It is much harder for children to understand that their medical condition could be deadly then telling an adult he or she could be close to death. I have personal experience with this particular situation. When I was ten years-old, I was an epileptic preparing for brain surgery to remove a small area in my brain that was causing seizures. I did not ask many questions during my times at the hospital while I underwent extensive testing, but when it was time for surgery I was curious if I was going to die during the surgery. As a young child, my mind always jumped to conclusions and I figured since I was so young, I did not have a chance at surviving.
In this instance the staff nurse failed to advocate for Mr. E by not informing nor asking his brother, Mr. Y, if he was aware his brother had an advanced directive. By asking the question this would have facilitated a discussion about Mr. E's presenting symptoms and the treatment options available. This would have provided an opportunity for further education and correlation that Mr. E's physical symptoms and history of developmental delays aren't an ideal combination for making a decision regarding his current treatment options. In safeguarding for the patient this would include full disclosure of all knowledge the nurse had of the patient's wishes. Complicating matters Mr. Y called his niece, Ms. H., who arrives at the hospital before him.
These include: Quality vs Quantity of life, Pro- choice vs Pro-life, Freedom vs Control, Truth telling vs Deception and Empirical knowledge vs Personal beliefs.” (Fant, 2013) An example of quality vs quantity is a case where a family member is deciding to terminally extubate their loved one who will require long term chronic mechanical ventilation knowing their loved ones wishes to not continue life support. The dilemma is that they do not want to let their loved one go, however the patient previously informed the family member prior to becoming unresponsive that they did not want a tracheostomy and a feeding tube if there was no hope of recovery. The ethical dilemma is, does the family member withdraw life support and let their loved one pass away, or go against the patient’s wishes and continue with aggressive treatment. As nurses we need to find a way to be sympathetic and support the patients/families beliefs and values. Reference: Purtilo, R & Doherty, R. (2011).
After he and Soraya learn they are infertile, they discuss the idea of adoption with Soraya’s parents, but her father disapproves saying, “Blood is a powerful thing, bachem, and when you adopt, you don’t know whose blood you’re bringing into your house” (Hosseini 188). The irony of General Taheri emphasizing the importance of knowing whose blood is in your household and insuring its purity is that Amir didn’t know whom Hassan’s blood really came from. This is why, subconsciously, Amir isn’t as opposed to adoption as other Afghans. Also during their discussion with Soraya’s parents, Amir describes Soraya as being “tired, tired of it all” (Hosseini 186). Sohrab repeats this same statement while in the hospital, and both concern adoption.
From watching this film many ethical issues were evident which include the lack of autonomy and veracity. Likewise, doctors violating the principle of non-maleficence and some evidence beneficence principle were also noted. When Anna decided to sue her parents for medical emancipation, the principle of autonomy becomes apparent. Autonomy, which is, defines as the ability of a person to make his or her own decisions. When the Fitzgerald’s decide to have another baby, it was to save their daughter Kate’s life; they genetically engineered Anna to be a saviour for her sister.
Can these kinds of treatment really get patient and their families out of suffering as well as give hope? I do not think so. For passive euthanasia, the patients just refuse to accept any treatment and let their lives continue naturally without any medical or machine. For instance, Julia Quinlan, Karen’s mother, explained the family’s feelings: “We didn’t ask for Karen to die. We just asked for her to be removed from technology and be placed in a natural state.” People who are against euthanasia believe that passive euthanasia is wrong.
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.
In my opinion, parents should not vaccinate their children if they want to protect them from developing autism. First of all parents should not vaccinate their children, if they want to protect them from developing autism, because families all over the nation are pointing to childhood vaccinations as the cause for autism. Despite what government and medical authorities say about the safety of vaccines, parents are wise to hear what the parents of autistic children say about their children being normal until vaccinations (Attkinson, 2011). Even though this is not official scientific proof, it is definitely loud enough to make any parent think twice before vaccinating their children. Secondly, parents should oppose vaccinating their children as a way of protection from developing autism because of the significant step of banning mercury from being included in vaccines, which was taken by the US government related to this matter (Campbell, 2004).
The patient constantly asks the medical assistant about her step daughter. However the doctor told the medical assistant not to tell the patient about her step daughter’s death without giving any reasons for such instructions. Hence, the medical assistant encounters an uncomfortable position of whether to tell the truth or withhold it. The moral principles in conflict are honesty and loyalty because the medical assistant wants to be honest with the patient without being disloyal to the doctor. Another issue of conflict is breach of confidentiality.
However, when Kate's health took a dramatic turn and Anna would have to give up one of her kidneys, Anna refused and the Fitzgerald's plan began to backfire. Anna hired a lawyer, played by Alec Baldwin, to represent her in attempt to gain medical emancipation. According to Boggs and Petrie (2008), this represents a struggle for human dignity. This term is stated as being “the struggle to stand erect, to display courage, sensitivity, intelligence, a spiritual and moral sense, and strong individualism. This conflict is best shown when the central characters are placed in a position of