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  • NCM 114 Legal Issues

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    Jerah Aceron Satorre
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    The nurse is faced with an ethical dilemma regarding an 80-year old patient who just told her he does not want any life-prolonging procedures done. When the nurse returns to the room, the patient is unresponsive and not breathing. The nurse must decide what to do, as she is legally bound to provide life-saving measures, but also wants to uphold the patient's wish to not prolong life. This presents a conflict between the nurse's duty to the patient and her legal responsibilities. The nurse has to consider her options to respect patient autonomy while avoiding any problems from failing to attempt resuscitation.

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    NCM-114-LEGAL-ISSUES

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    The nurse is faced with an ethical dilemma regarding an 80-year old patient who just told her he does not want any life-prolonging procedures done. When the nurse returns to the room, the patient is unresponsive and not breathing. The nurse must decide what to do, as she is legally bound to provide life-saving measures, but also wants to uphold the patient's wish to not prolong life. This presents a conflict between the nurse's duty to the patient and her legal responsibilities. The nurse has to consider her options to respect patient autonomy while avoiding any problems from failing to attempt resuscitation.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    21 views25 pages

    NCM 114 Legal Issues

    Uploaded by

    Jerah Aceron Satorre
    The nurse is faced with an ethical dilemma regarding an 80-year old patient who just told her he does not want any life-prolonging procedures done. When the nurse returns to the room, the patient is unresponsive and not breathing. The nurse must decide what to do, as she is legally bound to provide life-saving measures, but also wants to uphold the patient's wish to not prolong life. This presents a conflict between the nurse's duty to the patient and her legal responsibilities. The nurse has to consider her options to respect patient autonomy while avoiding any problems from failing to attempt resuscitation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 25

    ETHICAL /LEGAL

    PRINCIPLES & ISSUES


    CASE STUDY:
    ETHICAL OR MORAL
    DILEMMA
    An 80 year old patient in the nurse’s care just
    emphatically told her during the admission process
    that he does not wish any life prolonging procedures
    to be done if he should “code”. The nurse leaves the
    room to begin the appropriate referrals and
    paperwork for advance directives. When she returns,
    the patient is not breathing and has no pulse.
    CASE STUDY QUESTIONS WHAT
    Presentation title 3

    SHOULD THE NURSE DO?


    ❑What is the nurse bound legally to do?
    ❑What ethical principles are in conflict in the given
    situation?
    ❑What other options does the nurse have to uphold the
    patient’s autonomy?
    ❑Are there any foreseeable problems in this situation?
    4
    Conflict and Dilemma
    ETHICAL CONFLICT OCCURS WHEN A
    CHOICE MUST BE MADE BETWEEN 2
    EQUAL POSSIBILITIES.

    3 types of moral conflict:

    1. Moral distress- When someone wants to


    do the right thing but is limited by
    constraints of organization or society.

    Ex. Continuing life support even though it


    is not in the best interest of the patient.
    5
    Conflict and Dilemma
    ETHICAL CONFLICT OCCURS WHEN A
    CHOICE MUST BE MADE BETWEEN 2
    EQUAL POSSIBILITIES.

    3 types of moral conflict:


    2. Moral Uncertainty - Confusion in
    situations when a person is uncertain
    what the moral problem is or which
    moral principles or values apply to it.
    Ex. Between duties to the patient and one's
    duties to one's employer, and among
    practitioners with differing beliefs about
    what is "good" for a particular patient.
    6
    Conflict and Dilemma
    ETHICAL CONFLICT OCCURS WHEN A
    CHOICE MUST BE MADE BETWEEN 2
    EQUAL POSSIBILITIES.

    3 types of moral conflict:


    3. Moral dilemma –When two or more
    moral principles apply that support
    mutually inconsistent actions.
    7
    ETHICS
    Presentation title 10
    Presentation title 11
    12
    13
    14
    15
    16
    17
    18
    19

    Ex - if a patient was starting chemotherapy and


    asked about the side effects, a nurse practicing
    veracity would be honest about the side effects
    they could expect with chemotherapy.
    20

    The nurse must be faithful and true to their


    professional promises and responsibilities by
    providing high quality, safe care in a
    competent manner.
    21

    Substituted judgement Standards -The surrogate's task is to


    reconstruct what the patient himself would have wanted, in the
    circumstances at hand, if the patient had decision-making
    capacity

    Best Interest Standards- According to this standard, a decision


    should be made on behalf of incompetent patients based on
    what is best for them – that is, choosing the course of action
    with the most favorable balance of harms and benefits.
    DECISION MAKING PROCESS 22

    ETHICAL decision making is the


    application of process and theories of
    moral philosophy to a real situation.
    23
    24
    THANK YOU

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