that there is no guarantee in this outcome, their act of paternalism is justified by their belief and or knowledge that it is ultimately in the patient’s best interest to undergo the treatment. In situations such as these, there is scope for paternalism, as it can be crucial in preserving or improving the health of…

    • 511 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Schizophrenia and Client

    • 2895 Words
    • 12 Pages

    Delusions are fixed, false beliefs that the nurse should avoid trying to logically disprove to the client.…

    • 2895 Words
    • 12 Pages
    Good Essays
  • Better Essays

    The ethical issues in nursing as well as the situations where such issues arise are being encountered by health practitioners on a daily basis. It is about time that nurses and nursing students learn how to manage and confront these kinds of situations in a professional manner. Expertise on the management of ethical issues in nursing should be given utmost importance in this day and age.…

    • 1289 Words
    • 6 Pages
    Better Essays
  • Satisfactory Essays

    As nurses we often find ourselves trapped in the center of ethical dilemmas between physicians, patients, family members, co-workers, and employers. In ethical dilemma our ethical values and ethical behavior guide us to provide the best care to our patients. In this paper I will define ethics value, my ethical values, and how did I developed them. Also, I will discuss how my ethical values have significant positive impact on my life, and ethical behavior that I want to develop in future.…

    • 658 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Healthcare is a diverse field with many specialties, but a commonality in all aspects is provider’s ethics. Ethics means following the standards and guidelines set by institutions as it relates to job duties, professional behavior, and patients. The decisions made by healthcare professionals, be it physicians, nurses or medical staff, affect real people and may mean the difference between life and death. The health and welfare of patients, along with the very serious aspect of treatment facilitation, requires that ethical standards be followed every step of the way for the health care professional.…

    • 1316 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    The purpose of this paper is to evaluate a case study addressing ethical leadership, analyzing application of standardized code of ethics on nursing practice, and discussing issues in safety for quality patient care. This paper will support the importance of confidentiality when discussing protected patient information. In addition, the need for continuing education and training for nursing through identification of Federal and State regulations as applied to nursing practice will be addressed. The discussion will touch on how these regulations are applied in specific care settings and the professional role of nursing in the ever changing health care delivery system.…

    • 2415 Words
    • 10 Pages
    Good Essays
  • Satisfactory Essays

    Nurses are faced with ethical dilemmas constantly. Knowing the code of ethics can assist the…

    • 253 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    A year ago, a report from the Johns Hopkins Berman Establishment of Bioethics analysed ethical issues medical attendants face in clinical work on, nursing education, research and course of action. The report said nurses require more moral backing in their practices and required the guidelines to encourage a moral workplace.…

    • 527 Words
    • 3 Pages
    Good Essays
  • Good Essays

    There is evidence-based practice research that directly links lives being saves to adequate staffing in the facility. Staffing directly impacts a nurse’s ability to provide proper care for patients (Winning for Patients, 2015). When there is inadequate nurse staffing, the ability to practice safely and ethically is questioned. Nonmaleficence requires nurses to act in a way to avoid causing harm to patients and to act in a way that benefits the patient (Martin 2015). This is near impossible when the nurse has to prioritize care and eliminate care that does not fall high enough on the prioritization list. A nurse’s oath is to do no harm and while unintentionally neglecting a patient, may not be directing harming them. It is still negligence that great harm can come from. For a nurse to feel like they can provide the best care possible, it is necessary for a facility to stand behind their staff and their patient care. Facilities can do this by supporting safer staffing protocols and implementing necessary…

    • 1153 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Nursing ethics

    • 2148 Words
    • 8 Pages

    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).…

    • 2148 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Bed Bathing a Patient

    • 3342 Words
    • 9 Pages

    Bibliography: artter. K, (2001) Ethical Issues in Advanced Nursing Practice. London: Reed Elsevier Plc GroupBurnard. P, Chapman. C, (2004) Professional and Ethical Issues in Nursing. 3rd Edition. London: Elsevier LimitedGlasper. A, Grandis. S, Jackson. P, and Long. G, (2003) Foundation Studies for Nurses: using Enquiry Based Learning. New York: Palgrave MacmillamThe NMC Code of Professional Conduct Standards for Conduct, Performance and Ethics. Standards 07-04. London: Nursing Midwifery CouncilTschudin. V, (1999) Nurses Matter: Reclaiming Our Professional Identity. London:Macmillan…

    • 3342 Words
    • 9 Pages
    Powerful Essays