Ethical Leadership: Case Study of Mr. E

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Case Study of Mr E

In the response to the case study regarding Mr. E In this paper I will be discussing the nursing standards of practice that apply, describe how I think nursing code of ethics provision 2.1 applies in light of his advanced directive, discuss factors that complicate Mr. E’s advanced directive and what Mr. Y should have considered prior to making his decision, analyze how HIPAA comes into play and lastly explain steps that I as a nurse would have taken if faced with the same situation, taking into account the ANA code of ethics.
The nursing code of ethics that I think applies to this case study is provision 2.1 which states “the nurse’s primary commitment is to the patient – the patient receiving the health care services”. As a nurse one of the duties are to be a patient advocate, this means making the patient your priority by ensuring that their needs are met fully even in the presence of conflict with the family, or other medical disciplines. In the case study of Mr. E the nurse failed to meet this provision as she did not advocate for her patients wishes which stated he did not want to be ventilated a treatment which the physician felt was necessary. When informing the power of attorney of the patient’s condition she also failed to mention the advanced directive and its details, leaving Mr. Y unable to make an informed decision and resulting in a medical intervention that the patient did not wish for.
The impact provisions 2.1 would have on the nurses decision making is, the nurse would have made the patient top priority and ensured she advocated for him by informing the physician and power of attorney that Mr. E has an advanced directive that states no ventilator and no CPR ensuring that his wishes were known and followed.

The key ethical implication that arises in the case study of Mr. E is one of violation of patients’ rights. A

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