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Essay on Nursing Ethics and Practice

   

Added on  2020-03-16

9 Pages2347 Words43 Views
Running head: NURSING ETHICS IN CLINICAL PRACTICENURSING ETHICS IN CLINICAL PRACTICEName of the StudentName of the universityAuthor’s note
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1Nursing EthicsReflective essay on nursing ethics and practiceWith the increasing demands of health care the duty of the nurses and the midwives arealso increasing. The nurses now go hand in hand with the doctors to provide appropriate care tothe patients. One major responsibility of the nurses is to endeavor to improve both health careenvironments and conditions of employment to increase the quality of health care delivery.(Johnstone, 2015).This essay aims to analyze the case study provided and reflect upon the codes of ethicsthat have been breached in this case. We have also compared and contrasted the role of theconcerned nurse with the NMBA standards of nursing (Butts & Rich, 2012).The following essay focuses on a case study, which accounts for the death of a particular patientdue to the negligence of a registered nurse. In order to reflect upon the code of ethics of theconcerned registered nurse, it is essential to get a brief over view of the patient. The caseproceeds like, Mr. A was suffering from acute breathlessness, diabetes, tachycardia and legedema and some other age related health problems, which became severe when he was admittedto the hospital. It should be noted that MR. A had already visited the hospital 2 days before hisadmission to the hospital, with the problem of breathlessness and low BP. On diagnosis it wasfound that he was having high BP and fine creps at the base of his lungs. He was administeredwith an oral Lasix, which actually did not improve his symptoms. After 2 days he was admittedto the hospital with more deteriorating condition. As days passed by the patient’s conditiondeteriorated. During his last few days he suffered from diarrhea and acute chest pain. Finallywhen he was being assessed for a clinical handover to some other improved health care setting,he expired. The case study draws attention to the malpractices of a registered nurse who was incharge of the patient A. Her gross negligence took away the life of a particular person.
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2Nursing EthicsIt is evident from the cases study that the patient was having severe abdominal crampsand diarrhea. The respondent did properly document his vital signs. It should be understood thatearlier assessment and monitoring of the patient can lower the risk of deterioration in patients. It was reported that on 11 January the practitioner failed to recognize the patient A’sdeteriorating conditions and implement care regimen for the patient. The respondent should havearranged for a medical review when she saw that the blood pressure was 89/53 and herrespiratory rate was 40-44, which signifies bradychardia. It signifies that Patient A was havingtoo low BP than the normal. In spite of seeing that Patient A was having a fast resting heart ratethe nurse did not call for any medical review. The abnormal vital signs were clear indicates of hisdeteriorating conditions. It was reported in the complaint that although the respondent personallyattended the patient, she did not note down the observations. From the beginning of the casestudy it can be noticed that the patient was suffering from a prolonged back pain, but the medicalofficer and the respondent did not bother to look into the reasons of prolonged pain. It wasmentioned in the case study that the patient had stopped taking food and drinks out of pain andthus could not mobilize due to extreme weakness. The concerned RN could have applied somealternative methods of administering food to the patient. The white cell count in patient A hasrisen from the normal count, which was a clear condition of deteriorations. The respondent hadadmitted in front of the committee that she was concerned about the patient’s condition andensured that the hospital was not well equipped to deal with such critical conditions. As per thestatement of the respondent, she had been informed at the clinical handover that the healthpractitioner who was attending the patient had gone away, and as there was no doctor availableshe waited for the locum to attend the patient. It was reported that the patient A suffered fromcontinual diarrhea, but this time also the respondent failed to monitor the vital sign. The vital
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