HCS/478 Health Law and Ethics
April 16, 2012
Ethics Game Reflective Journal
Ethical dilemmas surface daily in professional nursing practice. Whether you work in acute care, long-term care, hospice care, ambulatory care, managed care, or public health care chances are you will be responsible for making decisions in a situation of ethical concern. The purpose of this paper is to reflect on the ethical issues presented in the Ethics Game simulation, the decision-making process used to determine the solution to the dilemma, and apply concepts from the Ethical Lenses to my work place. Ethical Dilemmas Presented
The first case presented in the Ethics Game simulation involves a pregnant minor and her parents. Rachel Banks, a pregnant16 year old female who arrived at the hospital has been in labor for more than 10 hours. Her parents decided to limit the amount of medication and medical treatment she received. According to her brother, her parents were punishing her for getting pregnant out of wedlock by withholding pain medication and medical treatment (EthicalGame.com, LLC, 2007). Given the length of her labor and the limited access to medical treatment by her parents, I am concerned about the risk of irreversible medical danger without the implementation of medical interventions. The ethical issue in this case is how to ensure a safe delivery and provide adequate medical attention to both the mother and baby. The second dilemma concerned same-sex relationships and noncompliance with hospital policy. Alan Trottier was brought to the hospital by his domestic partner, Yves St. Martin and was admitted to the ICU. Alan was unconscious for days without a definitive diagnosis and the shift supervisor was restricting Yves access to his partner. Hospital policy states that domestic partners are to be treated equally as married couples. Domestic partners with " durable power of attorney, or other legal...