Nurse ethics Essay

Ethics has survive part of the nurtures life when it comes to decision making and taking deeds in the slope of adversity or luck. Husted and Husted (2008, p.9) states that the unhurrieds has lost their power to take actions on their medical exam checkup hold ins due to the lack of subsistledge in the health c are settings. Hence, the health complaint providers are in that respect to impart their skills and knowledge to treat the patient with the vanquish solicitude. This assignment would discuss how the medical decisions for A B who has undergone radical mastectomy are made using the model for ethical decision-making.A Bs economise suspects that in that respect might be a spread of the tumors and intercommunicate the bind in the break through patient clinic non to mention to her if she had a spread of the tumor. A has the job to refuse to speak to the counselling and non to know in depth of her disease wait on. The ethical dilemma is in this fictitious charac ter study is, whether the nurse should refrain herself from reveBng As circulate on her condition. The second ethical dilemma is should A continue to re take to heart herself from speaking to her counsel.Yarbro, Frogge and Goodman (2005) states that the prognoses of patients with non encroaching(a) tumors give benefit from the mastectomy, however for patients who have invasive tumors are at probability for relapse. After the mastectomy functioning the patients are at risk of wound infection, flap necrosis and seroma formation. Yabro et al. (2005) withal mentioned that although breast crab louse in young women is a rare condition, the disease is more predatory biologically and has unfavorable prognosis as compared to older women. In approximately of the conditions, radiation therapy or chemotherapy is given up to reduce the chances of relapses and to increase the chance of survival.This shows that there is high chance for A to have a relapse and that she is also highly at risk for depression due to her medial condition, and the altered body image. Mastectomy causes emotional distress and that is advisable to seek a counselor or a brotherly worker to express the feelings which aids in recovery (Mills, 2006, p.561). In a research done on emotions of patients by and by mastectomy found that patients who have undergone mastectomy experienced is similar feelings to those of bereavement. Anxiety, denial and tension direct to stress are commonly found after post operation of mastectomy patients .The research further elaborates that the role of the patient in social, sexual and social is altered thus affecting the someone physically and mentally (Farooqi, 2005, p.270).Having so m any mental and physical conflicts, A should seek help from the counselors and forfeit herself to express her thoughts so that she is able to cope with the situation. By doing so, she will be able to see things positively and have the courage to move on. belongings in mind t hat she has two children, A will also direct to hold back the necessary arrangements for the children in terms of financial, social and physical needs. guinea pig University Hospital (n.d) states that patients have the right to know information more or less their interposition and economic aid plan and to participate in decision-making rough their manipulation care and their discharge. A has the right to know her treatment plan. She will non be able to see the broader picture of her condition and will remain in depression thinking that it is the end of the world if she remains unaware. When help is provided, she will be highly motivated to move on.Respect for autonomy is the rudimentary rule of clinical ethics. It is defined as an individual right to lick a decision without having interferences by others and soulal limitations. Healthcare providers should educate and sop up the patients so that they can understand the medical condition and will be able to launch decisi ons. Patients have the right to seek consent for their medical treatment and to disclose information about their medical condition to them (Pantilat, 2008).Therefore, the nurse should inform A regarding the spread of the cancer, if there is, so that she will be able to make a rightful decision on her treatment. This is back up by AustrBan Nursing and obstetrics Council (AMNC) (2006), ordinance of Professional calculate, Conduct disceptation 7 nurses are required to inform the patient of the nature and part of recommended nursing care to assist the patient to make informed decisions. However, the keep up had mentioned not to inform A about the spread to prevent their unification from getting worst. By listening to the husbands point of views, there are chances of saving their marriage and it benefits A and her family. BeneficenceBeneficence is explained has an action done to promote good for others. An obligatory act to assist patients establish on their importance and legitim ate interests (Beauchamp & Childress, as cited in Parker & Dickenson, 2010, p.195). In the case study, it is said that A is very stressful and that she does not want to twaddle about her disease to the counselors. If the nurse listens to the husbands instruction, As stress take will not be added on and thus doing good for her. On the other hand, if A is not told about the disease and how much the counselors precious to help her. The more she will pull herself back and may subside not to have any further treatment. These will deteriorate her condition. SNB enter of Ethics and Professional Conduct Value Statement 7 states that clients exceed interests must be taken care of (SNB, 2006 p. 8). Non-maleficence is a principal that requires not inflicting distress to the patients.Before being ethically reasonable in exhausting to help the genuine interest, the nurse must be very veritable of doing no harm. Aiken (2004), non-maleficence demands that health care providers defend from harm to those who cannot protect themselves. SNB Code of Ethics and Professional Conduct Value Statement 5.1 and AustrBan Nursing & Midwifery Council (ANMC) Code of Ethics for Nurses in AustrBa Value Statement 1 both(prenominal)(prenominal) software documentations that nurses should safeguard the health and safety of their clients against incompetent, unethical or il effectual practices. In As case, there is no lucid that she is in a state of unsound mind or there that she wants her husband to purpose for her.Therefore A should be informed of a disease process and allow herself to speak to the counselors. If A is not told the truth, the nurse is indirectly inflicting harm for the patient as she owes a duty of care. Yeo, Moorhouse, Khan and Rodney (2010, p.293) mentioned that justice is the wider wizard of fairness, whereby everyone should be treated fairly and equally based on the individual or groups entitlements. Every patient would want know how much their condition has imp roved or deteriorated. In A case, she deserves to be treated and to know her prognosis as this allows her to have time to make arrangements in her social life. She may not want to talk about her disease to the counselor only if there might be someone whom she feels comfortable in opening up. As her care providers, the group of healthcare professionals should find out the details and provide her with the trounce care possible.There is no try that A is in a state of unsound mind and that she has given her rights to her husband to make decisions on behalf of her. Therefore it is Madam Aminiahs right to know her condition and to discuss her treatment plan. Although by breaking the watchword A would be distressed but it is the responsibility of the practitioners to give her an opportunity to participate in the decision making even if it has to involve a third party with As approval. After making discussions with A, she decides that her husband will be the only decision maker, he wil l be the surrogate decision maker (University of Illinois at Chicago College of Medicine, n.d) and we should respect her decision. Butts and liberal (2013) mentioned that a better ethical approach to patient care is by providing truthful information at the same time keeping the patient composed and educating her successful ways to manage her condition. Although by not grave A the truth may save her marriage life and benefit her family.The rights of the patients should not be break. When patient right are being violated, the nurse is at risk of causing harm. SNB Code of Ethics and Professional Conduct Value Statement 2 emphasize the mandate of respect and support clients autonomy. Value Statement 7 requires nurses to defend those clients who may be dangerous and incapable of protecting their own interests and to be an advocate in the best interest of their clients. Everyone is considered innocent until proven guilty. The approved investigators must collect nice evidences to visi bly convince Nursing commission members that a violation had occurred. downstairs the Patients Right (Scotland) Act 2011, section 3, states that patient has the right to know about their condition and to make decision relating to the patients health and salubrious being. As nurses, we should not refrain ourselves from telling the patient the truth unless stated.This is immensely supported by SNB Code of Ethics and Professional Conduct, value avouchment 2 Respect and promotes clients autonomy. Therefore the nurse could be liable for professional mis chair under the Nurses and Midwives Act 2012, Chapter 209. Although A is in a stressful situation, there is no evident that her stress is allowing her to swooning her rights in making decision for her disease. A is still in a state of sound mind and therefore her rights should not be violated unless she has agreed for her husband to decide for her or she showed signs and symptoms of unsound mind. This case is thusly an ethical challe nge faced by the health care professionals. The reservoirs decision is to inform the patient on her current condition. If A is to have a spread, its her right to know so that she could make the right decision. This decision is supported by AustrBan Nursing and Midwifery Council, (AMNC, 2008) conduct statement 7 Nurses support the health, wellbeing and informed decision making of people requiring or receiving care.However, the physician will be the best person to break the news. Sullivan (2011) mentioned that health information is compulsory for the patient and it is the ethical and legal obligation of the physician to communicate that information so that patients can make decisions. The patient has the right to a diagnosis and, if consented to, the physician has a duty to treat. Therefore the author will update the team doctors. When A had intractable to allow her husband to be her decision maker, than her rights will be respected. In As case, a family conference would help to res olve not only her medical issue but also her social issue.The team doctors will have to document the decision in the treatment and show up notes Medical records are legal documentations that are extremely essential and serve as a means of communication in the health care industry. When there is systemic documentation of patients medical narration and the treatment provided are recorded, it may benefit when used as an evident in the court (Judson & Harrison, 2013, p. 196).ANMC National Competency Standards for Registered Nurse, statement 6.3 and 8 both highlight that documentation of care plan must bring about towards achieving expected outcome based on continuity of assessment and to be transparent (ANMC, 2006, p. 5 & 6). As decision should be clearly documented on the progress notes highlighting the issues of her decision maker and the treatment recommended to her. Situations that offer ethical dilemmas are common in the healthcare industry. In such situations, it is critical to consider not only the standard regulations, but also the professional code of ethics within the profession. To avoid any legal implication, the medial and nursing team should be mindful of their care provided without violating patients interest.