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HLSC220: Ethics in Health Care

   

Added on  2020-05-04

7 Pages2057 Words110 Views
Running head: ETHICAL DILEMMAEthical Dilemma in NursingName of the StudentName of the UniversityAuthor Note

1 ETHICAL DILEMMAConflicting Ethical Priorities in Nursing CareThe following essay is based on the case study of Sam, a 21 year old boy who hasbeen admitted to inner city hospital with acute abdominal pain and has previous reportedcases of drug related psychosis. This essay will shed light on the ethical dilemma experiencedover the act of restrain in nursing care.Professional Codes of EthicsAccording to the nursing professional code of ethics, nurse must value qualitynursing care for all the patients. This code of ethics is at stake in this case because Julia, thenurse in the charge shift is advising Camilla to focus caring on other patients, neglectingSam. Here, Julia as a nurse is not valuing quality care for all the patients while refusing toaccept the accountability for the standard nursing care. Camilla when raised her concernregarding the negative effects of restraining on patients like Sam, Julia overlooked itcompletely. She is only focusing over other patients and advising her fellow colleagues to dothe same. The concept of restraining also conflicts value statement 2 of Australian nursingcode of ethics (Nursing and Midwifery Board of Australia, 2017). According to this code,nurses must have respect for their patient while recognizing their capacity for active andinformed participation. This act of participation can only be acknowledged via preserving thedignity of the people through practised kindness while skilfully indentifying the vulnerabilityand powerlessness of the patients who are under their care. In this case, Sam is refusing toparticipate in the process of diagnosis but in order to keep his violently activity under control;he has been put under restrain. Now the act of restraining is hampering his dignity andthereby posing a negative impact on his physical and mental health condition. Nursing andMidwifery Board of Australia also states that nurses must value proper management of theethical information. Here the statement of Julia is sounding judgemental as she stated that,“patients like Sam are a waste of our time..”. Sam has previous reported cases of drug related

2 ETHICAL DILEMMApsychosis and the disease condition is still prevailing and this can be gauzed from his violentand non-corporative activity. He thus he needs special care and proper counselling and notrestraining as it will again increase the chance of self harm as quoted by Camilla (Nursingand Midwifery Board of Australia, 2017). Professional Nursing Code of ConductAccording to the Nursing Professional Code of Conduct, nurses must practise in asafe and competent manner. Here Sam, is endangering the lives of other fellow patients alongwith healthcare professionals. He is also getting victim of self-harm, when the medical teamhas arrived Sam has been found pulling out his IV cannula while verbally abusing Camilla.So in order to maintain the safety of the other patients, Sam was put under the order ofrestrain. Moreover, professional code of conduct also states that nurses must practise inaccordance with the nursing standards while maintaining broader health system. Here Samwas planned to put under restrain for broader health benefits. But while doing this, nursingcare is not supporting the health and the well-being of Sam which has been stated in theconduct statement 7 and hence giving rise to conflicts under nursing codes of professionalconduct (Nursing and Midwifery Board of Australia, 2017). Since Sam is suffering from drugrelated psychosis, he must be treated with trust and confidence and this will help Sam toshare his physical condition with Camilla while gradually decreasing his violent and self-harming activity. Moreover, the code of professional conduct also states that in situationswhere a patient is unwilling or unable to speak or decide independently, it is the endeavour ofthe nurse to ensure that their perspective is clearly represented by an appropriate advocate.Here Sam is refusing to communicate with Camilla. He is calling out and is unable to answerquestion asked by Camilla in a rational manner. So it is the duty of the attending nurse torepresent her perspective via an allocating an advocate and not via putting the patient underrestrain (Nursing and Midwifery Board of Australia, 2017).

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