Ethics Case Study for Nurses and Medical Professionals
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This case study discusses ethical dilemmas and considerations for nurses and medical professionals in various scenarios. It covers topics such as patient privacy, autonomy, and cultural identity.
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Running head: ETHICS CASE STUDY Ethics case study Name of the student: Name of the university: Author note:
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1 ETHICS CASE STUDY Table of Contents Case study 1:..............................................................................................................................2 Question 1:.............................................................................................................................2 Question 2:.............................................................................................................................2 Question 3:.............................................................................................................................2 Question 4:.............................................................................................................................2 Question 5:.............................................................................................................................3 Case study 2:..............................................................................................................................3 Question 6:.............................................................................................................................3 Question 7:.............................................................................................................................3 Question 8:.............................................................................................................................3 Question 9:.............................................................................................................................4 Question 10:...........................................................................................................................4 Case study 3:..............................................................................................................................4 Question 11:...........................................................................................................................4 Question 12:...........................................................................................................................4 Question 13:...........................................................................................................................5 Question 14:...........................................................................................................................5 Question 15:...........................................................................................................................5 References:.................................................................................................................................6
2 ETHICS CASE STUDY Case study 1: Question 1: Freezing of eggs is a very important social issues which also represents many ethical considerations associated with the decision. The disruption of autonomy with respect to elective use of medical technology, along with commercial exploitation and overall impact of freezing eggs on the sex inequality and professional norms are notable ethical issues of freezing eggs (Aabhl.org., 2019). Question 2: Bio-ethics can be defined as the branch of applied ethics which is associated with philosophical, legal and social issues pertinent to medicine and life science. Bio-ethics is main concerned with human life and wellbeing, and in certain cases it also relates with ethical questions and dilemmas pertaining to any clinical decision making scenario (Aabhl.org., 2019). Question 3: An ethical dilemma can be defined as the ethical decision making paradox where a pertinent issue where the decision making between two possible moral imperatives is challenging due to the fact that both of the moral imperatives are not unambiguously acceptable or preferable. In this case, the freezing of eggs and aborting her baby present issues with human life killing and violates non-maleficence. On the other hand, not allowing Debbie to go ahead with her choice of freezing the eggs will be directly interfering with her legal and ethical right of autonomous decision making. Question 4: As a nurse, my primary obligation or responsibility is to protect the best interests of Debbie as a patient and ensure her wishes and rights are been respected and exercised respectively. Even though her decision to have the abortion conflicts with my personal values
3 ETHICS CASE STUDY and morals, I would support her completely with her decision and would also take the assistance of NMBA guidelines, registered nurse practice standards, and ethical code of conduct, accessible online from NMBA’s official website (Medicalboard.gov.au., 2019). Question 5: Although the final decision making right lies with the woman who is choosing to have or abort her child, due to the abortion counselling norms and the support needed by the woman when aborting her child, the partner will be called and taken into the process of decision making (Aph.gov.au., 2019). Case study 2: Question 6: No, posting pictures of patients without consenting them beforehand onto social media is a grave violation of the patient privacy and confidentiality protection policies and practices in place. According to the social media policy by the APHRA and medical board of Australia, posting pictures of the patient on social media, especially when unconscious, violates the national law and can be considered breach of privacy protection laws (Medicalboard.gov.au., 2019). Question 7: The first way is by her stealing the personal belongings of the patient all the while the patient had been unconscious which indicates at a criminal offense. Along with that, the second way in which the nurse violates professional practice guidelines is her taking a picture with the patient while he was unconscious and posting the picture online, which breached patient privacy, confidentiality and social media policy. Question 8: TheCriminal Code Act 1985 (Cwlth) relates with the case of Tilly perfectly with respect to her act of theft of personal belonging of the patient. She had stolen the watch from
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4 ETHICS CASE STUDY the unconscious patient and had kept it in her pocket, which is theft of personal property. This is a punishable criminal offense under the division 131, part 7.2 and code 131.1. (Legislation.gov.au., 2019). Question 9: The behaviour exhibited by Tilly, the nurse does not relate to negligence, the nurse had not carried out any activity which caused direct physical or clinical harm to the patient. Her behaviour relates to valid consent because she had taken a picture of the patient while he was in an unconscious state incapable of providing any valid consent and had posted it in social media. Her behaviour also relates with defamation as the patient had been a renowned actor and posting his picture without his consent and then posting it in social media can be accountable for defamation. Question 10: I would report to my senior nursing advisor about her professional misconduct and report the behaviour in detail. Case study 3: Question 11: No this is not a legal order that the GP or the nurse can act upon. Even though Branco’s daughter is his legal guardian, he had not made or provided with a living will which declares his conscious wish to withhold nutrition (Eldac.com.au., 2019). Question 12: Yes I should be performing CPR or resuscitation if Branco has a cardiac arrest. All individuals have a right to live and a right to medical care. As he himself has not expressed his wishes to die, all means of resuscitative care must be given to him.
5 ETHICS CASE STUDY Question 13: It would be unethical and be considered abuse if anyone was to restrain Branco as he continues to try to get up. Such physical actions which can potentially harmful to the patient are legally considered as abuse and negligence as well (Health.gov.au., 2019). Question 14: Even though Branco is a strict catholic, calling a Buddhist monk as per his daughter’s request to perform a religious activity on him would be a violation to his cultural identity. Another ethical consideration to be incorporated would be taking consent from the patient before carrying the procedure out. Question 15: Two documentation required include fall incident assessment documentation and internal hazard reporting document.
6 ETHICS CASE STUDY References: Aabhl.org. (2019).Home of the Australasian Association of Bioethics and Health Law. [online] Available at: https://aabhl.org/ [Accessed 4 Mar. 2019]. Aph.gov.au. (2019).Abortion Law in Australia – Parliament of Australia. [online] Available at:https://www.aph.gov.au/About_Parliament/Parliamentary_Departments/ Parliamentary_Library/pubs/rp/rp9899/99rp01 [Accessed 4 Mar. 2019]. Eldac.com.au.(2019).Withholdingandwithdrawinglife-sustainingmedicaltreatment. [online]Availableat: https://www.eldac.com.au/Portals/12/Documents/Factsheet/Legal/Toolkit- Withholding%20and%20withdrawing%20treatment_v3.pdf [Accessed 4 Mar. 2019]. Health.gov.au. (2019).Department of Health | Use of Physical Restraint – Information module.[online]Availableat: http://www.health.gov.au/internet/main/publishing.nsf/Content/use-of-physical- restraint-information-session [Accessed 4 Mar. 2019]. Legislation.gov.au.(2019).CriminalCodeAct1995.[online]Availableat: https://www.legislation.gov.au/Details/C2017C00235 [Accessed 4 Mar. 2019]. Medicalboard.gov.au. (2019).Medical Board of Australia - Social media policy. [online] Availableat:https://www.medicalboard.gov.au/codes-guidelines-policies/social- media-policy.aspx [Accessed 4 Mar. 2019].