Confronting Bad Ethics
Why does physician-patient communication matter in healthcare? During my nursing school pediatric clinical rotation, one of the patient’s I had the opportunity to provide care for, I will call her Sophia for privacy purposes, was in the pediatric unit recovering from surgery to remove a four-pound trichobezoar (hairball) from her intestines. Sophia was four days postoperative at the time and was on the unit for the purpose of being monitored in order to ensure she was recovering well after the procedure. Recuperation seemed to be taking longer than what would be expected for Sophia and her incision site was draining copious amounts purulent fluid. Because of the reports from Sophia’s nurses along with the residents, the physician who performed the surgery ordered an antibiotic regiment to treat the apparent infection Sophia had acquired.
After receiving the first dose of the
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This nurse-physician partnership in the management of medication has been correlated with improved patient results (Gabe et al.). Sophia’s nurse in this situation did what she was legally and ethically obliged to do, but the physician would not reciprocate his part. It placed Sophia’s nurse in a hard position as she had strong feelings, as well as multiple signs of how the antibiotic was not a good match for Sophia. She knew that if she was to administer the antibiotic to Sophia again that Sophia would be in pain and would be putting her in danger as her body could not handle the medication and would have stronger reactions to the medication each time her body was exposed to it. Sophia’s nurse did everything she was legally and ethically supposed to do, but she wasn’t receiving any support from her patient’s
A nurse attending stated “during the morning’s second surgery, he actually dozed off. The nurse took him aside and recommended that he take a break, but he refused and returned to the operation.” The nurse here was in fault in more ways than one. This nurse should never allowed the doctor return back to operate on the patient, he should have been removed from the operating room immediately. The nurse should have
The problem solving methods that might be helpful to assist Jerry in making an ethical decision would be to establish trust with the patient and become aware of the problem. Then analyze the problems and decide on a plan with the patient. He will then want to make sure he reinforces the commitment to the patient and activate the plan. Last, he will follow through with the task and monitor everything until the situation is taken care of.
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.
One of the many roles of the nurse, in caring for their patient, is to advocate for the patient. The nurses in the clip did not exhibit this professional role, the nurses were hesitant in following the physician’s orders, but none of the nurses spoke up on the patient’s behalf. Nurses are often in the best position to communicate with team members and the patient’s family on behalf of the patient, because in most cases, the nurse provides the most interpersonal contact with the patient.
Nurses are faced with ethical dilemmas every day. There are a lot of different beliefs surrounding ethics and the code of ethics. Ethics and ethical issues have always existed, that is why they have put in place the code of ethics. The American Nursing Association (ANA) Code of Ethics isa guideline to help nurses determine which course of action to pursue. Every minute many ethical decisions are made, some may not comply with guidelines and others the patient’s will never understand. In this case study the nurse is put in an uncomfortable position and has two find a way to comply with the family, the patient, and the doctor’s orders.How can she report to the doctor the information the daughter has told her? How she approached
The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligations to provide optimum patient care. (Bosek & Savage, 2007, p. 59) The nursing student realized that she wasn’t an expert in pharmacokinetics and requested the help of a pharmacist to provide quality care for her patient. (Bosek & Savage, 2007, p. 59) Delegation is a huge responsibility and should never be taken lightly. The duty of the nurse is to ensure the patient receives quality care. This means delegating responsibilities to others to ensure that care is met. If a nurse feels she is unsure of a certain area of care, that nurse is obligated to find the precise person who can provide that care. The author’s daughter (Bella) was in the hospital for a reoccurring MRSA infection. When the nurse walked in the door they were asked a question regarding infectious disease protocols and how best to handle the situation. Instead of giving an answer they thought might be correct, the nurse requested that an infectious disease doctor be called in to answer all questions concerning the patient.
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.
What ethical conditions might be involved with either Sierra Golden or Bottle Time Inc. that would make it impossible to continue to collaborate or to accept the funding? Please indicate which principle of the Prevention Code of Ethics may
Rannazzisi, J. T. (2010). Role of Authorized Agents in Communicating Controlled Substance . Retrieved from http://www.gpo.gov/fdsys/pkg/FR-2010-10-06/html/2010-25136.htm
Nurses are faced with ethical issues and dilemmas on a regular basis. Nurses must understand his or her values and morals to be able to deal adequately with the ethical issues he or she is faced with. Some ethical issues nurses are exposed to may be more difficult than others and the ethical decision making process is learned over time.
“The definition of a health professional is a person who works to protect and improve people’s health by the diagnosis and treatment of illness to bring about a complete recovery from mental, physical and social perspectives, either directly or indirectly (Kurban, 2010, pg. 760).” Nurses in the community today have acquired an increasing responsibility to intervene with medical decisions. In the past, there were clear differences between nurses and doctors. It was more common for a nurse to be supervised directly under the physician. They are not just performing Doctor’s orders anymore. The nurse role in patient care has been widely expanded. Allegations against someone can be one of the most stressful moments of their careers. Negligence
It can easily be seen, that nurses spend more time with the patients, than physicians do. So they would have a better sense of how the patient is really doing. Although nurses play an important factor in patients recovery it is important that the doctor and the nurses are agreeing on the same course of treatment and that they are both acting in the best interest of the patients. Can you imagine being a patient, and both medical personnel have different opinions about a treatment option for you? That is disturbing to the patient, there is no coordination, and they have to be a valid reason why one is having a different opinion from the other. I believe when this occurs, another doctor, the head of the department should get involved with the
Build a mirror CRM production system over the next two weeks so that a rebuilding of the main CRM system could occur to plug security holes and assure that another DoS attack would not be successful.
The ethical dilemma is a situation by which it’s difficult to determine whether a situation is can be handled without disappointing both sides. Therefore, an ethical dilemma exists when the right thing to do is clear or when members of the healthcare team cannot agree on the right thing to do. Ethical dilemmas require negotiation of different points of view (potter, Perry, Stockert, & Hall 2011pg 78).
Recognize moral issue: The issues in Fresh Taste NZ Ltd. are rude behaviour of employer with employees, ignorance of basic ethical practices by workers and providing less salary to the workers etc. All these things create ethical disputes at workplace.