Fundamentals of Nursing

 

 

 

Ethics in Nursing Assignment

Ethical problems commonly arise between nurses and patients, nurses and health care providers, nurses and other nurses, and nurses and their employing institutions. Ethical dilemmas arise when attempted adherence to basic ethical principles results in two conflicting courses of action (Taylor et al., 2019). Nurses often deal with ethical dilemmas in our everyday clinical practice; and as professionals, we have the responsibility to analyze and examine any ethical problems that may arise.

Instructions: Following the instructions in Part 1 and Part 2 of the assignment, complete a page paper in APA format (no abstract necessary) with a minimum of 2 references. One reference must be from a journal article related to your ethical issue.

OBJECTIVES:
1. Identify an ethical problem in the nursing profession
2. Discuss the ethical principles related to the ethical problem identified
3. Discuss how this impacts the nursing profession
4. Analyze and discuss the ethical principles that apply to a clinical scenario
5. Utilize the five-step process for resolving an ethical conflict

Part 1 (Objectives 1-3):

Identify an ethical problem in the nursing profession (refer to Chapter 6 p. 110-111 for
examples). Define the ethical problem, present the conflicting viewpoints pertaining to the ethical issue, identify the nursing ethical principles relevant to the issue, and discuss how the nurse can be affected. Some examples of ethical problems are listed below. You must use a journal article to reference your ethical issue.

Ethical Problem Examples
Paternalism Deception Privacy and social media
Confidentiality Allocation of Scarce Nursing Resources
Valid Consent or Refusal
Conflicts concerning new technologies Unprofessional, Incompetent, Unethical, or Illegal Physician Practice
Unprofessional, Incompetent, Unethical, or Illegal Nurse Practice
Short Staffing Issues Beginning-of-Life issues End-of-life issues

Part 2 (Objectives 4 & 5):

Consider the following scenario:

Mrs. Smith was an 85-year-old widowed female, brought to the emergency department (ED) after her at-home caretaker found her in respiratory distress. The ED doctor noted that the patient was minimally responsive to verbal stimuli, afebrile, normotensive, tachycardic to 130 bpm, and tachypneic to 30 breaths/min. A chest radiograph (CXR) revealed right lower lobe consolidation. Based on her health history, it was found that she had recently been admitted to the hospital for significant weight loss (a few months ago) and she was diagnosed with advanced bowel cancer with lung, bone, and brain metastases. While in the ED, Mrs. Smith’s respiratory function deteriorated, and she was admitted to the ICU for closer observation. Within 24 hours of being admitted to the ICU, Mrs. Smith’s condition deteriorated rapidly, and a decision was made to talk with the family of what should be done in the event of respiratory or cardiac arrest. The son, who is the first contact listed, was informed about his mother’s condition, and it was revealed that Mrs. Smith had previously stated to him that she does not want any heroic measures done in the event of cardiac arrest. The conversation with the son resulted in the decision to initiate a Do Not Resuscitate (DNR) order.

The next day, the patient’s daughter arrived. The daughter mentioned that she had a distant relation with her mother and had not been in contact with the patient over the past 3 years. The daughter expressed that she wanted everything done for her mother. You are the nurse assignment to Mrs. Smith.

1. Identify the ethical dilemma in this scenario
2. What are the ethical principles that apply to the scenario?
3. Use the five-step nursing process approach, how would you resolve this ethical dilemma?

 

Sample Solution

How Autism Affects One’s Life GuidesorSubmit my paper for investigation mental imbalance brainMental issue and hardships can take endless structures. Some of them can demolish the lives of the individuals who bear them, others are milder, and this causes practically no burdens to an individual. Among mental clutters that don’t completely debilitate an individual, one should make reference to chemical imbalance (in spite of the fact that it is far fetched it very well may be alluded to as a confusion). In spite of the fact that its inclination and causing factors are not yet completely considered, it’s anything but a mystery that individuals with chemical imbalance—in spite of the fact that confronting certain bothers in regards to social mix and collaboration—can live a practically ordinary and satisfied life. In any case, there are idiosyncrasies and troubles inseparably connected with chemical imbalance. Most of issues brought about by chemical imbalance are pretty much identified with speaking with others, getting them, and creating successful social collaboration. These issues start from youth; youngsters with mental imbalance will in general show more enthusiasm for natural sounds instead of in the sound of individuals talking. This regularly makes medically introverted youngsters look occupied, or not intrigued by what others state. It doesn’t mean they can’t typically impart however: mentally unbalanced people can utilize broad jargon and long sentences. And yet, non-verbal correspondence, for example, non-verbal communication or outward appearances, is regularly overlooked and unused by mentally unbalanced people (The Hanen Center). This makes them be misconstrued. Another issue that medically introverted individuals face is an absence of compassion. As a rule, sympathy is a capacity to comprehend what others feel; as indicated by Simon Baron-Cohen, numerous medically introverted individuals do not have the capacity to see things from someone else’s point of view. Individuals typically begin to build up this ability roughly at five years old: at this age, kids can form bits of knowledge into others’ sentiments and aims (regularly based, incidentally, on non-verbal correspondence). An autist, in any case, has little to none of these translation abilities, and in this way stays uninformed about goals, emotions, and thought processes of individuals encompassing the person in question (Synapse). In this way, chemical imbalance not just motivations others to misconstrue an autist; it additionally keeps an autist from comprehension encompassing individuals, subsequently just developing the correspondence hole. As a result of the idea of mental imbalance, individuals with this issue (or let us better consider it a characteristic) frequently require being encompassed by a particular situation wherein they would feel good to work and cooperate. Medically introverted people frequently need unbending conditions; they have a solid adherence to explicit schedules or customs in day by day life, and even the smallest change in them can summon animosity or daze and self-seclusion. Medically introverted individuals frequently create stereotyped and dreary engine practices including fingers, hands, or the entire body, so it is additionally required that encompassing individuals don’t taunt them, spoof them, or ridicule mentally unbalanced individual’s propensities in some other manner (minddisorders.com). Chemical imbalance changes a person’s life in an amazingly explicit manner. The principle difficulties any mentally unbalanced individual countenances is identified with correspondence and cooperation with others; because of the eccentricities of this issue, for an autist, it is difficult to comprehend others. Simultaneously, others additionally have issues with comprehension (or regularly seeing) and medically introverted person. This seclusion is extended by a mentally unbalanced individual’s requirement for a unique domain and inflexible conditions around them. References “Impacts of Autism on Social Development.” Synapse. N.p., n.d. Web. 07 Aug. 2015. “How Autism Affects Communication in Young Children.” Hanen.org. N.p., n.d. Web. 07 Aug. 2015. “Chemical imbalance.” Encyclopedia of Mental Disorders. N.p., n.d. Web. 07 Aug. 2015. paper about existence, wellbeing

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