Professional Ethics

 

Today’s health care environment gives nurses many reasons to be conflicted. Genetic testing, abortion, and end of life care are just some of the areas in which nurses may face ethical dilemmas. Consider how you feel about the following issues:

Respecting the wishes of a suffering client that he is permitted to die with dignity,
Respecting the health surrogate’s wishes regarding termination of life support,
Or even observing another nurse take two tablets of oxycodone as ordered but keeping one for herself.
Then give an example of an ethical dilemma you may have confronted in your own clinical experience or workplace. How did you come to the decision you made? What feelings did you experience while coming to that choice? (If you have not yet faced an ethical dilemma, research one and comment on it, answering the same questions.)

 

Sample Solution

Respecting the wishes of a suffering client that he is permitted to die with dignity

I believe that it is important to respect the wishes of a suffering client who wants to die with dignity. This means respecting their right to refuse treatment, even if this means that they will die. It also means providing them with the support and care they need to die comfortably and peacefully.

I understand that some people may have religious or moral objections to assisted dying. However, I believe that it is important to respect the individual’s right to make their own decisions about their end-of-life care.

Respecting the health surrogate’s wishes regarding termination of life support

I also believe that it is important to respect the wishes of a patient’s health surrogate regarding termination of life support. A health surrogate is someone who has been legally designated by the patient to make decisions on their behalf if they become unable to do so themselves.

If a patient’s health surrogate has made the decision to terminate life support, it is important to respect their wishes. This is even if the patient’s family members disagree with the decision. It is important to remember that the health surrogate is the only person who is legally authorized to make decisions on behalf of the patient.

Observing another nurse take two tablets of oxycodone as ordered but keeping one for herself

If I observed another nurse take two tablets of oxycodone as ordered but keeping one for herself, I would be very concerned. This is a serious ethical violation and could have serious consequences for the patient, the nurse, and the hospital.

I would first try to talk to the nurse privately to see if there was an innocent explanation for her behavior. For example, perhaps she accidentally took the extra tablet or perhaps she thought she was allowed to take it. If there was no innocent explanation, I would need to report the incident to the appropriate authorities.

Ethical dilemma in my own clinical experience

I have not yet faced an ethical dilemma in my own clinical experience, as I am still under development. However, I can research an ethical dilemma and comment on it, answering the same questions.

Ethical dilemma:

A nurse is caring for a patient who is terminally ill with cancer. The patient has been in a lot of pain and has repeatedly asked the nurse to help him die. The nurse is sympathetic to the patient’s suffering, but she is also afraid of the legal consequences of helping him die.

Questions:

  • What should the nurse do?
  • What are the ethical principles involved in this situation?
  • What are the legal consequences of the nurse’s actions?
  • What feelings might the nurse experience while making this decision?

Decision:

The nurse should first try to talk to the patient’s doctor about his wishes. The doctor may be able to provide the patient with pain relief or other treatments that could improve his quality of life. If the patient is still in a lot of pain and wants to die, the nurse should respect his wishes. However, she should also be aware of the legal consequences of her actions. In some places, it is illegal to help someone die.

Ethical principles:

The ethical principles involved in this situation include autonomy, beneficence, non-maleficence, and justice.

  • Autonomy: The patient has the right to make his own decisions about his end-of-life care.
  • Beneficence: The nurse should act in the best interests of the patient.
  • Non-maleficence: The nurse should not harm the patient.
  • Justice: The nurse should treat all patients fairly.

Legal consequences:

The legal consequences of the nurse’s actions will depend on the laws of the place where she is working. In some places, it is illegal to help someone die. If the nurse is caught helping the patient die, she could face criminal charges.

Feelings:

The nurse may experience a range of feelings while making this decision, such as sadness, compassion, fear, and uncertainty. She may also feel conflicted between her ethical obligations to the patient and her legal obligations.

Conclusion:

Ethical dilemmas in nursing can be complex and challenging. There is no easy answer to the dilemma presented above. The nurse needs to weigh the ethical principles involved, the legal consequences of her actions, and her own personal beliefs and values. She also needs to consider the best interests of the patient.

If you are a nurse who is facing an ethical dilemma, it is important to talk to someone you trust, such as a colleague, supervisor, or ethicist. There are also resources available to help you make ethical decisions, such as the American Nurses Association Code of Ethics for

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