Doreen, I found your discussion response to be very interesting. Nurses are the members of the care team that are most accessible to the patient, therefore they deal with ethical issues on a daily basis when providing patient care. According to Silva, Marvins, Bobre, Frazao, & Rosa (2014) ethics, is a fundamental aspect of the nursing practice, and nurse should understand both their competencies and limitations when delivering care (p. 241). I experienced the exact example you gave for an ethical situation. We had a patient on the unit who has not only a DNR on her chart, but also a copy of her living will which clearly stated no ventilator. She had a relatively minor procedure with complications, which is why she ended up in ICU.
The ethical-legal concern in this situation was when Stephanie went outside of her scope of practice to call in an unauthorized medication refill using the nurse practitioner’s name. Even though Stephanie’s action caused no harm to the patient, potentially it could have and resulted in a negative legal litigation for the NP and practice. Stephanie is an unlicensed employee who made an unethical decision, which was not within her scope of practice. According to the American Association of Medical Assistants (2017), certified medical assistant alongside their administrative duties can perform certain medical task in an outpatient care facility, such duties include taking patient’s history, preparing patient for procedures, collecting laboratory
Ethically physicians are required to provide an appropriate plan of care for all of their patients without insurance bias. The discrimination lies in the fact that most uninsured patients cannot follow the plan of care they have received. The Kaiser Family Foundation found that, “uninsured adults were three times as likely as adults with private coverage to say they postponed or did not get a needed prescription drug due to cost” (2015). This creates problems for both the patient and the hospital/place where treatment was provided. If the patient cannot afford the proper post care, the patient's condition will worsen. The patient will have to decide to either go to the ER or continue on due to the fear of a high bill. The Kaiser Family Found:
Growing old and losing the ability to function independently is inevitable. Aging is a part of life. As adults grow old, they need increased assistance with daily living skills. The elderly may need assistance with finances, cooking, washing clothes, and cleaning. However, many Americans are not only aging but also acquiring dementia. In a recent study from the funded by the National Institute of Health (NIH), revealed that approximately 3.8 million people in the United States have some type of dementia National Institute of Neurological Disorders and Stroke. (2001). Dementia affects the ability to cognitively function
Varying departments, universities, and private corporations have different ways in researching and determining the ethical components of their programming. These varying elements can influence communities in many different ways. When examining the values associated, and the public health considerations we must take into account the following values, as outlined by the University of Toronto.
There are more ethical issues in health care then you could imagine, I will introduce three of such issues here in this paper. For starters “Making Basic Health Care Accessible,” today in our society there are many Americans that still lack basic health care. Most travel miles to get proper care, and pay extra out-of-pocket to receive this care. Not only basic health care but durable medical equipment (DME) and radiologic testing.
Community-based services are long-term healthcare provided outside of institutions and are offered in a community environment and/or patient’s home. This encourages a sense of independence while provide the comfort of familiarity for the patient.
Cases such as this are eventually resolved in court, but it does not close the gap in how to ethically handle future problems, or improve the current problems in death laws. This is where an ethics committee becomes the strongest asset to not only solve disputes, but do so in an ethical manner when policies provide little guidance and the public misunderstands the limitations of medical intervention.
Professional standards and institutional ethics involve a twofold obligation. In the first place, a commitment to keep up and enhance the nature of health care. Second, an obligation to maintain the protection of the public from unsafe and inadequate health care practices. Health care organizations have moral commitments, for example, executing a moral policy and verifying it is implemented. Health care quality is a collaboration of several expects that arrive to one contingent purpose; a preferred expected outcome. Ethical problems arise when the institution only focuses on lowering costs or maintain a sufficient amount of surplus. However the decline in the economy hinders the opportunity to provide effective and sufficient quality of care.
The solution needed for this scenario is both ethical and practical. Is there any improvement that can be done to prevent a scenario in the solution? Of course. The weaknesses that might be found in the solution is even though the caregivers communicate, they are not communicating concise, accurate information to the staff as a whole, but simply telling one staff member and expecting that staff member to pass the information along the same way it was received could be miscommunicated to the rest of the staff. It is possible the health record could be annotated incorrectly causing the possible misdiagnosis, which would cause unnecessary harm to the patient by prescribing the wrong medications, an overdosing or even worse, death.
Although we, as individuals, frequently find ourselves amidst ethical dilemmas as we navigate through our lives every day, none of them are as controversial as those in the field of medicine. Undoubtedly, resolving conflict among principles is a difficult task. In context of medicine, where decisions have a direct correlation to life or death, the gravity of the decisions is magnified. Usually, the source of the dilemma can be linked to conflict within the four main domains: respect for others, beneficence, justice and non-maleficence (Wesgate, 2017). In the presentation, Susan Wesgate gave one authentic advice to help us navigate these situations of conflict- “go back to your moral code”. Now, I have not yet been in situations where I am deeply conflicted, but I do hope that when I am, that this advice helps me make decisions.
Each of these three issues the subject matter is centered around death, pain or taking your own life. Although I'am not a parent yet but when the time comes my children will receive any and all medical care that is needed for them. I'am a Christian and believe in pray but God uses doctors and medical personnel to help us. If your an adult and make that choice for yourself then thats your business. But not for a child that can not speak up for themselves and if you love that child why would a parent refuse treatment. As for animal fighting it cruel for the animals and what makes it even worse people profit off the misery of the animals. There again the animals can not speak for themselves but if they could I would imagine what they would say.The
It is a humid night, so John decides to take to a bath around 8 pm, so he his clean for when his girlfriend, Becky, arrives to his home after her shift at Grover. Becky arrives at the home around 9 pm and finds John unresponsive in the bathtub. Becky calls for an ambulance and the hospital tries to revive John. Becky swears to the hospital that John would not want to be kept alive on machines, but because they are not married, the responsibility of his medical decisions falls to his family. However, his family wants every effort to try to save John, since they believe he would want to fight to stay alive even if it was with the aid from a machine. Becky knows that John has had no contact with his family for five years, so they do not know what his views on life would be. Hence, there is much fighting and disruptions at the hospital because of the previous lack of concern by John’s family. Consequently, this very issue leaves physicians and hospitals in an ethical dilemma, so they place this
In practice, I have encounter a few ethical dilemmas in the delivery of care. However, I feel that we should carry on the care according to the patient wish, regardless of our personal belief. I’m able to do nursing care without discriminating any patients. I recognize and respect personal beliefs and decision of the patients.
Teresa, your unit sounds a lot like the Med-Surg unit that I used to work on. Upon the patients’ being ready to be discharged, the nurse would provide them with a survey based on their stay while at the hospital. This is something that our Nurse Manager set in place. Nurse Managers have a responsibility to implement the vision, mission, goals, and standards of the organization (Huber, 2014). These surveys would be completed and collected before they would leave the hospital. There were many other things that were set in place, not only to promote patient satisfaction, but patient safety as well. Some of these examples include, follow up phone calls after patients’ return home to ensure things were going well for the patient and there
During the last seven weeks, I successfully provided safe, compassionate, competent, and ethical care for my patients. For instance, during the simulation, the patient who was diagnosed with type one diabetic wanted to eat the food that was going to affects his blood sugar. I ethically educated the patient that eating cheeseburger and other unhealthy food would elevate his blood sugar. Thus, patient understood the reason why he cannot eat chess-burger.