process. Due to the age of the client and the laws that not only allow but may require‚ parental involvement‚ counselors must consider how this can impact their relationship to the client and their obligation to the parent or legal guardian. Confidentiality is one of the most delicate issues when discussing ethical dilemma involved in the counseling process‚ and the demand for such information by a parent or legal guardian when the client is a minor can push this topic to the limit. Possible ethical
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Introduction In recent years‚ there has been increasing number of the UK’s population that are classified as overweight or obese which is gaining immense amount of interest from all the healthcare professionals. Obesity is one of the factors that contribute in developing other conditions such as diabetes and cardiovascular diseases (Temple Health Jeans Hospital‚ 2012). Due to this‚ it is vital for the nurses to have enough understanding regarding obesity. Nurses play an important role as patient’s
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not consent to treatment while the biological father consents to treatment but lacks custody. The nurse has the responsibility to uphold the “four principles of biomedical ethics of autonomy‚ beneficence‚ non-maleficence and justice” (Cooper‚ 2012)‚ however‚ this case shows autonomy‚ beneficence and non-maleficence clashing. The patient and her family have the right to determine the patient’s care; yet‚ following the patient’s mother’s decision has the potential of causing harm to the
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longer (Asher). Dax requested on several different occasions to just leave him alone and let him die but all of his physicians’ refused his requests and kept going with their treatment plan. The physicians were going against the principle of non-maleficence‚ which states‚ “ Physicians have an obligation to do no harm to the patient” (Munson‚ 2012‚ p. 892). Dax suffered
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A shift from deontological principles to utilitarianism has occurred in the past thirty years‚ corresponding with the rise of the modern bioethics movement (Rae & Cox‚ 1999). Many members of an increasingly aging population are denied their autonomy on the basis of mental incompetence. The most common cause of the loss of competence is Alzheimer’s disease‚ which may afflict up to 50% of individuals 85 years and older (Alzheimer’s Disease‚ 2003).
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exercising their right to autonomy or their right to make decisions about healthcare before they are incompetent to do so is sound‚ but the DNR is burdened with controversy‚ complicated and emotionally charged. Eventually‚ the DNR directive became standard in hospice and end of life care‚ which led medical and state authorities to create and enforce clearly affirmed policies about when to delay or ensue with the action. In these policies‚ emphasis on the patient autonomy and surrogates for the
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Evidence-based medicine (EBM) and Clinical Decision Support (CDS) provide opportunities for clinicians to use established guidelines to improve the quality of care that they provide. EBM is the intentional use of established best practices to determine the best course of treatment for a patient (Hughes‚ 2011; Timmermans & Mauck‚ 2005). These guidelines are determined by a committee of experts who analyze research to determine the best methods (including benefits and risks)‚ such as “how and when
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Types of consent Consent comes in a form of implied and expressed consent. In nurses’ day-to-day dealing with patients‚ consent is secured from patients frequently. Implied consent refers to nonverbal acknowledgement of a health care provider’s request to provide treatment (O’Keefe‚ 2001). An example of implied consent would be when a nurse walks to the patient and inform the patient that she is going to administer an antiemetic injection and the patient rolls up his/her sleeve and brings his
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Brief Explanation on Domestic Violence: Domestic violence (DV) is one the most common types of crimes‚ which takes place in peoples’ homes behind the close doors and characterized by unequal power relations. DV happens in almost all cultures‚ races‚ society classes and countries and is rarely reported. Women are eight times more likely to be the victims than men (Ferrante et al.1996). ‘Each year 1.5 million women are physically or sexually assaulted by an intimate partner’ (Tjaden & Thoennes‚ 1998
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or doubt regarding competing values‚ such as personal‚ organizational‚ professional and social values. When involved in a decision making process it is important for all concerned to considered ethical principles including justice‚ autonomy‚ beneficence‚ non-maleficence‚ and fidelity. Also included‚ should be professional and organizational ethical standards and codes of the organization involved. Over the years‚ many factors have contributed to the growing concern in healthcare organization over
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