Ethical Dilemma Case 8

Beneficence compounded by nurse-physician communication created ethical problems in this case. Mainly, Joanna’s assessment of Mrs. Kelly being ignored by the resident physician and the nursing supervisor. Joanna worked within the scope and standards of practice, she assessed, evaluated, and monitored her patient’s condition. She then reported her findings to the resident twice, and also sought nursing support from her shift supervisor. After Joanna’s first call to the resident, and her continued concern she needed to advocate in a proactive manner. Continuing her assessment of Mrs. Kelly to include palpation and auscultation could have offered additional clinical information enabling her to articulate the problem to the resident and nursing supervisor.

Duty owed patient – As a nurse we have a duty to provide the best possible care to all of our patients within our scope of practice. Providing best care requires assessing our patients and reporting any abnormalities to the health care team so further action can be taken. It is not within the nurses scope of practice to make medical diagnosis or to initiate interventions in which they do not have physician orders for. For this reason it is essential for the nurses to communicate to the doctor when further evaluation and interventions are needed for the patient. The two nurses failed to do so.

The health care colleague interviewed, Faith McClure, has about thirty three years experience in the field. She was the Medical/Surgical Director at my facility, and currently a case manager in my office. This is to emphasize her experience and expertise in the medical field. She obviously had strong feelings about pharmaceutical marketing and was happy to contribute.

I have two issues and wanted to know if we have a policy on each one?

First, good communication can be the groundwork for an understanding patient relationship. In the case presented, Mary Schloendorff had expressed to a nurse several times that she did not want to be "cut on" (Citation). Later in the case, the documents read that that particular nurse had left the ward early. The problem is that there was no communication documented that Mary's wishes were passed onto the next shift. That creates a problem for all involved. Maybe this case could have been avoided if good communication was used and documented. The outcomes that Mary suffered may have been

For my interview, I chose to interview my mom, Ilsa Wells, who had been born and lived in Colombia for 23 years before moving to the United States. Her family in Colombia was able to get by and provide for their fairly large family, albeit barely and with a lot of people having to work to make ends meet. She got her education there and when she was 23 she decided to move here in search of job opportunities and a better life.

It was claimed that the nurses, even though they picked up signs/symptoms of a medical emergency in their assessments, did not do enough to see that those concerns were addressed by the physician on duty. They would argue that had the matter been pursued further, the patient’s true injuries could have been diagnosed and treated earlier. Earlier treatment could have prevented the permanent damage and injuries the patient would sustain due to a delay in treatment.

Consistent, open, honest, and transparent communication is invariably preferred, and would have best suited this situation, however, given the collective bargaining agreement requirements, this proved an impossibility. Furthermore, the rules governing the negotiation process and that planning occurred without the nurse’s knowledge indicated deception in their judgement. An already frustrated nursing staff became angry at what they perceived as a personal affront and severe injustice. Although the nurses’ could grasp the staffing insufficiencies, the severe changes required to remedy the unsafe staffing conditions evoked serious emotions and injured the trust between management and the nursing staff. Nevertheless, the medical center was obligated to follow the procedures dictated by the

The two cases show that, although the doctors using different ethical approach, they may end up making the same

decisions; in the scenario there were a few bioethical issues made. First, when the nurse stated that she

Discuss the ethical dilemmas PMHNPs sometimes find themselves in and name the opposing ethical principles

People from all walks of life face many ethical dilemmas. These dilemmas have consequences. Our worldview determines how we deal with these dilemmas, and guides us to the right decisions. In this essay, I will examine an ethical issues through my Christian worldview. I will also present other viewpoints, and compare them to mine.

Case #4 has several key factors that must be explored before Bob makes a decision on how to proceed with this dilemma. First, as is the case with most problems, the educator needs to examine this from all angles before jumping to conclusions. The allegations must be taken seriously, but many accusations are not legitimate and often are created from frustrations concerning other issues. Second, Bob’s popularity, retirement and reputation should have no bearing on the process of reaching the truth. The educator has a moral obligation to the student and to the profession in upholding their ethical responsibility by providing a healthy and safe learning environment (Code of Ethics, n.d.).

As a nurse when it comes to decision-making, focusing on the values and goals of the patient to prevent family conflicts. Besides that, there are several other factors that can raise conflicts such as team conflicts from not communicating well, poor quality care due to lack of knowledge or from not following the procedures, lastly, more importantly medical errors. Based on recent studies, medical errors are one of the leading causes of death in the United States; therefore, I choose to create my dilemma based on medical errors that occur in hospitals and their main causes. Common reasons why they occur are first because of failure to communicate or unclear orders. Communication is extremely important in a healthcare setting because poor communication skills can result in misunderstanding or cause you to make mistakes which can put patients’ health in jeopardy.

In all, there were many warning signs and unethical behaviors exhibited by the nurses that were not professional like the two nurses disagreeing before the patient on the best person to provide care to the patient. The list goes on and