* Informed consent occurs when a provider explains the treatment or procedure and the patient or patient’s representative agrees, can be verbal, but it is usually written in a signed consent form. Implied consent is when the patient’s behavior suggests compliance (Connor Sl.13 & 14). The consent in Sandra’s case was implied. The reason that say it was implied is because Sandra is in an emergency situation and there is no time to wait or waste to try to find a representative, based on her condition. Implied says that” in emergency situations, consent by accident victims is considered to be implied (Connor Sl.14).” Sandra fits that statement perfectly.
Kant advocatesd duty-based or deontological ethics, which focuses on what people do, not the consequences of their actions. People have the duty to do the right thing, even if it produces less good. In the case of Lorraine Bayless, the nurse’s’ refusal to perform CPR violated her duty to provide basic medical help. While doctors are required to follow the Hippocratic Oath, nurses follow The Nightingale Pledge. In the pledge is a sentence that says, “[I will] devote myself to the welfare of those committed to my care.” Nurses have a duty to help those in need of medical attention.
“Why are health care professionals required to gain consent before providing treatment and care” Health care professionals are required to gain consent before providing treatment and care to every patient in both the public and private health care setting. Consent is a voluntary agreement with an action proposed by another. The person must be of significant mental capacity and be in possession of essential information about the procedure in order to give valid consent. Informed consent is given based on the principles of autonomy and privacy whereby the patient must be informed of the risks benefits of the procedure, which will take place. Informed consent could be implied, explicit, verbal or written.
The ethics committee may use the following two ethical principles to make the decision regarding Marianne’s proposed surgery. The first is to use the principle of autonomy. This principle, “the substituted judgment test professes to make the same decision the patient would, if he were capable.” (Austin, Brooke, & Glenn, 2004, p. 317) The second is the principle of beneficence or the best interest standard. This principle is to make the decision on “what's best for the patient, given his current circumstances.” (Austin, Brooke, & Glenn, 2004, p. 317) Critical Thinking Exercise A nurse by her professional code of ethics and licence standards is required to act as the patient advocate. When a nurse witnesses another health care provider “acting in a way that could endanger the health or safety of a patiet, they should make a report of what they witnessed.” (Austin, Brooke, & Glenn, 2004, p. 363 ) The concept of moral agency should guide the nurse when reporting witnessed or suspected malpractice.
Autonomy is the ability to then independently perform actions based on those decisions. Nurse autonomy considers the patients right to decide what is done to his/her body, allowing the patient to determine an acceptable plan of care, and acceptance by the nurse if the patient decides to refuse specific forms of treatment such as intubation and a feeding tube. In this case, it is the nurse’s responsibility to make sure the patient’s family honors the patient’s rights regarding refusal to be put on a
The elements of conformed consent are Reasonable alternatives to the proposed intervention, the relevant risks, benefits, and uncertainty’s, the final step is acceptance of the intervention by the patient. I do not believe that Mrs. Sparzas consent was done properly. In the beginning it is mentioned that Mrs. Sparza spoke poor English so an interpreter should have been present when she reviewed and signed the admission paperwork since Their is no mention of her sons ability to speak English. Mrs. Sparza was asked to sign the surgical consent for after she had already been medicated for the procedure which means that she may not have been in the proper state of mind so sign the consent form. The surgery that she was to receive was to here right eye yet the surgical consent form stated that she was to receive surgery on both eyes.
Although this standard implies that family members should be considered a part of the health care team, HIPAA rules and regulations need to be followed as well. This standard also implies that Mr. E’s values and right to self determination should be honored. The nursing code of ethics that I feel applies to this case study is Provision 1, “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and the uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. (ANA, 2001) This code means to me that I, as the nurse, will do everything in my power to advocate for my patients right for self determination, to be open minded and value all
Nursing practice can be best described as a person who is able to competently evaluate the patients conditions. They must be able to recognize not only verbal but non-verbal cues as well. Each patient is to be treated as an individual and on a case by case bases. The nurse must be qualified and have the compassion to properly analyze, assess, conduct a plan of care, and also provide intervention and evaluation. The nurse also has to treat the patient with dignity and aide in the healing process that is conducive to each individual.
According to American nurses association disclosing patient's details without their permission is considering breach of confidentiality (ANA, 2012). Disclosing patient's information is against medical ethics. Hippocratic Oath and Nightingale Pledge mentioned the importance of patient's confidentiality and the healthcare staff's commitment towards keeping patient's confidentiality (American Medical Association, 2014). All healthcare should ready to follow code of ethics for maintain the standard of patient care. Breaching of confidentiality may lead to weakening the relationship between healthcare staff and patients.
‘Consent’ each person has rights to agree to or decline so confirming consent is important to initiate care and treatment. Assisting and being involved in any decisions whilst taking into consideration the persons best welfares. Midwives must ‘Maintain boundaries’ such as clear professional relationships and should not receive anything from the patient in exchange for privileged treatment. Working as a team and sharing material with colleagues to observe your work helps to maintain safety and regulations of