This document discusses the ethical issues and professional practice in a case of a patient with prostate cancer. It explores the decision-making process of stakeholders and the possible outcomes of the case.
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Running head: ETHICS AND PROFESSIONAL PRACTICE 1 Ethics and professional practice: Name: Institution:
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ETHICS AND PROFESSIONAL PRACTICE 2 Ethics and Professional Practice Case Mr. Green a patient who is a man aged 57 years suffers from prostate cancer and was taken to the oncology department of general hospital based on Brisbane Australia. Seven years ago Mr. Green had been had to be diagnosed with prostate cancer but he denied to undergoes the surgical and medical treatment. What Mr. Green had to do is to seek for the unusual treatment and he never been a concern to follow up the situation for seven years. Current Mr. Green is now suffering from the hypoproteinemia and anemia and after a serious diagnosis test, it was found that cancer had spread into bones, lymph nodes and also left kidney. Mr. Green was admitted for two months for various reasons(Jalal, Imran, Mashood, & Younis, 2018).And on the last admission, Mr. Green was informed that he had 4-6 months to live after research from the cystoscopy presented that the tumor was extending to grow. As results, it was shown if the medical and surgical treatment continues it was unnecessary thus Mr. Green was to undergo Palliative care. As a result, Mr. Green declares to one of the nurses that he was to kill himself and promise him not to tell anyone. Facts of the case After urologists declare to Mr. Green that he had only 4-6 weeks to live since he was suffering from hostile prostate cancer. Then Mr. Green opens up and expresses his attempts for the suicide to one of the nursing staff and yields the nurse so that he cannot tell other nurses. The patient situation put the nurse into ethical decision making on whether he will inform the top manager or to give the patients secret(Poorchangizi, Farokhzadian, Abbaszadeh, Mirzaee,& Borhani,2017).If the nurse decides to keep the patients secret then she could have respected the patient's decision. However, this decision by nursing staff may result in the patients into committing suicide with intervention from healthcare. And if the nursing patients open up and the tells the team members of the healthcare about the case of Mr. Green attempt to commit suicide then healthcare team members would assists in monitoring and prevention in order to avoid the suicide even though the patient's confidentiality will be violated. The dilemma here is how the nursing staff will inform the healthcare team members without the consent of the patients(Royal Pharmaceutical Society of Great Britain 2015). The relevant ethical issues relating to the case The ethical issue is a problem that needs a person to choose between alternative that must be assessed as right or wrong. In the case, there are various ethical issues that arise. The ethical issues include where Mr. Green attempts to commit suicide since he had been informed by the urologists that he had 4-6 weeks to live. Here the urologists brought an ethical issue in informing the patients about the duration of the time, he had remained with before he died, this act makes the patient be stress, depressed and lose direction thus he had attempt to commit the suicide
ETHICS AND PROFESSIONAL PRACTICE 3 (Hall, Orentlicher, Bobinski, Bagley, & Cohen, 2018).Another ethical issue that comes out in the case is when the patients refuse to undergo the treatment of the prostate cancer before it spreads to other parts of the body which includes the bones and left kidney. If the patients had become serious with it medication he could have lived for a long life this prostate cancer could be treated before it becomes chronic. Another ethical issue as depicted in the case is that the hospital fails to give proper channel of communicating to the patient's condition without confrontation as in the case where Mr. Green was told he has 4-6 weeks to live. Ethical decision making raised by the stakeholders The stakeholders who participated in the ethical decision-making process were the hospital, nursing staff, healthcare team members and Urologists. The hospital after releasing that the patient’s condition was worsening and needs no further treatment and surgery then the hospital plans to put the patients into palliative care where he was monitored and take care by a nurse were at so point he opens up to one of the nursing staff about the suicide attempts. The nursing staff practices ethical decision making by after noticing the plans for the Mr. Green to commit suicide, she gives psychological guidance to the patients in the beginning so the patient's mood can be stabilized and prevent the patients from immediately involving into suicide (Dehghani, Mosalanejad, & Dehghan-Nayeri, 2015).The nursing staff further made an ethical decision making by sharing the patient's case to the team members so that they can team up in preventing him from committing suicide. The healthcare team members show ethical decision making by monitoring and counseling the patients as he was undergoing palliative care as to avoid him from practicing suicide. Urologists demonstrate ethical decision making by well diagnosing of the patients so that he can accept its current situation(Sabatino, Kangasniemi, Rocco, Alvaro, & Stievano, 2016). Outcomes or possible outcomes of the case The Urologists who declare to the patient that he has 4-6 weeks to life was warned, pass disciplinary action and also he was suspended for 3 months. This is because the rules of the hospital do not allow the passing of depressive message to patients but through well guidance and counseling(Chadwick, & Gallagher,2016).In addition, the patient’s relatives will sue the hospital and urologists for premature disclosure of the period to which the patients will live. Also, the hospital will be closed until the investigation is fully finished. Lastly is that the patients will lose trust in about going to the hospital(Epstein, & Turner,2015).
ETHICS AND PROFESSIONAL PRACTICE 4 References Jalal, S., Imran, M., Mashood, A., & Younis, M. (2018). Awareness about Knowledge, Attitude, and Practice of Medical Ethics pertaining to Patient Care, among Male and Female Physicians Working in a Public Sector Hospital of Karachi, Pakistan-A Cross-Sectional Survey.European Journal of Environment and Public Health,2(1), 04. Poorchangizi, B., Farokhzadian, J., Abbaszadeh, A., Mirzaee, M., & Borhani, F. (2017). The importance of professional values from clinical nurses’ perspective in hospitals of a medical university in Iran.BMC Medical Ethics,18(1), 20. Royal Pharmaceutical Society of Great Britain. (2015).Medicines, Ethics and Practice 39: The professional guide for pharmacists. Pharmaceutical Press. Dehghani, A., Mosalanejad, L., & Dehghan-Nayeri, N. (2015). Factors affecting professional ethics in nursing practice in Iran: a qualitative study.BMC medical ethics,16(1), 61. Sabatino, L., Kangasniemi, M. K., Rocco, G., Alvaro, R., & Stievano, A. (2016). Nurses’ perceptions of professional dignity in hospital settings.Nursing Ethics,23(3), 277-293. Epstein, B., & Turner, M. (2015). The nursing code of ethics: Its value, its history.OJIN: The Online Journal of Issues in Nursing,20(2), 1-10. Chadwick, R., & Gallagher, A. (2016).Ethics and nursing practice. Macmillan International Higher Education. Hall, M. A., Orentlicher, D., Bobinski, M. A., Bagley, N., & Cohen, I. G. (2018).Health care law and ethics. Wolters Kluwer Law & Business.
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