Case Study, Chapter 3, Critical Thinking. Ethical Decision Making, and the Nursi
ID: 248005 • Letter: C
Question
Case Study, Chapter 3, Critical Thinking. Ethical Decision Making, and the Nursing Process 1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient's medical power of attorney who was distressed at the report. The patient's wishes were to die peacefully and to not have to undergo arn amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient's physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient's medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. (Learning Objective 4) a. What ethical dilemma exists? b. Who are the stakeholders and what gains or losses do each have? What strategies should the hospice nurse take to resolve the ethical dilemma? C.Explanation / Answer
a-A moral problem is an ethical circumstance in which a decision must be made between two similarly unfortunate choices. Difficulties may emerge out of different wellsprings of conduct or mentality, concerning occurrence, it might emerge out of disappointment of individual character, strife of individual qualities and authoritative objectives, hierarchical objectives versus social qualities, and so on. A business quandary exists when a hierarchical chief faces a decision between at least two alternatives that will have different effects.
b-Available for a circumstance to be viewed as a moral predicament. The main condition happens in circumstances when an individual, called the specialist, must settle on a choice about which strategy is ideal. In this manner, in light of the fact that there is no decision in the issue, there is no moral infringement or rupture of secrecy when an understudy examines a case. Third, in a moral situation, regardless of what game-plan is taken, some moral rule is imperiled. As such, there is no flawless arrangement.
c-Conflicts amongst individual and expert qualities ought not be viewed as moral situations for various reasons. Since values include sentiments and are close to home, the normal procedure utilized for settling moral problems can't be connected to values clashes. Further, when an individual chooses to wind up an individual from a calling, he or she is consenting to follow the gauges of the calling, including its Code of Ethics and qualities.
An outright or unadulterated moral issue just happens when two moral norms apply to a circumstance however are in struggle with each other. For instance, a social laborer in a country network with restricted emotional well being care administrations is counseled on a customer with agoraphobia, a tension issue including a dread of open and open spaces. In spite of the fact that this issue is outside of the clinician's general ability, the restricted alternatives for treatment, combined with the client`s distress in being too a long way from home, would almost certainly mean the customer won't not get any administrations if the clinician declined based on an absence of capability.
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