Ethical Issues

Topics: Patient, Decision making, Health care Pages: 3 (763 words) Published: October 12, 2013


Reflective Journal on Ethical Issues for Case Studies
Angela Cleveland
HCS/478
July 27, 2013
Lynda White

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. The steps include, being attentive to what is happening, being intelligent, reasonable, responsible, and reflective.

In the first case simulation, Rachel a sixteen year old is giving birth to her first child. The ethical issues presented are that she is a minor, parents are requesting minimal medications during delivery, and the situation could gradually worsen at any moment. The decision-making process involves deciding who is highly impacted from the outcomes of the decisions made by the parents and health care staff.

From there, the use of the Rights/Responsibility lens were used to help make my decisions. Based on these lenses, you must recognize your duties as caregiver. We as nurses must always follow rules and policies. By advocating for the patient, accommodation of parents harming her is not the right choice. The best care possible must be given to prevent harm to Rachel or the baby. By informing the parents of any risks and benefits regarding Rachel's care, this allows them to make informative decisions. During this process, the parents values are maintained and the patient receives effective care. By using these lenses, the nurse is also trusted to provide safe care to the patient and safe delivery for the...

References: What is HIPAA?. (2012). Retrieved from http://www.dhcs.ca.gov
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