Introduction This paper will address the two case studies presented in the texts Professional Nursing Practice: Concepts and Perspectives (Blias & Hayes, 201, p.91), and Professional Nursing: Concepts and Challenges (Chitty & Black, 2011, p.175). Each of these case studies contains ethical and legal issues that are unique to the nursing profession. The areas this paper will focus on specifically are: how the American Nurses Association (ANA) Code of Nursing Ethics would influence a final decision in each case, how personal and societal values can influence ethical decision making, the fundamental legal aspects of each case, and finally, the legal responsibilities of nurses in these scenarios. Ethical and legal issues in nursing In the case of the 79 year old woman who suffered a hemorrhagic stroke the code of ethics influences the outcome of this situation by laying the foundation for the standard of care. Respect for human dignity and the rights of the patient as an individual must be observed (American Nurses Association, 2012).
(Blais & Hayes p. 91). When playing the part of patient advocate and helping family members to decide what is best for a patient that is unable to make their own competent decisions we refer to provision 1.4 the right to self determination of the American Nurses Association Code of Nursing Ethics. “In situations in which the patient lacks the capacity to make a decision, a designated surrogate decision-maker should be consulted. Support of autonomy in the broadest sense also includes recognition that people of some cultures place less weight on individualism and choose to defer to family or community values in decision-making. Respect not just for the specific decision but also for the patient’s method of decision-making is consistent with the principle of autonomy.
Family Duty All mothers wish their children to have the best and they would do anything to support. Generally, it is mostly right try to save their children whatever it takes. However, is still justified even if mothers break the human rights of others to support their children? A novel, My Sister’s Keeper written by Jodi Picoult tackles controversial of the significance of lives. The mother of the Fitzgerald family, Sara, she and her husband Brian decided to create Anna, as a savior sibling for her older sister Kate who is suffering from leukemia.
The duties of the nurse are first and foremost, to be a patient advocate and to ensure that the patient has the best possible quality of life, and maintains the most dignity and individuality possible. Often nurses face the dilemma of right and wrong during the decision making process, when a patients requests (or patient’s family requests) and cultural beliefs are in direct conflict with the nurses own ethics, beliefs, facility rules and the laws governing nurses. The nurse thus has to deal with the legal and ethical decision of what to do and is
By applying the Watson caring theory in caring for patients, “it allows nurses to practice the art of caring, to provide compassion to ease patients’ and families’ suffering, and to promote their healing and dignity but it can also contribute to expand the nurse’s own actualization” (Cara, 2003, p 2). Watson believes it is crucial that nurses apply caring values to their practice because it is essentially a byproduct in discovering the meaning of the nursing profession (Theory of Human Caring, n.d.). The foundation of this paper is to expound on the caring theory Jean Watson designed “to bring meaning and focus to nursing as a distinct health profession” (Cara, 2003, p 2). Description of the Theorist In the 1940’s, Jean Watson was born in West Virginia in a small town in the Appalachian Mountains. In 1961, graduated from the Lewis Gale School of Nursing, furthering her career at the University of Colorado in Boulder in 1964, received a bachelor’s degree, in 1966 a Master’s degree in psychiatric and mental health nursing and in 1973, a Ph.D. in educational psychology and counseling.
Culturally congruent care means taking in to account the beliefs and traditions of the patient and working them into the care plan. This is one of the key factors in having the patient’s attention; to understand and accept the advice of the care providers. If the patient is comfortable, they are more likely to follow the medical advice and promote the facility to their friends and family (Potter et al., 2013). The Hispanic culture believes that a post-partum woman needs to wear an abdominal binder to prevent air from entering the uterus, thus promoting healing. Marie needs to get Carla to ambulate, but Carla refuses to get up until Marie gets an abdominal binder for her.
After going through experimental drug treatment, which were unsuccessful, Mrs. Adkins decided to contact Dr. Kevorkian. Janet Adkins was still living her life as normal as any other healthy person. She was not debilitated by her illness. According to Dr. Murray Raskind, Mrs Adkins personal physician, she and her husband belong to a right to die organization, known as the Hemlock Society, and that Janet Adkins did not have the patience for the Alzheimer treatment that Dr. Murray had administered. It is claimed that Janet did not want to continue living her life if her illness could not be haulted.
A family who has to make any choice, whether it be palliative or “full steam ahead”, in the presence of a terminal situation for their loved one, is brave. As healthcare practitioners, we need to honor and respect the difficult decisions made for our patients by their families no matter what our personal and professional experience “tells us” is the right path. Strategies Three strategies to promoting the health of this family the community health nurse (CHN) can address include, providing education and speciality physician consultation regarding the appropriate and safe use of
Implications of Law In the scenario, the patient appears to be fearful. We must also consider his decreased oxygen saturation of 88% and his pass diagnosis of being mildly developmentally delayed. It’s possible that the patient was having increased challenges with understanding why he should be placed on the ventilator. The nurse is an advocate for the patient and should ensure that an individual patient’s wishes are respected by those providing care and interventions. Oftentimes we have found it challenging to speak with the physician about patient’s wishes but it is the nurse’s responsibility to speak up for the patient.
When a parent is able to draw on the assets of a family he/she will be there for other times of challenge or misfortune. A happy and healthy family will be the ticket to the future, passing on the advantages of health of the family for the next generation (AJPH, n.d.). Clinch Valley Medical Center does not have a defined nursing model for practicing nurses within the facility. However; based on concepts and theories of nursing available, the common practice noted at Clinch Valley Medical Center tends to fit in King’s Theory of Goal Attainment. King’s theory considers the approach of family-as-context.