The ethical dimensions of code of professional conduct elevate various issues regarding the patients’ autonomy and informed consent in clinical nursing and midwifery practice. This essay is an overview of the patient’s right to accept or decline their treatment as a part of patients’ autonomy in self-decision making. Some issue that faced by the health professionals in refusal of treatment are highlighted. The discussion part deeply argue about the compromised autonomy of patients and the ethical dilemmas that confront by health professionals in safeguarding wishes of patients in that situations.
The nursing and midwifery council (NMC) in the United Kingdom (U.K) has introduced new code of conduct, which is mainly to ensure …show more content…
Also it would puzzle and restrain beneficent involvements of nurses’ in the treatment (Glasper and Richardson, 2006). For an instance, to reduce the intensity of pressure sore, nurses might have change the position of a bed ridden patient regularly. But, if the patient compliant that at being disturbed, then what would be the nurse’s stand? Should nurse agree to the patient wishes or confer with the patient to perform duty of care? This is a special situation, where the autonomy of the patient and nurse’s professional duty of care are getting collide. If the nurse compels the patient then it will be considered as an allegation of restoring to strong paternalistic behaviour (Hyland 2002) whereas, if nurse has not performed the duty of care that will be purely against nursing …show more content…
According to Hill and Seymour (2010) the all people with dementia, learning disability, brain injury and severe mental illness will come under this act. In these circumstances, when patients have lacks of competency, health professionals, relatives, lawyers, judges can take decision on behalf of patients. In some situations the government will appoint a third party to act on best interest of patients (Ross, 2007). However this process seems to be more holistic by considering individual wishes, feelings beliefs and values of the person at the centre of the decision (Factors need to be considered in assessing mental capacity is included in appendix