Week 4- chaper 22&23 Ethics

docx

School

Union County College *

*We aren’t endorsed by this school

Course

130

Subject

Philosophy

Date

Feb 20, 2024

Type

docx

Pages

Uploaded by ConstableDiscovery4232

Week 4 Chapter 22 and 23: Ethics and Values Ethics and Values  Ethics  The study of philosophical ideas of right and wrong behavior  Conduct and Character  Personal Values  NOT concrete measurable, clinical data  Code of Ethics  Professional guidelines for safe and compassionate care  Bioethics  Ethical issues related to life and healthcare  Terry Schiavo Case and Tuskegee Experiment  https://youtu.be/vz4jE7huhMA  Basic Terms in Health Ethics  Autonomy  An agreement to respect another’s right to determine a course of action  Justifies the inclusion of clients in all aspects of decisions regarding their healthcare  Example  Preoperative Consent  What does the consent process imply ? A: The preoperative consent process is for patient autonomy and safety. It requires that procedures are explained to the patient to the point where they fully understand the procedure and the risks and agrees to undergo them.  Beneficence  Taking positive action to help others  Guides the decision to treat challenged by the risk to well-being or dignity  Examples  Pediatric immunization: does protection outweigh the temporary discomfort?  Intubation on a ventilator: does the responsibility to resuscitate outweigh prolonging the life of a deteriorated patient?  Basic Terms in Health Ethics  Maleficence  Cause harm or hurt  Nonmaleficence  Avoidance of harm or hurt

 Commitment to do no harm  Examples  Bone Marrow Transplant  Chemotherapy  Treatment of disease vs. pain of the therapy  Basic Terms in Health Ethics  Justice  Fairness  Equitable distribution of resources  Example  Selection of recipients for organ transplantation  National multidisciplinary committee to rank recipients  Fidelity  Agreement to keep promises to treat and not abandon  Obligation to follow through  Example  Pain assessment  Veracity  Practice truthfulness  Professional Nursing Code of Ethics  Set of guiding principles accepted by all members of a profession  Collective statement about the group’s expectations and standards of behavior  ANA (American Nurses Association)  https://youtu.be/1wjHB2jWKZo  http://www.nursingworld.org/codeofethics Professional Nursing Code of ethics  Accountability  Ability to answer to ones own action, including error  Advocacy  Promote the health, safety and rights of the patient  Example  Discharge of the older adult client vs. Diabetic Teaching  Sensory changes in the older adult  Refers to the application of one’s skills and knowledge for the benefit of another person

 Responsibility  Reliability and dependability  Example: Medication administration involves assessment, safe administration and reassessment  Confidentiality  Protection of the client’s privacy  HIPAA (Health Insurance Portability and Accountability Act)  Federal legislation  Fines for infractions  Sharing of medical information is prohibited without the client’s consent  Document shredding  “Iron Mountain”  Veracity  Practice truthfulness  Challenged by family’s prognosis request vs. client’s autonomy  CNN/USA Today/Gallup Poll Rates the Profession of Nursing  Professional Nursing  Social Networking  Use it wisely!  High risk to patient privacy  Think before you post Ethics and Values  Values  Personal belief about a given idea that sets standards to influence behavior  Reflection of cultural and social influences  Develop and change over time  Value Formation  Begins in early childhood  Parenting and experience influences values  Value Clarification  Process of self-discovery  Gaining insight into values  Making choices when alternatives are presented  No clear “right” or “wrong”  Example  Pregnancy termination  Unwanted pregnancy vs. abnormal fetus

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Processing an Ethical Dilemma  Is this an ethical dilemma?  Does the treatment contribute toward the quality of life?  Does the treatment prolong suffering?  Does the treatment reduce human dignity?  Example  Initiating hemodialysis on an end-stage cancer patient that refuses the treatment  Ethics Committees  Support the processing of ethical dilemmas in a hospital  Multidisciplinary (Physicians, Risk Managers, APNs, Pastoral Care, VP of Quality Issues) Processing an ethical dilemma Question: Nurse caring for an 87-year old female who has severe dementia and was recently extubated. She expressed to her husband and children she does not want to be kept alive long on a mechanical ventilator. Because of her end-stage Chronic Pulmonary Obstructive Disease (COPD), the health care providers communicated that if she would required intubation in the future, she would likely remain on a mechanical ventilator for the rest of her life. The patient’s husband has not yet taken the initiative to honor the patient’s wishes and her code status remains full code. ethical dilemma? Question: A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. "Information about a client can be disclosed to family members at any time.” B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form.” C. "A client's address would be an example of personally identifiable information." D. "HIPAA is a federal law, not a state law." Question: A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. "Information about a client can be disclosed to family members at any time.” B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form.” C. "A client's address would be an example of personally identifiable information." D. "HIPAA is a federal law, not a state law."

Issues in health care ethics  Issues in Bioethics  Quality of Life  (vegetative state)  Genetic Screening  (amniocentesis)  Futile Care  (dialysis?, CPR?)  Allocation of Scarce Medical Resources  (organs)  Allocation of Scarce Nursing Resources  Ethics and Values Issue in Practice Tisha, a senior nursing student, was informed by her clinical instructor that unless she showed a marked improvement in her clinical performance , she may fail. One of Tisha’s clients, a 64 year old with diabetes and possible renal failure was having a 24 hour urine collection to determine her renal function. After the collection, the client was to be discharged to home and treated at the Renal Clinic. Tisha understood the principle of the 24 hour urine collection was that all of the urine for a full 24 hours needs to be collected for the analyses. Tisha inadvertently discarded one of the specimens in the course of the shift. She knew the mistake would mean that the client would have to remain in the hospital an extra day and the error could cause her Instructor to fail her for the semester. What should the senior student do? A. Tell her instructor and risk a clinical failure B. Do not report the error Question: Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the: A. American Nurses Association’s (ANA’s) Code of Ethics B. Nurse Practice Act (NPA) written by state legislation C. Standards of care from experts in the practice field D. Good Samaritan laws for civil guidelines Question: The nurse had a conference about ethics values. Which statement by the nurse about an institutional ethics committee is correct?

A. The ethics committee is an additional resource for clients and health care professionals. B. The ethics committee relieves health care professionals from dealing with ethical issues. C. The ethics committee would be the first option in addressing an ethical dilemma. D. The ethics committee replaces decision making by the client and health care providers Question: The code of ethics for nurses is composed and published by: A. The National League for Nursing B. American Nurses Association C. The American Medical Association D. National Institute of Health

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Week 4- chaper 22&23 Ethics

Related Documents