She stated that she took the child from the daycare and the child kept crying for hours, no indication that she enquired about the child and the reason for the crying demonstrating a lack of acceptable behavior on her part. The doctor making the decision that there was no child abuse was not advocating for the patient; he cannot make a decision without exploring the psychosocial aspects of the patient’s life. The nurse has a dilemma in maintaining the patient confidentiality being in doubt as to the cause of the child’s injury. The nurse has to follow the principles of veracity; she has to encourage the mother to tell the truth. Enquire of her what measures did
June, a 34-year-old divorced woman diagnosed with severe anorexia, is hospitalized. Her doctors feel she may need to be placed on a feeding tube soon to save her life. Initially June agreed to the feeding tube. However, in the evening (before the tube has been placed), she became combative, disoriented, and refused to have the feeding tube placed. Her mother and father insisted that the feeding tube be inserted despite her refusal to allow it.
My Sister’s Keeper In the movies My Sister’s Keeper, 13-year-old Anna Fitzgerald was brought into the world to be a genetic match for her older sister, Kate who suffers from acute promyelocytic leukaemia. Although Anna was only intended to donate blood from the umbilical cord after her birth, Kate was not fully healed, thus requiring further treatments involving Anna throughout her life. Due to her sister dependency, Anna is not able to live the life she wants, she cannot take part in extracurricular activities such as cheerleading or soccer. After numerous bone marrow transplants and blood transfusions, Anna is told that she needs to donate a kidney, to her sister Kate who’s experiencing renal failure at the age thirteen. Knowing that her parents will force her to donate a kidney to her sister, and weary of the endless medical procedures Anna decides to sue her parents, Sara and Brian Fitzgerald, for medical emancipation, or the rights to her own body.
After reviewing each specific case study, the team will examine the fundamental legal aspects, the legal responsibilities of nurses in the work setting, how personal and societal values can influence ethical decision making, and how the American Nurses Association Code of Ethics would influence a final decision in each case study. The fundamental aspects of each case must be understood to make a decision. In the case of a potential end-of-life decision, there are multiple family members with conflicting views trying to make a decision on behalf of a 79 –year old female who has suffered a hemorrhagic stroke and is in an unresponsive state on a ventilator. There is no advanced directive or durable power of attorney. In the case of malpractice, a nurse has been called as a witness to testify against a fellow colleague who performed negligent patient care resulting in harm.
Knowledge of pressure ulcer prevalence. Knowing the stages of pressure ulcers, repositioning the patient every two hours, and not replacing him back onto his back when putting back to bed would have helped the nurse and CNA prevent one with this patient. Restraint prevalence knowledge by the nurse of when to use restraints and the proper management of patients in restraints. Patient satisfaction is another nursing sensitive indicator not taken into account here because of the nurse’s attitude towards the wrong diet being delivered and not keeping Mr. J.’s daughter informed of the incident and how it was remedied. The remark the nurse made was also inappropriate and shows she did not have the patient or family’s satisfaction in mind.
American Nurses Association Code of Nursing Ethics The ANA Code of Nursing Ethics consists primarily of nine statements that help guide the actions and behaviors of a registered nurse (RN). In the case study of a 79-year-old female who becomes unresponsive, has no advanced directive. The attending physician has recommended surgery to remove the blood clot but cannot offer much assurance that she will recover neurological function. The family is split between the husband who wants to try anything to save her, and her children who believe she would not want to be kept alive in a miserable state. According to the ANA code of ethics, the RN’s primary commitment is to the patient and to protect the health, safety, and rights of the patient.
According to the AMA's Code of Medical Ethics, the medical assistant’s first loyalty is to the client. However, it is not always easy to determine which action best serves the client’s needs. (AMA) A case in point is a patient who is hospitalized with multiple fractures and lacerations caused by an automobile accident. Her step daughter who was killed in the accident was taken to the same hospital. The patient constantly asks the medical assistant about her step daughter.
Without knowing how to read and write the world just passes you by as if nothing had a meaning. Knowing how to read is a very critical asset in your life. For instance, in the story Kozol reads a letter to the mother from the hospital about her child having lead poisoning. The mom does not know how to read, and if no one would have read it to her the paper would of just been another addition to her unread mail. As you can see what is the point of the hospital sending her very important news about her kid’s health if she could not read the letter (Kozol 257)?
Due to her reclusive behavior and lack of human interaction she has fallen into recession, not bothering with outdoor activities or socialization. These symptoms in conjunction with the proximate birth of her daughter have made it seem clear that Sofia is suffering from postpartum disorder. As a result of this, it was recommended that Sofia seek out a therapist or counselor. The function of the therapist is to promote the patient’s analysis which directs towards having the client experience themselves and their motivations, working to better understand that which is within, both values, assumptions, and ideals (Mulhauser). While there are a many possible process through which counseling may be sought, that of person-centered theory or client-centered therapy is that which is most relevant to Sofia.
The wife would then have the responsibilities of working, housework and caregiving all at once (48). Also, women credited their own sickness to the stresses of caregiving. Some women would suffer from exhaustion, weight loss and back problems (49). Being a caregiver also came with a lot of “dirty work.” Women would have to deal with blood, vomit, pus and excreta. During surgeries their assistants would frequently splash them with various bodily fluids (50).