The role of a nurse
An bord altranais (2000) believes that,
The code of professional conduct aims to equipped the nursing profession the highest standard of care possible to service users and to be their advocate .Nurses are more accountable for their actions and decision making due to modern medicine and society. It is important for the nurses to promote the image of people with intellectual disabilities that they are not second class citizens and they deserve to have equal rights to treatment and care. The purpose of this code is to provide a framework to assist the nurse to make professional decisions to carry out his/her responsibilities and to promote high standards of professional conduct. Nurses rule ABA (2000) Nurses in Ireland work under the scope of practice. To be competent in their field, to promote awareness of health promotion. Educators and obey and implement each framework and policy in aid of promotional care. Each decision is made by management then discussed within the multidisciplinary team. Autonomy
Nurses are increasingly being given more authority and responsibility, so it’s necessary for nurses to question these powers especially when it relates to the care of the intellectual disabilities. Dokkum(2005,p.65) states that “the nurse is often called upon the patient advocate, caught in the middle of a power struggle between the doctor and the patient, and therefore the nurse must be aware of the dynamics of this power relationship, and the manner in which the law attempts to deal with it” When it comes to euthanasia the multidisciplinary team are in a difficult position. Effective communication and thorough procedures is necessary to deal with a complex decision. Under the Irish constitution, article 40.3 1l. The state guarantees in its law to respect, and as practicable, by its laws to defend and vindicate the personal rights of the citizen. Even if that citizen has an intellectually incapacity, the they have the right to speak their values beliefs and the nurse should provide up to date resourcements to help educate and to solve decisions. Communication and education is essential to help aid the reasoning of euthanasia and reasons why service users express their reasons for wanting to end their life. They are in a lot of pain suffering and don’t fully comprehend their decision. It’s the nurse’s role to satisfy the needs of the service user while providing a rational and logical account of the reasons underpinning that decision. As Caulfield (2005 p32) suggests: ‘personal values held by an individual nurses are often subsumed by the need to be professional at all times as a nurse.’ Nurses play key roles in caring for people at the end of life. These roles involve assessing and managing pain and other symptoms; addressing psycho-spiritual needs; assisting patients and families in articulating their values, goals, and beliefs that influence the decisions made at the end of life; discussing treatment choices; and helping patients and families communicate their needs and wishes for care at the end of life. Many resources are available to guide nurses in fulfilling these roles. Unfortunately, there are fewer resources to provide direction regarding assisted death. One reason for the deficiency of information is that much of the literature focuses on the role of physicians in assisted death. Another reason is that it is difficult to provide guidelines for clinical actions that are illegal in most jurisdictions. Moreover, many professional nursing and hospice organizations have published statements against the legalization of and professional participation in assisted suicide and euthanasia. These statements, while offering valuable perspectives, often are less useful in guiding clinicians in responding to requests for assistance in dying and for those practicing in Oregon and other places where assisted death is legal. Other published statements are neutral in their approach and tend to focus on...
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