Laskowski-Jones (2007) stated “I’m sure both my position in the hospital and my education as a trauma nurse allowed me a rare privilege that isn’t typically offered to families” (p. 47). This opportunity should be offered to all families, as a rule, and not the exception because of stature. The purpose of the review should families be allowed during resuscitation; was to investigate if medical professionals concerns were supported. Will families have emotional scars from the experience of witnessing resuscitative efforts or will the grieving process be
According to Garity (2005), “The nurse’s ability to collaborate with patients, families, and multi/ intra-disciplinary health care professionals in the successful resolution of such dilemmas can affect the quality of health care” (p. 11). The nurse has an ethical obligation to give every patient the same level of compassion, care, and respect regardless of the nature of the illness (Chitty & Black, 2010). Whether or not the nurse agrees or disagrees with the decision that Marianne’s family has decided on, the nurse must ethically abide by the family’s wishes and provide the highest quality of care for her. The nurse’s highest level of commitments is for Marianne at that point. Although competing demands of patient, family, and physician have risen, the nurse’s first priority is always providing care that ensures patient safety and protects the best welfare of the patient.
Without capacity to make particular decisions about their advanced care plan the individual would not be able to participate in the process, an advanced care plan enables those with capacity to state their wishes and choices in relation to their care and treatment in the event that they lose the capacity in the future to decide for themselves or lose the ability to communicate them. 2.6 Explain the meaning of informed consent. Informed consent means permission granted in the full knowledge of the possible consequences, for example a doctor tells a patient the risks and benefits of a particular operation prior to it taking place, the patient fully understands the information given to them and then decides to consent or not to consent to the operation based upon the information the doctor has
It is important that consent or refusal in a medical and/or scientific context be informed for all patients and research subjects. The purpose of informed consent is to enable the participant to be actively involved in their care, participating in the decision making process with a full awareness of any potential consequences of a treatment or a treatments refusal. Modern informed consent laws place a heavy emphasis on the value of individual human rights and patient autonomy by insisting that informed consent be obtained for all medical procedures. In the event that someone is physically or mentally incapable of consent, such as in patients suffering from later stage Dementia’s, a representative may be permitted to authorize certain procedures. The criteria for informed consent or refusal as stated in Chapter 6 of Ethical & legal issues in Canadian Nursing are as follows: * Consent must be given voluntarily.
Finally, determine if the procedure would pass the "reasonable and prudent" standard of nursing, meaning would a nurse with the same education and training perform the task. You must have a valid order from the physician, documented competency for the procedure, and be willing to accept the consequences for your actions (Anderson, 2014). When introducing the new procedure to the physicians and fellow nurses, a few steps should be taken. First, make sure administration and nursing supervisors are on board with allowing this kind of change to be implemented so that a new policy can be written stating this procedure is within the scope of practice in order to protect the nurses who will be performing it. Mandatory skills classes or in-services regarding the new procedure would have to be implemented for all physicians and nurses that would be directly involved with it.
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
And lastly, all the steps should be clearly documented using an electronic video source, and through the patient’s paper file. This is to ensure all steps were preformed appropriately and they physician assisting cannot be held liable to later claims by non-supporters. Although many religions and medical professionals oppose it, physician assisted suicide should be a legal option for those with terminal disease or conditions when reasonable laws are constructed which prevent
Hall v. Hilbun Betty Ford Rasmussen College Author Note This paper is being submitted on May 14, 2014, for Ann Nevers M230 Medical Law and Ethics Course. Hall v. Hilbun As a healthcare professional it is our duty to provide your patient with the best possible care. Standard of care means that the professional must exercise the type of care that a reasonable person would use in a similar circumstance (Fremgen, 2012, p.39). In the case Hall v. Hilbun, you are able to see the 4 Ds of negligence and how it can impact a patient and how it can be prevented. Dr. Glyn Hilbun, a general surgeon, examined patient Terry Hall who was complaining of abdominal pain.
It is all about getting a point across and ensuring that the person receiving the information has a clear understanding of what the problem is and how to fix it. Good medical care is based on effective communication from the health care providers to the patients and his or her families. If a providers communication is ineffective it can cause improper medical services such as the wrong treatment or diagnosis. It is always good for the medical team to be on the same accord because it ensures that the patients will not receive different information which causes confusion, it is all about understanding the concept of
There are so many different ethics situations that could arise in nursing, for example, bringing hospice in for a patient who needs it, but doesn’t want to admit it or bringing social services into a situation where a patient might be being abused. The advice this RN gave was to stay open to the situation and diplomatic. Sandy also said don’t hesitate to use your authority if need be. It is our duty as a nurse to make sure the well being of your patient is being met. Completing this assignment gave some insight into the real world of nursing not just what you see on TV.