Has Marianne ever discussed end of life care or issues with her husband and children? What percentage of quality of life does the Physician think Marianne will have post-surgery? Marianne’s husband should be informed and made to understand that her brain is not functioning, she is unable to breathe on her own and she may never be able to do so again. The care team must explain to the family if there are any other options she may have available at the state of her well-being. Information should be thoroughly given to the family pertaining to what her quality of life will be pre and post-surgery.
In the scenario, Mr. J. is a 72 year old retired rabbi who has mild dementia and was admitted to the hospital for a fractured right hip. The scenario provides numerous issues that put the patient’s health at risk. They include the use of restraints, a hospital acquired pressure ulcer, and also the lack of cultural sensitivity, which lead to a unsatisfied patient and his family. As nurses, we are taught throughout our time in nursing school that we have a responsibility to protect our patients. It is important for nurses to understand nursing-sensitive indicators, and how they can be used to prevent injuries to patients.
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).
How the ANA Code of Nursing Ethics would influence a final decision in each case study. With the patient with the hemorrhagic stroke, it is our responsibility to discuss with the patient’s family possible options in which they would feel comfortable taking. According to the Code of Nursing Ethics, “the nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA Code of Nursing Ethics). With the patient having no advanced directives, the decision is much harder to take. Ethics committees can be useful in this situation, because they can help explain the patient’s situation and provide possible answers to those hard questions.
They are the families’ contact with the medical world, in the hospital and at the patients’ home. A nurse regularly evaluates patients and check vital signs to make sure everything is going as planned. Nurses perform procedures such as IV placement, phlebotomy and administering medications. (1988) Working hours for a nurse are different almost all the time because no one can predict when an emergency is going to happen. They must be available twelve hours a day, nights, weekend, and be able to handle any rotations or changes in their shifts.
The importance goes further to the core of the problem focusing on the nurse and evaluating what is needed to be done in order to educate this patient group. The research problem involves nurses who are not comfortable discussing end-of-life issues with their patients and is identified in the first few paragraphs of the article. This is a significant problem nurses and doctors can educate, manage and monitor for these chronic patients. The purpose is not clearly stated in the study, but is inferred within the abstract of the article as well. Patients and families dealing with potential end-of-life issues is a very common problem in health care today.
In today’s world if a person were to walk in a hospital and need surgery or any kind of procedures they would have to sign a consent form. A doctor would talk to them about the problem and procedure first, and then ask them to sign documents that again explain the procedure, make sure they understand it and any precautions and then their signature is needed. Once the consent forms are signed that person has officially given the doctor permission to do what ever they need to. In the book The Immortal Life of Henrietta Lacks, author Rebecca Skloot tells the story of Henerietta Lacks a black woman that had cervical cancer and died in the early 50’s and how she has helped shape science, save lives, and further medical research unknowingly and
Ethical Issues of Chiropractor Enisse Woodall HCA 322: Health Care Ethics & Medical Law Instructor: Dolores Thomas Date: December 5, 2011 Ethical Issues of Chiropractor When it comes to the medical field and those who helps patients, different physician are capable of performing different task. Chiropractor are those who help people when their bones are stiffen, have sore muscle joints, and have body joint problems. This paper will discuss what a “chiropractor” is and what their duties are as a physician. The binding source of the legal source of this profession and also discuss the common ethical issues that “chiropractor” faces as a profession. Chiropractors “also known as doctors of chiropractic or chiropractic
The Nurse’s Dilemma: Being Asked Not To Tell The Nurse’s Dilemma: Being Asked Not To Tell Nurses face ethical dilemmas on a regular basis. As nurses work to provide health care services, we often are asked to participate in ethically questionable activities (Potter, Perry, Stockert, & Hall, 2012). Today, a patient who was newly diagnosed with Stage IV breast cancer with metastasis to her bones was admitted to the hospice unit. Her daughter is her primary caregiver and has asked me to deceive her mother by “turning over” my badge and telling her mother that I am from a home health agency. She specifically requested that I “do not say hospice” because she believes that her mother doesn’t know she has been admitted to the hospice unit.
Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development. The first interview question pertained to the interviewee’s role in their current position and their educational preparation. The CRNA interviewed had an extensive emergency and critical care background, which applies greatly to his position today as he works in several areas, including the ICU, of the hospital where he is employed. The nurse educator was previously a nurse practitioner in a family practice office where she learned the patient teaching aspect that transitioned into her educational role today. Each interview participant explained the unique contributions they each made as nurses and brought to their interdisciplinary team.