Preview

Ethical Decision-Making Model

Good Essays
Open Document
Open Document
1895 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Ethical Decision-Making Model
Ethical Decision Making

End of Life

Submitted by:
Anthony Mcdew

Ethical nursing care Nurses are faced with ethical decision making on a daily basis. This could be both stressful and challenging. The following case study I chose to walk through is: Mr. Clarke is a patient who has advanced AIDS with related pain syndromes and is also actively abusing drugs. The nurse is concerned about his abusing his pain medications and is not sure if she should give them to him as he leaves the hospital. It will be my assumption that this patient is nearing the end of their life. The value, be, do ethical decision-making model will provide the framework I need to assess this case study (Schaffer and Norlander). I also will be using ethical decision making tools to guide my decision making process.
What should I value? The first step of the value, be, do ethical decision-making model answers the question what should I value? It is time that I look deep into the meaning of my life in regards to my professional nursing practice. What do I value in life? The meaning of life for me involves personal and professional
…show more content…
First, I feel that I should take time to analyze the patients past medical history and medications that helped his pain. Second, I will review the pain medications with the Physicians to ensure I have a proper understanding of his or her plan. Then I will review what is needed to provide quality end of life care with good pain control to a dying AIDS patient. After I feel that I have a great understanding of the situation; it is time I listen and talk with my patient. Assure them that I am there as their advocate for safe and complete end of life care. This may require me to act as a counselor or bring in interdisciplinary team members to assist my patient. My number one goal is to provide safe end of life care; but as painless and comfortable as

You May Also Find These Documents Helpful

  • Good Essays

    My prospects for discovering a vocation were faint until a companion assisted land me a…

    • 347 Words
    • 1 Page
    Good Essays
  • Better Essays

    As nurses, we encounter ethical situations everyday regarding patient care. How we handle these situations promote equality while seeking rationality. After reading the two case studies presented, I will discuss in my reflective journal how the ethical issues were presented, the steps taken in the decision-making process to ethically address the issues, the lenses used and how these lenses influenced the decisions made, and also how these can relate to the workplace. The Baird Decision Model is a five step process that guides us through that decision-making process when making ethical decisions.…

    • 767 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    (a) the consequentialist principle (CP) used to assess the actions of the decision maker (e.g., egoism, utilitarianism);…

    • 1100 Words
    • 5 Pages
    Satisfactory Essays
  • Satisfactory Essays

    The ethical decision making process is similar in many aspects to that of the nursing process itself. The nurse must clarify the problem, research the situation, consider possible alternatives, arrive at a conclusion, put the conclusion to application, and reassess the decision (Black, 2014). The decision may initially seem…

    • 196 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Social work practice is not without its human rights, ethical and legal contexts and issues and effectively working with them is pivotal to safe and empowering practice. This practice includes creating appropriate and extensive care plans, which work with the available resources and exhibit understanding of the contexts and issues. Daniel aged 20 has presented at Golden City Psychiatric Services in Bendigo in his first admission in a very depressed and uncommunicative state. The ethical dilemma for Daniel using the ‘Inclusive Model of Ethical Decision Making’ (Chenoweth & McAuliffe, 2015) which encompasses all contexts is his capacity to give consent and the conflicting best interests of his parents. This has been presented through…

    • 2200 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Advanced Practing Nurse

    • 624 Words
    • 3 Pages

    References: Hamric, A. & Delgado, S. (2009). Ethical Decision Making. In A. Hamric, C. Hanson, & J. Spross (Eds.), Advanced Practice Nursing: An integrative approach (4th ed., pp. 380-402). St. Louis, MO: Saunders Elsevier…

    • 624 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    7 Step Ethical Decision Making Model – Bailey Step 1: Is this covered by the guidelines? Upon first reading of the scenario I felt that were two issues to be addressed. The first noted was to do with problem behaviour related to the removal of ‘Barney’ from the program and the second was medical which in turn was affecting John’s behaviour. I will deal with each individually.…

    • 1971 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    As patient’s advocates, nurses need to provide care that is qualitative, safe and at the same time beneficial to the patients. My patient was a cancer patient that was going through much pain and at the same time, the doctors were worried about the adverse effect of too much pain medication being administered to this patient which is liver damage and dependency on narcotics. On the other hand, the patient’s cancer has advanced to stage II and her chances of survival were very minimal. In this case, palliative care would have been better for the patient but the patient and her family members were still in denial of the outcome of the patient’s condition and refused to accept hospice care. If I did not act the way I did, the hospital would have been reported to the ombudsman and would have been under…

    • 983 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Ethics is the discipline that waits in the wings as a health-restoring resource when moral guidelines fail to do the job alone. Ethics provides a language, along with methods, and tools for evaluating the components of personal, societal, and group morality to create a better path for yourself and others. Some of its most important uses are to clarify, organize, and critique morality to highlight what does and does not fit in a particular situation (Purtilo, 2011). A nurse cultivates personal ethics through personal, cultural, and spiritual values which becomes a moral compass for their professional ethics. Personal ethics in combination with the code of ethics often assist the nurses in personal and social decision making during ethical dilemma. This ability prompts them to better respond to needs of the suffering patient and their own well-being. Nursing ethics shares many principles with medical ethics such as beneficence, non-maleficience, and respect for autonomy. Nursing ethics however, can be distinguished by its emphasis on relationships, collaborative care and human dignity, because the health care climate is regularly changing, as is our society, it is crucial that nurses have a grounded understanding of ethics (Ward, 2012).…

    • 962 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Nurses and other medical personnel normally confront ethical dilemmas when caring for terminally ill patients. Correct understanding of the fundamental ethical principles aids the nurses to examine major dilemmas in the delivery of healthcare to the very sick patients or terminally ill patients. Due to a boost in medical knowledge and expertise, so are alternatives for healthcare. These alternatives present intricate moral dilemmas when decisions arise regarding the treatment of dying patients. Majority of the medical personnel are faced with the decisions related to the treatment of dying patients to ease a patient’s final misery. Conceivably, a decision will need to be made about whether to allow a patient to continue living or to end his or her life by terminating treatment when all's said and done. Often, these decisions concerning the care of a dying loved one confront people from all walks of life (Butts and Rich, 2005)…

    • 1078 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Ethical Decision Making

    • 1655 Words
    • 7 Pages

    A.5.b. Professional school counselors help educate about and prevent personal and social concerns for all students within the school counselor’s scope of education and competence and make necessary referrals when the counseling needs are beyond the individual school counselor’s education and training. Every attempt is…

    • 1655 Words
    • 7 Pages
    Better Essays
  • Good Essays

    End of Life Issues

    • 816 Words
    • 4 Pages

    With major advancement in medical treatments, it is now possible to keep a patient alive, which would not have been possible in former times. This has made end of life issue one of the most controversial issues in healthcare. Medical improvements have set the stage for ethical and legal controversies about not only the patient’s rights but also the family’s rights and the medical profession’s proper role. It is critical that any decision made in such situation is ethical and legal to preserve the rights of the patient and also protect the healthcare institution involved. It is very important when making decisions to discontinue treatments to make sure all other alternatives have been explored.…

    • 816 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Faced with ethical and legal decisions on a daily basis, nurses must at times make some pretty tough decisions including how to proceed with care for an incapacitated patient with no advanced directive or how to proceed when called upon to testify against a current employer. The American Nurses Association Code of Nursing Ethics is one of the main tools available for the nurse to utilize when it comes to making these tough decisions. The nurse may apply personal values as well as societal values to these cases in order to come to a sound, ethical decision. The nurse also carries a legal responsibility to their profession, workplace, patients, and self. Ethical and legal decision-making are complex but after a thorough assessment, the nurse can continue to make an ethically and legally sound judgment on how to proceed.…

    • 421 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    End-of-life Care

    • 819 Words
    • 4 Pages

    The debate arises within those conflicts; the ANA Code of Ethics binds nurses to respect the autonomy of each patient and their decision to choose the healthcare options they believe are correct for them based on their religious, social, cultural and personal desires for end-of –life care (ANA Code of Ethics 2001). Nurses are also bound to participate in advocating for the patient to alleviate unnecessary treatment for the patient who has designated they do not want treatments that doctors and/or families may be advocating for the patient against that patients wishes (ANA Code of Ethics 2001). The nurse must be familiar with the end-of-life wishes of their patients otherwise; the patient looses a valuable advocate to assist in achieving their goals for end-of-life care. Nurses must also be aware of their own personal values and beliefs surrounding end-of-life care for their patients’ choices to advocate adequately.…

    • 819 Words
    • 4 Pages
    Good Essays
  • Better Essays

    To many, death may seem like a daunting topic, but it is a topic, which affects everyone and should be discussed. Every person deserves to have some autonomy when it comes to end-of-life care decisions. There are ethical and legal disputes that arise because of disagreements between patients, families, and medical professionals. Unfortunately, there is not always a clear right answer to what extent or how something should be done. How to care for a dying individual also presents a plethora of issues, especially for nurses. This is mostly due to lack of support in the work place and community settings for that patient and their family. Analyzing these issues can only aid in more open discussions and the progressive evolution of better care for terminal patients. Ultimately, better care and education can assist these patients in dying with the dignity they rightfully deserve.…

    • 1104 Words
    • 5 Pages
    Better Essays