Answer questions 1.1-1.3 after reading the scenario. An 80-year-old lady was admitted to an emergency room with a hip fracture. She was brought in by paramedics from a nursing home. She was not accompanied by any family. The emergency room staff could not get hold of the family using the numbers provided by the nursing home. The patient could not speak clearly but at one occasion expressed her wish to the professional nurse, whom she trusted, that she wishes to die in peace and not be 'put on machines'. The professional nurse promised the patient that she will make her wish clear to the doctor. The nurse raised this concern to the emergency doctor and the orthopaedic surgeon on call. The orthopaedic surgeon ordered surgery to be scheduled as soon as possible to stabilise the hip and was convinced of a good prognosis if it could occur within the next 24 hours. The patient was in pain and strong pain medication was prescribed. The pain medication however suppressed her consciousness. The next day her conditioned deteriorated but an aggressive treatment regime was continued. The patient crashed and had to be put on a ventilator. The professional nurse was shocked to see that the patient was ventilated and she confronted the doctor. The patient's hospital. Upon arrival she was devastated to learn that her mother was intubated and yelled at the nurse. She only then reported that her mother has terminal cancer. The cancer diagnosis was not reported by the nursing home. ter was eventually reached telephonically and asked to come to 1.1 Explain the concept 'ethical dilemma' in your own words. 1.2 Describe two ethical dilemmas in the scenario. 1.3 Describe how relationships, values and ethical principles in healthcare can guide the nurse's decisions and actions in terms of one of the ethical dilemmas you described in question 1.2.
Answer questions 1.1-1.3 after reading the scenario. An 80-year-old lady was admitted to an emergency room with a hip fracture. She was brought in by paramedics from a nursing home. She was not accompanied by any family. The emergency room staff could not get hold of the family using the numbers provided by the nursing home. The patient could not speak clearly but at one occasion expressed her wish to the professional nurse, whom she trusted, that she wishes to die in peace and not be 'put on machines'. The professional nurse promised the patient that she will make her wish clear to the doctor. The nurse raised this concern to the emergency doctor and the orthopaedic surgeon on call. The orthopaedic surgeon ordered surgery to be scheduled as soon as possible to stabilise the hip and was convinced of a good prognosis if it could occur within the next 24 hours. The patient was in pain and strong pain medication was prescribed. The pain medication however suppressed her consciousness. The next day her conditioned deteriorated but an aggressive treatment regime was continued. The patient crashed and had to be put on a ventilator. The professional nurse was shocked to see that the patient was ventilated and she confronted the doctor. The patient's hospital. Upon arrival she was devastated to learn that her mother was intubated and yelled at the nurse. She only then reported that her mother has terminal cancer. The cancer diagnosis was not reported by the nursing home. ter was eventually reached telephonically and asked to come to 1.1 Explain the concept 'ethical dilemma' in your own words. 1.2 Describe two ethical dilemmas in the scenario. 1.3 Describe how relationships, values and ethical principles in healthcare can guide the nurse's decisions and actions in terms of one of the ethical dilemmas you described in question 1.2.
Essentials Health Info Management Principles/Practices
4th Edition
ISBN:9780357191651
Author:Bowie
Publisher:Bowie
Chapter9: Legal Aspect Of Health Information Management
Section9.5: Release Of Protected Health Information
Problem 2E
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Transcribed Image Text:QUESTION 1
Answer questions 1.1-1.3 after reading the scenario.
An 80-year-old lady was admitted to an emergency room with a hip fracture. She was brought in
by paramedics from a nursing home. She was not accompanied by any family. The emergency
room staff could not get hold of the family using the numbers provided by the nursing home.
The patient could not speak clearly but at one occasion expressed her wish to the professional
nurse,
whom she trusted, that she wishes to die in peace and not be 'put on machines'. The
professional nurse promised the patient that she will make her wish clear to the doctor. The
nurse raised this concern to the emergency doctor and the orthopaedic surgeon on call. The
orthopaedic surgeon ordered surgery to be scheduled as soon as possible to stabilise the hip
and was convinced of a good prognosis if it could occur within the next 24 hours. The patient
was in pain and strong pain medication was prescribed. The pain medication however
suppressed her consciousness. The next day her conditioned deteriorated but an aggressive
treatment regime was continued. The patient crashed and had to be put on a ventilator. The
professional nurse was shocked to see that the patient was ventilated and she confronted the
doctor. The patient's daughter was eventually reached telephonically and asked to come to
hospital. Upon arrival she was devastated to learn that her mother was intubated and yelled at
the nurse. She only then reported that her mother has terminal cancer. The cancer diagnosis
was not reported by the nursing home.
1.1
Explain the concept 'ethical dilemma' in your own words.
1.2
Describe two ethical dilemmas in the scenario.
1.3
Describe how relationships, values and ethical principles in healthcare can guide the
nurse's decisions and actions in terms of one of the ethical dilemmas you described in
question 1.2.
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