Ethical Decision Making In Nursing

Words: 736
Pages: 3
Open Document
Nurses perform systematic assessment with evidence based planning, and delegate ethical goal associated action for obtaining agreed outcomes. They provide safe quality practice to meet the nursing need of people and attain the agreed goals and outcomes. In clinical settings, the nurses confront ethical situations regularly, where they should make ethical decision, which result in facing ethical dilemmas. These ethical decision is associated with delivering care and patient advocacy in organizing and delivering safe patient care. The ethical principles which nurses usually faces include the autonomy and self-determination, beneficence that is doing good, non-maleficence that is avoiding harm, justice, truthfulness, veracity that is telling truth, …show more content…
MND affect the identity, individual independence, allowing to rely on individual care provider for their daily living, and leading poor cognitive function. The various ethical problems arise in MND because this disease make patient to drop their autonomy, and ability to make their decision for self. The dilemmas which develop at the end stage of life in MND, is associated with withholding or withdrawing treatment. Patients choices and desire is considered unless it is out of limits, and the other decision maker assist in practice of making decision. In MND, patients have persistent neurological decline and reach certain states where they become unable to move or communicate. The cognitive function of patient is also poorly diminished and leading and make them unable to make …show more content…
The selection of instituting NIV is complex as patient can withdraw it if desire, and they find it difficult to decide as it is an important aspect before commencing treatment. In case study, Michael and his wife decide to commence non-invasive assisted ventilation as his respiratory muscle was deteriorating and to enhance his quality of life. Assisted ventilation through tracheostomy (TV) is initiate spontaneously, when patient appear in crisis or in respiratory failure. It also creates ethical and legal issues at clinical settings as neither the patient nor the family get chance to have informed choice regarding end of life concerns. Patient wish to withdraw assisted ventilation through tracheostomy because of diminish quality of life from progressive disease, and their gradual loss in maintaining communication. Michael’s GP Dr Clegg mention in his advanced care planning about Michaels’s wishes for his future healthcare management including his wish to remain at home. Therefore, the patient’s withdrawal of treatment creates ethical and legal issues as patient demand for withdrawing ventilation support in MND because they assume breathing support as not at all helpful, and it has develop a burden. Health care professionals or the interprofessional team members, and patient with MND find it difficult to deal with withdrawing ventilation support, as
Show More

Related Documents: Ethical Decision Making In Nursing

comparisonmatrix paper

Nursing Leadership and Ethics Melissa L Cantwell, MHA Grand Canyon University: LDR800 April 8, 2015 Nursing Leadership and Ethics Zydziunaite & Suominen (2014) wrote, “Leadership styles of nurse managers in ethical dilemmas: Reasons and consequences” to explain the correlations between different leadership styles and how these styles affect decisions of nurse managers in ethical dilemmas. Tod-Gray (2008) wrote, “Nursing leaders’ experiences with the ethical dimensions of nursing education”…

Words 2037 - Pages 9

American Nurses Association Code Of Ethics

for the nurse when making ethical decisions. The nurse can find support for making ethical decisions by referring to the ANA. The ANA Code of Ethics for Nurses emphasize that nurses have a commitment to the health, well-being, and safety of their patients across their life span and in all framework where health care needs are concentrated. The American Nurses’ Association Code of Ethics was created to serve as blueprint for the nursing professional as nurses carry out their nursing responsibilities…

Words 194 - Pages 1

Assisted Euthanasia Research Paper

University Ethical Decision Making in Health Care Voluntary/Assisted Euthanasia (Thesis, Description of the topic and related ethical implications, Obligations to your profession and work as a nurse) Debra Burden The purpose of this paper is to define the issue and legalities of assisted death and the key ethical arguments, including the social values and norms, encompassing this topic. Also included in this paper on voluntary/assisted suicide is the connection with nursing practice and…

Words 1199 - Pages 5

Patient Confidentiality Essay example

Patient Confidentiality: Ethical Implications to Nursing Practice Patient Confidentiality: Ethical Implications to Nursing Practice Patient confidentiality is a fundamental practice in healthcare and it is integral part of healthcare ethical standards (Purtilo & Dougherty, 2010). According to the American Nurses Association (ANA) code of ethics “the nurse has a duty to maintain confidentiality of all patient information” (Nursing world, p.6). Also, when a patient confidentiality…

Words 924 - Pages 4

What Personal, Cultural, And Spiritual Values Contribute To Your Worldview And Philosophy Of Nursing

contribute to your worldview and philosophy of nursing? How do these values shape or influence your nursing practice? Ethics and values form the basis of nursing. Nurses provide nursing care by preventing illness, reducing suffering and promoting restoration of health in individuals, families, societies and communities. Nursing involves technical skills and abilities, duty and service to others with compassion and efficient decision-making. Nursing care ensures in meeting the needs of patients and…

Words 959 - Pages 4

Ana Code Of Ethics In Nursing

Ethics is a very important and integral part of nursing. Nursing has concern for the welfare of the sick, injured, and vulnerable and for social justice. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals, families, groups, and communities. Individuals who become nurses are expected not only to adhere to the ideals and moral norms of the profession, but also to embrace them as a part of what…

Words 1096 - Pages 5

Legal and Ethical Parameters of Professional Nursing Practice Essay One

Legal and ethical parameters of professional nursing practice essay one Professional nurses encounter a variety of legal ethical and bioethical issues on a daily basis. For this reason, it is essential that all nurses are aware of current state and national legislation, acts and guidelines and the implications of these for nursing practices as well as legal processes, principles of open disclosure and the role of a coroner in the health sector. In this way, nurses can adhere to the overarching guidelines…

Words 895 - Pages 4

Ethics Dilemma Essay

Ethical Dilemmas Debra Lohmeyer HCS/478 February 11, 2013 Barbara Scheibe Ethical Dilemmas The Allen family presented in the simulation has several health issues they deal with individually that contribute to the family unit. Clifford struggles with depression that he does not want to have documented or take medications for out of fear. Pam is the glue of the family; she keeps the home functioning and has not worked outside the family because their son was born with Down’s syndrome. Her…

Words 912 - Pages 4

Ethical Dilemmas In Advanced Practice Nursing Education

system, and continuum of creating, utilizing, and maintaining ethical practice environment. In response to patient care needs and anticipation of the necessity of the current and future health care system. Likewise, possibly encounter an ethical dilemma in which advanced practice nursing will be deemed highly competent only if he or she can provide the scientific and technological aspects of care and can deal effectively with the ethical problems encountered in patient care. As a nurse educator, we…

Words 418 - Pages 2

Do Not Resuscitate Orders In Pediatric Patients

in Pediatric Patients Ethical Issues in Healthcare Abstract Children with terminal illnesses frequently have do not resuscitate orders. Dealing with dying children, and letting them die without major intervention can be hard issues for nursing and other health care professionals to cope with, and can cause an internal ethical dilemma. The seven nursing ethical principles are discussed in regards to do not resuscitate orders, and ethical theory is applied. The ethical dilemma faced by nurses…

Words 1856 - Pages 8