Critical Thinking Caps
University of Phoenix
Professional Nursing Practice
Patty De Bruin, MSN, CNP, ONP-C
December 10, 2012
Critical Thinking Caps Worksheet
What pieces of information are needed to assist the family in making a decision regarding Marianne’s care?
Many of the pieces of information needed to assist Marianne’s family in making decisions in her care were included in the case study. The first thing we would need to know is if Marianne has a plan in place in case of a situation like this such as a living will or advance directive. Sometime’s people make these plans without the knowledge of their family knowing and leave it in care of a primary care manager or a family lawyer. I would first ask to look for these papers, to make sure one does not already exist. The family may need to set down with a mediator and try to come to a mutual decision in her care. They need to ask them, if she were sitting here, what do you believe that she would want. The family needs to be made aware of all the options available and probable outcomes, should they decide to go fourth with the surgery or not. The ethics committee may appoint someone to help the family come to an agreement on the treatment plan of the patient. Other questions that should be answered is, what is the patients quality of life going to be if the surgery is done, what is the impact of the patients prognosis going to be on the family, do they have the means of providing long-term care if the patient cannot function the same after the surgery. These are hard decisions for any family to make, but when given the bigger picture, sometimes the decision becomes easier for the family to make.
How might family members’ values and morals affect their decision-making process when faced with potential end-of-life decisions for a loved one?
The family member’s that are involved in making the decision in of end-of-life care for their loved ones can be caused by guilt. Many times the family states the feeling of guilt if they do not try everything possible to save the life of their loved one, despite the prognosis. Depending on the religious affiliation of the family or family member making the decision, they may be even further conflicted on rather it is their place to make that decision and it being “right”. Many family members feel that they owe everything to that family member to keep them alive despite the quality of life it may leave them with, because that is what is owed to them, especially when it is an adult child making the decision for a parent. Rather it is personal values or religious values, many family members do not want to be the one that makes that ultimate life decision. Black cap:
Discuss ways in which nurses can integrate concepts found within the American Nurses Association’s Code of Nursing Ethics and the Nursing Practice Act when caring for patients and their families.
Morals and ethics are what make’s ethical decisions. Standards as nurses that we should follow are nursing codes of ethics, which is ethical principles shared by a group, reflecting their moral judgments over time and is a standard for professional actions. .A nurse’s commitment is to the patient and/or family. Ethically, we rationalize our thinking. It’s not based on emotion or intuitions. Components of ethical decisions are: 1) facts of the specific situation, 2) ethical theories and principles, 3) nursing code of ethics, 4) the client’s rights, 5) personal values, 6) factors contributing to or hindering one’s ability to make a choice such as, cultural values or lack of experience. (Blais, Hayes, 2011, p.61). Nurses can serve on institutional ethical committees. Ethical committee’s review cases, write policies and guidelines, and provide education and...
References: ache.org. (2009). Retrieved from http://www.ache.org/policy/endoflif.cfm
Blais, K. K., & Hayes, J. S. (2011). Professional Nursing Practice: Concepts and Perspectives (6th ed.). Retrieved from The University of Phoenix eBook Collection.
Chitty, K.K., & Black, B.P. (2011). Professional nursing: Concepts and
challenges (6th ed.). St. Louis, MO: Elsevier Saunders.
Clabots, S. (2012, July-August). Strategies to help initiate and maintain the end of life discussion with patients and family members. Medsurg Nursing, 21(4), 197-203.
Murray, J.S. (2010). The Online Journal of Issues in Nursing. Retrieved
(1985, May). Guidelines for ethics committees in health care institutions. Journal of American Medical Association, 253(18), 2698-2699.
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