How the ANA Code of Nursing Ethics would influence a final decision in each case study. With the patient with the hemorrhagic stroke, it is our responsibility to discuss with the patient’s family possible options in which they would feel comfortable taking. According to the Code of Nursing Ethics, “the nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA Code of Nursing Ethics). With the patient having no advanced directives, the decision is much harder to take. Ethics committees can be useful in this situation, because they can help explain the patient’s situation and provide possible answers to those hard questions.
The Ethical Dilemma Regarding ‘Do Not Resuscitate’ Orders. Whilst on placement on an Adult Rehabilitation Ward, I observed an ethical dilemma. The patient concerned was issued with ‘Do Not Resuscitate’ (D.N.R.) order. This decision was reached after the consultant, named nurse, patient and the patient’s family discussed together and based their decision on the patient’s age, condition, quality of life and wishes.
"Your whole body is in excruciating pain." Castanada was eventually transferred to the University of California Irvine's burn unit, where doctors said over 70 percent of her body was damaged, Corona said. She's undergone several surgeries over the past few weeks, but her feet are still blistering. Zeichner said he sees it most often with antibiotics, but MacKinnon said this sometimes fatal reaction is different from most reactions to antibiotics, which are usually limited to gastrointestinal symptoms. "Unfortunately, we have no way of predicting who would have this type reaction," Zeichner said, advising that patients only take prescriptions given to them by their doctors.
Although competing demands of patient, family, and physician have risen, the nurse’s first priority is always providing care that ensures patient safety and protects the best welfare of the patient. A nurse is subject to a malpractice lawsuit if incompetent care results in patient harm. When a nurse cares for patients, he or she takes on the duties and responsibilities to care for the patient in a skilled and thorough manner. Nurses are expected to provide the same quality of care
Patient is visiting aunt and was brought into the ER and was mini-altered. Patient was given Geodon and Haldol to calm him and EKG was done. EKG showed A. fib with heart rate as high as 170. He was put on Cardizem drip and admitted for further evaluation. The patient denies symptoms of any chest pain, fever, nausea or vomiting.
Has Marianne ever discussed end of life care or issues with her husband and children? What percentage of quality of life does the Physician think Marianne will have post-surgery? Marianne’s husband should be informed and made to understand that her brain is not functioning, she is unable to breathe on her own and she may never be able to do so again. The care team must explain to the family if there are any other options she may have available at the state of her well-being. Information should be thoroughly given to the family pertaining to what her quality of life will be pre and post-surgery.
The method of so-called therapy landed Andre McCollin in the hospital in a nonresponsive state for three days. Cheryl McCollin now has a civil suit against the Center for the damaging treatment against her son. Who is now diagnosed with acute stress disorder and to her will never be the same. Since the Center
The patient made it very clear that she did not want the phlebotomist to draw her blood (Finnegan, 2013).This same phlebotomist has drawn her for several days for a Prothrombin Time (PT) and Activated Thromboplastic Time (aPTT) without incident, so he reports this situation to the nurse. The nurse informs the phlebotomist that the patient has formed a complaint against him and did not want him, in particular, to draw her blood. The blood had been drawn from the dorsal side of her hand for several days, which was now bruised and swollen. The patient complained of moderate pain, especially when she moved her fingers. Upon observation there was a diffuse ecchymosis over the dorsal side of the hand that extends up the forearm to the elbow.
Nurses are relied upon to advocate for our patients dignity, privacy, confidentiality, improper and incompetent care. The case of Marianne is a good example of how the ANA code of nursing ethics could help a patient that can't make convey their needs the healthcare team. The stroke has left Marianne unresponsive and without an advanced directive the healthcare team has no way of knowing what her desires would be for the plan of care. Her husband and children are in disagreement with which direction to go in regards to her care. The ANA code of ethics has provisions in place to assist in a decision for this case.
In recent years, the responsibility has been transferred to the nurse to manage the patient’s environment in order to promote the patient’s recovery. Every patient deserves to be treated with respect and dignity no matter what their social or political standing may