Test 3- ethics, legal issue in nursing, evidenced based practice
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Course
- ethics, legal issue in nursing, evidenced
Institution
- Ethics, Legal Issue In Nursing, Evidenced
Test 3- ethics, legal issue in nursing,
evidenced based practiceTest 3- ethics, legal issue in nursing,
evidenced based practiceTest 3- ethics, legal issue in nursing,
evidenced based practiceTest 3- ethics, legal issue in nursing,
evidenced based practiceTest 3- ethics, legal issue in nurs...
Test 3- ethics, legal issue in nursing,
evidenced based practice
-directs all aspects of an organization - ANSWER--the mission
-values
-financial practices
-how it responds to the needs of the community
1: Preference of the patient
What does the patient want?
Expected to get better upon admission
Did not specifically say "do everything."
5/20:per MD notes: "earlier conversation with pt indicated he would probably not want to d/c support."
What are the patient's goals? We don't know
Does the patient comprehend? No, per MD notes
Is patient mentally competent? No
Is patient consenting voluntarily? No-vent dependent, unable to respond - ANSWER-
2 parts of moral distress - ANSWER--First causes frustration, anger, guilt, anxiety, withdrawal, self blame
Reactive distress- lingering feelings that can accumulate over time with each new incidence
2: Quality of Life
Does injury or illness threaten to actually or potentially reduce quality of life? Yes
What does quality of life mean to patient? We don't know
How do others perceive the patient's quality of life?
Son→futile
Who should make the decisions of quality of life? At this point... - ANSWER-
3 patterns emerge from reactive distress - ANSWER-1. increased response leads professional to engage
in actions of conscientious objection ( failure to follow orders)
2. desensitization which leads to withdrawal
3. strong physical and psychological stressors which can lead to burnout and leaving the profession.
3.Contextual
Financial: ??
,Test 3- ethics, legal issue in nursing,
evidenced based practice
Social arrangements
1 son
Born in Greece
Lived independently prior to hospitalization
Attitudes of others
Son-futile care, no potential for improvement, prolonged suffering - ANSWER-
5/22: "End stage CHF awaiting terminal event; on maximal support."
Treatment of the medical problem:
Max treatment: meds, vent settings - ANSWER-
advance directives: Children - ANSWER-Innocent 3rd parties
Courts will grant an order allowing doctors to treat children of Christian Scientists or Jehovah's
Witnesses who have denied consent for treatment of their minor children
advance directives: living wills - ANSWER-Written document
Directs treatment according to client's wishes
May be difficult to interpret
Americans with Disabilities Act (ADA) (1995) - ANSWER--Federal statute enacted by U.S. Congress
-Protects the rights of handicapped in the workplace, in educational institutions, and throughout society
autonomy - ANSWER-the commitment to include clients in decisions about all aspects of care.
beneficence - ANSWER-taking positive actions to help others.
bioethics - ANSWER--Ethical questions surrounding biological sciences and technology
, Test 3- ethics, legal issue in nursing,
evidenced based practice
the application of ethical principles to healthcare
case study- end of life
-67 year old male; one son, ex-wife, no other significant others; no advance directives or living will
-Admitted with Congestive heart failure, Chronic renal failure, Ascites, End-stage respiratory and cardiac
failure
-Ventilator dependent; 02 sat=42% on max settings; max treatment;
-MD & patient's son requesting ethics consult to assist with decision/recommendation. - ANSWER-next
slide
Civil and Common Law Issues in Nursing Practice - ANSWER--Student Nurses: expected to perform as
professional nurses would, in providing safe client care.
-Malpractice Insurance
-Abandonment & Assignment Issues
*Short staffing
*Floating
*Physician's Orders
civil law - ANSWER--Protects the rights of individual persons within society.
-Harm to an individual or to property
-Punishment: $$
clinical ethics - ANSWER-Decisions made at the bedside and other client care issues
consent for DNR - ANSWER--Client
-Surrogate with 2 MD's
-2 MD's
-Terminal condition
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