Ethical Dilemma In Care

Philly should have knocked on the door, before entering into patient`s room. She should have then greeted and introduced herself and the student nurse to Rudd. She should have then started the conversation by addressing him by his name. She should have also enquired about his pain. Philly should have finished her shift assessment and should have assured him that she will come back with the morning medications and then left the room. The behavior was very unprofessional.

The three professional considerations that pertain to this case are similar to the ethical considerations. It was unprofessional for the nurses to call off, leave patients un-attended, and also breaking the patient legal duty to provide proper service to patients. According to (makely), “enhancing professionalism has become a major challenge for healthcare educators, employers, and personnel” (2009).

THE CASE OF MRS. STACK1Week 5 The Case of Mrs. StackDaniel J. HildebrandtMHE 607 – Practical Ethics in Health Care SettingsCreighton Graduate SchoolJuly 26, 2016

Ethics are a set of moral principles that serve as a guiding philosophy for behavior. Consequently it is not a surprise that ethical dilemmas occur daily in the health care setting. Any nurse who refuses to provide care for a patient faces an ethical dilemma (Kuhn, 2012, pp. 412-418). The reasons given for refusal range anywhere from a conflict of personal values to fear of personal risk of injury. Nurses do have the right, at times, to refuse patient care assignments. The decision to accept or reject an assignment must be based upon a judgment by the nurse of the nurse 's ability to provide competent patient care. This paper aims to show both sides of the argument when it comes to nurses refusing a patient assignment. One side believes that nurses has the right to refuse patient assignment, as they must be true to themselves if they want to perform their best on the job. On the other hand, the other side believes that it is the nurse’s responsibility to care for all patients and, therefore nurses cannot simply refuse a patient.

Care Ethics (Feminist Ethics) is the importance of caring relationships in life whether its human or animal related. The main goal of care ethics is to maintain and promote caring relationships. Care ethics involves helping both yourself and the world around you. It gives you the motivation to care for others beside yourself. Care ethics according to the article is more a “general approach” than a theory in regards to other ethical practices. The goal of care ethics is to show that women have the same equal rights as men and that they both have freedoms of their own. This is important as this is helping to address equality among the human race. Care ethics as a whole revolves around emotions.

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

Provision two, four, and six are a few ethical principles relevant and applicable to the situation. The healthcare team respected the clients wishes, committed to the client’s health, took accountability for care and practice, and contributed to the healthcare environment. Provision Two: Primary commitment is to the patient, whether an individual, family, group, community, or population. Provision Four: Authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care. Provision Six: Through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and condition of the employment that are conductive to safe, quality healthcare. (Hegge, 2015).

In this situation I first refuse to render services due to this is a matter of committing fraud against insurance company. Second, I would inform the school that this is unethical pertaining to my code of ethics as well as inform the child’s parent of the schools manipulation of my services as the Behavioral Analyst. Finally I would report the school’s intention to the insurance company as this might has been an on going situation with other children at the school. The Analyst responsibility is to report this to the insurance company in order to maintain their integrity of their position. According to Bailey & Burch (2016) it states that the behavior analyst needs to leave the company and seek employment else where who is more

The ethical principle that was violated which could result to a civil act based facts was the patient right more specifically right of privacy. Whenever patient information is withholding and could not be given to the patient as long as the patient is deemed competent regardless of the medical status, this considers as a violation which can be prosecuted. According to Thomas and Moore (2013), individuals are entitled to make decisions about their healthcare if they are deemed competent. To be competent is the capacity or the ability of the person to understand information presented, to appreciate the consequences of acting or not acting on that information, and to make a choice. This patient was deprived from his own information which is entitled

After reading chapter 2, I learned that healthcare professionals need to be prepared and aware of the dilemmas that their career involve. One broad ethical and moral dilemma is abortion. This dilemma is very controversial because it’s discussed legally and religiously. There are pro-life supporters who claim that it is against religion to kill someone and believe that a fetus has a right to life, while pro-choice supporters claim that woman should have the legal right to make decisions regrinding her body. I think that healthcare professionals should always respect patients’ decisions and that people should also need to respect healthcare professionals’ set of values and morals. For example, some healthcare providers do not perform abortions

Often, we encounter conflicting values when we discus ethical, legal and regulatory conflicts within a healthcare facility. Because of a possible problem or danger to a patient, the healthcare facility often look to governmental/legal solutions to create a fix for this problem. However, in order to fully implement these solutions, there are certain regulations that needs to be followed. These solutions can also be unethical which leads to the patient autonomy and freedom being negatively impacted.

Ethics play a key role in most facets of life. In health care, every patient interaction can be judged based on an ethical code. Each and every workplace has their own version of a nursing code of ethics for their employees to follow. It is designed as a guide in all aspects of patient care. If, when treating a patient, a decision is made that goes against the established code, that decision needs to be revisited and adjusted to fall within the ethical code. Each individual facility bases their code of ethics off of the of the American Nurses Association (ANA) code. This paper will explore the ANA’s code of ethics and its nine provisions.

Pertaining to this case challenging social injustice is the ethical responsibility that we are focusing on. “Social workers pursue social change, particularly with and on behalf of vulnerable and oppressed individuals and groups of people” (NASW, 2008, Ethical Principals Section, para 2). It is our duty as a social worker to advocate and fight for children, not only when children have been subject to abuse and neglect but also when they are removed from their family of origin and placed in foster care. Schagrin (2007) states:

Three times she asked the patient to repeat that she was in pain. She didn’t address the problem. She failed to set limit with the patient. Another unethical behavior which is very demeaning of the professional is the quid pro quid scenario.

Nurses rely on personal knowledge and their professional skills to provide ethical care (Creasia & Friberg, 2011). In everyday practice, nurses must balance the needs of their patients against those of the organization, society and themselves. They strive to deliver the highest level of care for patients, but adjusting for limited organizational and personal resources often requires difficult decisions. This paper explores the following scenario suggested by Maville and Huerta: “You are a nurse providing home care to a mother, and you suspect child abuse after observing the mother’s reaction to her child” (as cited by Arizona State University, 2014). When faced with a moral dilemma, a competent nurse incorporates ethical, bioethical and legal considerations. In the proposed story, incorporating the nursing ethics of advocacy, beneficence, nonmaleficence and collaboration will guide the nurse towards an appropriate and legal course of action.