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Running head:ETHICAL DILEMMA ETHICAL DILEMMA Name of the student Name of the university Author’s name
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ETHICAL DILEMMA Should Mr. Martinez be transferred to intensive care, where his respiratory failure can be treated by a ventilator or CPR if necessary, and his oxygen level can be monitored? Considering the patient’s severity, he must be transferred to the intensive care where his respiratory trouble can be cured and treated by a ventilator or CPR if necessary. The patient was suffering from COPD and was also having respiratory distress. He was being supported with fluids, antibiotics and was found to do better. However, his condition deteriorated and his oxygen was advertently turned up leading to respiratory failure. Furthermore, his wife requested not to perform CPR, thus, there is an ethical conflict relating to whether to give CPR or not. In this case, the principle of beneficence is in conflict with the principle of autonomy and thus there is an ethical dilemma of whether the patient should be given CPR or not. However, the patient must be transferred to the intensive care unit since he will be needing external oxygen support. He must be given palliative care for supporting his end of life care. What are the key ethical issues or models in this case study? Ethical issues are common in health care and are taken into consideration while delivering care to the patients. The key ethical issues in this case include conflict between the principle of autonomy and the principle of beneficence. According to the principle of autonomy, it is the responsibility of every healthcare professionals to protect and respect patient’s autonomy (Owonikoko, 2013).Healthcare professionals including nurses in no way should involve in any actions that willbreach the principle of autonomy. It is the responsibility of the healthcare professionals to provide patients with all the necessary information regarding their health and the
ETHICAL DILEMMA treatment options or approaches available for them(Owonikoko, 2013). Following that, they must be given opportunity to make decisions which must be respected. The principle of autonomy refers to the right of the patients in making their own decision based on the knowledge and information provided to them. They must be allowed to make informed choices or decisions according to their best interests based on their personal beliefs and preferences. Again, the principle of beneficence states that physicians and other healthcare providers must make clinical decisions that will ultimately benefit the patient. According to this principle, healthcare professionals must be implement strategies and procedures that will benefit the patients and increase their health outcome(Byrd & Winkelstein, 2014).In order to ensure beneficence, every healthcare professionals including nurses must possess high level of expertise, skill set and competencies to facilitate the delivery of an enhanced care and must not involve in any action or procedures that will compromise patient’s health(Bowrey & Thompson, 2014).Thus, in this case, there is a conflict between these two principles since the principle of autonomy directs them not to give CPR as per the patient family’s decision, on the other hand, the principle of beneficence restrain them from following the family’s decision and do what is right for the patient. Thus, it can be viewed as an incident involving ethical dilemma faced by the health professionals that will have a potential impact on the patient’s health outcome. What are the key end-of-life issues in this case study? Although, the doctors cannot contact Mrs. Martinez and she can be kept unaware of the process followed by the doctors, the arising ethical principle will resist them in doing the same. Taking into consideration the principle of autonomy, the doctors will respect the family’s decision and will not proceed with the same. However, as the principle of beneficence states that
ETHICAL DILEMMA health professionals must be involved in actions that will improve the patients conditions, the doctors must transfer him to the intensive care and give him CPR on priority basis. Also, if principle of beneficence is not followed this can lead to patient’s death and cause breach of ethical and legal decisions(Mawere, 2012).As per the Hippocratic Oath, doctors must make decisions that will cause no harm the patients and lead to an improved outcome(Hajar, 2017). Thus, considering the same, the doctors must give palliative care and support to the patient and give him life support. How can an understanding of models and best practices guide health care practitioners to make ethical and legal decisions? There are many clinical ethic approaches for supporting healthcare personnel in practice in regards to their constructions, functions and goals. They provide guidelines for the healthcare professionals to make effective clinical decisions and also direct their care approaches. Healthcare professionals must possess the skill set and competencies required to make effective decisions that will improve patient health outcome and decrease the rate of mortality. Health care professionals including nurses often come across situation that demands for making clinical decision reflecting on the principle of ethics(Rasoal et al., 2017). Thus, they must take into consideration their professional code of conduct and ethical and legal guidelines available in order to lead to an effective outcome. Thus, in this case the patient must be given treatment and end of life care by adhering to the ethical principles and guidelines for healthcare(Rasoal et al., 2017).
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ETHICAL DILEMMA References Bowrey, S., & Thompson, J. P. (2014). Nursing research: ethics, consent and good practice.Nursing times,110(1-3), 20-23. Byrd, G. D., & Winkelstein, P. (2014). A comparative analysis of moral principles and behavioral norms in eight ethical codes relevant to health sciences librarianship, medical informatics, and the health professions.Journal of the Medical Library Association: JMLA,102(4), 247. Hajar, R. (2017). The physician's oath: Historical perspectives.Heart views: the official journal of the Gulf Heart Association,18(4), 154. Mawere, M. (2012). Critical reflections on the principle of beneficence in biomedicine.Pan African Medical Journal,11(1). Owonikoko, T. K. (2013). Upholding the principles of autonomy, beneficence, and justice in phase I clinical trials.The oncologist,18(3), 242. Rasoal, D., Skovdahl, K., Gifford, M., & Kihlgren, A. (2017). Clinical ethics support for healthcare personnel: an integrative literature review. InHec Forum(Vol. 29, No. 4, pp. 313-346). Springer Netherlands.