ONE WEEK 3 DISCUSSION ROLE OF ADVANCED PRACTICE NURSE

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Colorado School of Mines *

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4100

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Nursing

Date

Nov 24, 2024

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docx

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Uploaded by churchillochupe

1 Advanced Practice Nurse Student’s Name University Affiliation Course Date

2 Advanced Practice Nurse Qualified medical professionals are crucial in the healthcare environment. These medical professionals know their place and what must be done to deliver high-quality treatment based on patient outcomes. Identifying and meeting patients' healthcare requirements while also taking into account their preferences is an integral part of value-based care. It can be difficult to adhere to a patient's desires, especially if doing so could endanger the patient's life or health. Such situations are problematic, however, because nurses are bound by an ethical code that mandates they put the needs of their patients first. This research, therefore, examines a case study including an ethical issue, with the goal of illuminating how nurses can deal with such a situation. The Ethical Dilemma in The Case Study Working as a nurse is among the most enjoyable professions. As a nurse, you get to see the smiles on patients' faces as you help them get back on their feet physically and emotionally. It also facilitates communication between nurses and their patients, who may come from a wide range of cultural backgrounds and practice a variety of religious and spiritual tenets. Nonetheless, nurses may have doubts about their ability when faced with the difficulties inherent in the role. In the test case, Jessica, a dedicated nurse with extensive experience, is presented as an example. Jessica is tending to a male patient in his later years who requires round-the-clock attention. In any case, Jessica is in a bind since she has asked the client to sign a do not resuscitate order and the client has refused. Jessica's frequent demands for the patient's approval to sign the order only make an already difficult situation worse. Though she keeps trying, no one ever seems to respond positively to her efforts. The patient suffers from muscular dystrophy, a debilitating disorder that causes weakness and suffering. Even more so during resuscitation, when the patient's anguish is amplified, Jessica feels terrible about the situation. Despite the

3 discomfort, the patient is resolved to live a long life and has asked Jessica to do whatever she can to make that happen. So, even if she may disagree with them, Jessica must honor the patient's requests. The Nurse as a Disruptive Innovator Constantly pushing the boundaries of what is possible is essential. Transformation is a force for good, bettering the lives of individuals, groups, and societies. It is a good thing for the economy and helps spread wealth. Consequently, it is important to foster innovation in nursing so that new methods, supplies, and equipment can be created to better ensure the health of both patients and medical professionals. Certain nurses, including Jessica, are revolutionary innovators who take stock of their surroundings, identify problem areas, and then propose viable remedies. Here, Jessica understands that there are financial impediments to receiving adequate medical care for those with chronic illnesses. Some people are unable to get to medical facilities on their own, thus they receive no treatment at all. Jessica suggests home-based treatment because it is more convenient for patients and their families and because it is more cost-effective than institutional care. The Relationship Between Personal Beliefs and The Ethical Dilemma Conflicting moral obligations regularly arise. They are helpful because they reveal people's moral fiber, especially when weighing competing ethical options. Nursing leaders plus managers can learn a lot about their employees by seeing how they respond to ethical challenges. Jessica is torn over whether she should honor the patient's decision or push for the signature on the order. No patient should ever be subjected to a nurse's imposed viewpoint, in my opinion. Even if they disagree with a patient's choice, healthcare providers must respect that choice. This

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4 is due to the fact that breaking this rule could result in Jessica losing her employment and, worst possible case, her license, as well as the fact that the code of ethics explicitly requires it. The Best Mechanism to Address The Dilemma Keeping in mind that one's ultimate goal is the well-being of the patients might help one get over any ethical difficulties that may arise. The patient's greatest wish is that he be given more time to enjoy life with his loved ones. Since this is the case, Jessica's first objective should be to grant the patient's wish. If the patient's preferences were respected, the patient's mood would improve, which in turn would boost the nurse's mood. Cost and Benefit of The Ethical Dilemma Intense effort is required during resuscitation techniques, which might be harmful to the patient. Me. Rogers suffers from muscular dystrophy, which makes him more vulnerable to having his muscles overworked during resuscitation, which can further impair his health and lead to a poor standard of living. However, if the patient signs the order, he or she can spend their final moments surrounded by family members rather than in pain. In addition to relieving the patent of agony, this option also spares the family the financial burden of resuscitation. Jessica should inform the patient of these considerations so that he can make an informed decision about whether or not to sign the do not resuscitate- order. Being healthy is obviously important, but not everyone is blessed with that privilege. According to the study, some patients suffer from unpleasant ailments, prompting nurses to seek ways to alleviate that suffering. The difficulty arises, however, when the client is hesitant to make or accept a decision that would alleviate the suffering. These instances show the need for nurses to have a firm grasp of the nursing ethical code.

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