Nursing Ethical Dilemma
Client Choice verses Client Good Ethical Dilemma
Ursula Blinski
0089672
The Discipline of Professional Nursing 3
Instructor: Kim
Client Choice verses Client Good Ethical Dilemma
Ethical dilemmas are as common as a routine medication pass. As health care professionals, their goals are to promote health, prevent illness, restore health and to aid in suffering. Complex issues can arise that may conflict with one’s personal values and beliefs, or clients wishes may conflict or compromise the course of treatment or care Not only are ethical dilemmas prevalent in nursing practice, one must be aware of the ranges in which they can occur (Canadian Nurses Association [CNA], 2008; College and Association …show more content…
W situation in regards to her diet, she would be informed of the risk of aspiration and the possible threat of pneumonia related to her advanced MS. M.S is the demyelination of nerve fibres of the brain, optic nerves and spinal cord. It is a chronic disorder with the trend to progressively deteriorate neurological function. She is exhibiting signs and symptoms affecting the cerebellum which in turn had manifested into dysphasia (Hendrickson, Elms, & Shaw, 2010). She would also be made aware of the lack of supervision during meals due to work load or staffing shortages putting her in harm’s way if she were to aspirate. She would need to sign a consent form refusing the recommended soft diet, and to be made aware of the risks involved. The nurses involved know a soft diet would benefit her but the final decision is hers’ and to respect her autonomy. The second principle beneficence, is to benefit others, promote good to prevent harm. One must be cognizant to paternalism and to keep an equal balance of best interest and client autonomy when applying this principle. With Mrs. W case, this conflicts with preventing harm because the nurse knows a regular diet puts her in a high risk for aspiration. Non-malaficence, the third principle, is related to beneficence. Its’ definition is to do no harm and to protect others from harm, but also considers minimizing harm during the course of treatment and to perceive any harm that may occur. This principle applies to Mrs. W in much of the same way it applies in beneficence. The forth fidelity is the practice to keep promises and loyalty. This principle is exhibited keeping and ensuring Mrs. Ws’ wishes by keeping the promise that she receives a regular diet till the end of her stay, or if she choose to change her
Ursula Blinski
0089672
The Discipline of Professional Nursing 3
Instructor: Kim
Client Choice verses Client Good Ethical Dilemma
Ethical dilemmas are as common as a routine medication pass. As health care professionals, their goals are to promote health, prevent illness, restore health and to aid in suffering. Complex issues can arise that may conflict with one’s personal values and beliefs, or clients wishes may conflict or compromise the course of treatment or care Not only are ethical dilemmas prevalent in nursing practice, one must be aware of the ranges in which they can occur (Canadian Nurses Association [CNA], 2008; College and Association …show more content…
W situation in regards to her diet, she would be informed of the risk of aspiration and the possible threat of pneumonia related to her advanced MS. M.S is the demyelination of nerve fibres of the brain, optic nerves and spinal cord. It is a chronic disorder with the trend to progressively deteriorate neurological function. She is exhibiting signs and symptoms affecting the cerebellum which in turn had manifested into dysphasia (Hendrickson, Elms, & Shaw, 2010). She would also be made aware of the lack of supervision during meals due to work load or staffing shortages putting her in harm’s way if she were to aspirate. She would need to sign a consent form refusing the recommended soft diet, and to be made aware of the risks involved. The nurses involved know a soft diet would benefit her but the final decision is hers’ and to respect her autonomy. The second principle beneficence, is to benefit others, promote good to prevent harm. One must be cognizant to paternalism and to keep an equal balance of best interest and client autonomy when applying this principle. With Mrs. W case, this conflicts with preventing harm because the nurse knows a regular diet puts her in a high risk for aspiration. Non-malaficence, the third principle, is related to beneficence. Its’ definition is to do no harm and to protect others from harm, but also considers minimizing harm during the course of treatment and to perceive any harm that may occur. This principle applies to Mrs. W in much of the same way it applies in beneficence. The forth fidelity is the practice to keep promises and loyalty. This principle is exhibited keeping and ensuring Mrs. Ws’ wishes by keeping the promise that she receives a regular diet till the end of her stay, or if she choose to change her