·Question #2 Case 82 Sue is a nurse who recently lost her husband after he had a
ID: 191250 • Letter: #
Question
·Question #2 Case 82 Sue is a nurse who recently lost her husband after he had a massive stroke and died. One of her patients is a 42 year old male with a stroke. She wrote on his history that he is married with 3 young children. Currently, his only way to communicate is by slowly writing with his left, non-dominant hand. He has requested a do-not-resuscitate order (DNR) and asked that his feeding tube be removed. Sue finds the patient alert and oriented to time, place and person. After spending more time with the patient during rehabilitation therapy, she also determines that he has capacity to make health care decisions. During their interactions, the patient asks that his wife not be informed of his wishes concerning the feeding tube and the DNR status. Sue has trou and belief in the patient's ability to recover. Sue calls the patient's wife and discloses the information about the DNR status and removal of the feeding tube. ble acknowledging the patient's wishes because they go against her value of human life Part A: Examine "Case #2," another hypothetical medical scenario. Explain how each of the following ethical Discuss each ethical principle in approximately one lengthy paragraph principles are-or are not-met and support your answer with "facts" from the narrative. I. Autonomy II. Beneficence III. Nonmaleficence W. Fidelity v. Justice VI. Veracity Part B: Has the nurse violated any legal principles? If so, what principle was violated.Explanation / Answer
Part A: I. Autonomy - it means the individual or patient should be free in making decisions related to medical health procedures and should not be coaxed or forced to make a decision. He/she should understand the pros and cons of the procedure and make a decison for himself without considering emotions. Here the patient has autonomy as he has taken the decision for DNR and to rempove feeding tube without informing his wife.
II. Beneficence - this is met as the caregiver made a decision keeping the patients condition in mind. The medical procedure should be performed for the patients good as in beneficence. But here patient is having chances of recovering and he is not ready for it and prefers DNR. So the caregiver wanted to help him out and informs his wife about his lousy decision.
III. Nonmaleficence - this means that the procedure should not cause any harm to patient or society. But here this condition is not met. DNR means the patient will eventually die in case of emergency.
IV. Fidelity - means to keep promises of patients. This condition was not met as nurse breaks the promise made to patient and tells his wife the truth.
V. Justice - means to entail equality or fairness to patients. Here the situation does'nt give us much information to decide whether justice is given or not.
VI. Veracity - means to tell the truth to patients so that they can take proper decisions. Here this condition is met as the patient is informed that he had a stroke and will take time to recover. So he takes a decision of DNR.
Part B. Nurse has violated the ethical principle of fidelity. She confided with the patient's wife the decision made by patient to remove feeding tube and DNR.
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.