Ethical Heatlh Care Issue Essay

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Ethical Health Care Issue Tiffany HCS/545 September 10, 2012 Matt Frederiksen Ethical Health Care Issue Patients who have an amputation, experience psychological, social, and physical instabilities. With the loss of a limb, patients may have depression, experience pain, become angry, combative, have feelings of sadness, hopelessness, and helplessness. They will need emotional and physical support. Adding a diabetic component and noncompliance will increase the complexity of the patient's needs. This patient may refuse medications, dressing changes, blood glucose checks, and proper nutrition, that can lead to poor wound healing or developing pressure ulcers. Meeting the patients needs can be an ethical challenge for the health care professional. This paper will examine and evaluate four ethical principles as they apply to noncompliant diabetic patients with an amputation. Autonomy and the Noncompliant Patient According to Evans (2007), "The patient should preserve and promote his own health and well-being so far as is reasonably open to him to do so" (para. 13). The patient who is noncompliant is not upholding his duty to his own health. He should understand his risk factors and what is unavoidable (Evans, 2007, para. 13). Diabetic patients who have a recent amputation, may have a sense of sadness, hopelessness, and helplessness. Some patients will also become angry and think they have no control resulting in poor choices regarding their health care. In a nursing home setting, they have the right to make their own choices. Being autonomous in making their own decisions is the only control they may feel is left. The principle of autonomy is applied when the person has the mental capacity to make his own life choices of his own free will and not in the control of others (Morrison, "Chapter 2, Autonomy," 2011). Nonmaleficence and the

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