Nursing Assignment | Situation Analysis

Running head: NURSING
NURSING
Name of the Student
Name of the University
Author Note

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Question 1: What are the ethical concepts, such as, those pertaining to freedom, rights,
responsibilities and the use of power in care which you need to consider in Mrs. Wang’s
situation and what kind of strategies could those involved in her support employ to support and
respect her dignity?
Within the branch of philosophy, ethics is focused over the understanding of the moral principles
as well as how these decisions are made involving the morality of right and wrong. According to
Fitch, Fliedner and O'Connor (2015), there are several ethical challenges that arises at the context
of end of life care. This assignment highlights the situation of Mrs. Wang and aims to analyze
the ethical concepts related to the right, freedom, responsibilities as well as the use of the power
towards the care and the situation of Mrs. Wang at her last stage. This section of the report
furthermore explains the strategies that can be adopted by the health care individuals or the
nurses who are involved at her support, for respecting Mrs. Wang’s dignity.
Towards the context of the ethics, sometimes the values and the morals of health care
professionals are in the conflict with those of the patients . This can cause severe distress for the
health care professionals and the nurses. Having relevant understanding regarding some of the
challenges arising during the decisions of end of life, the health care professionals gets prepared
to effectively handle their right, responsibilities as well as provide support to the patient, both in
terms of care and respect of the patient’s dignity.
According to Ferrell et al. (2016), the goal of care of Mrs. Wang, is what she place the highest
value over as well as hope towards the achievement in regards to her illness. These targets are
based over the values and moral principle of Mrs. Wang. Regarding the palliative situation of
Mrs. Wang, the ethical concepts that are involved includes the rights of the patient to know her
exact condition, her freedom to know the kind and the types of treatment that is being provided

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to her. These factors are inline to the use of power and the responsibilities within the care of Mrs.
Wang’s situation. The six major values within the principle of medical ethics that can be stated
towards the condition of Mrs. Wang includes autonomy, non maleficence, beneficence, justice.
Apart from these the two more aspects that forms the cornerstone within the practice of medical
care are truthfulness, honesty and dignity (Oliver, Borasio and Johnston 2014). In the case of
Mrs. Wang’s situation, timely institution of the palliative care will alleviate the symptoms of
distress at the terminal stages of the disease and will avoid the toxicities of the anti cancer
therapy. Since the stage of lung cancer of Mrs. Wang has very low and poor rate of prognosis,
the health care team of the ‘Guy’s and St Thomas NHS Foundation Trust’ think that she is at the
end stage she does not have very much time to live. Towards the formulation of the strategies for
her support, it is important for the nurses and the health care professionals to adopt to the
principle of non-maleficence which involves the principle of refraining from any mental or
physical hurt. In this case, the nurses should specifically note that Mrs. Wang should not know
that she is at her last stage. The strategy for the palliative care of Mrs. Wang is to provide better
co-ordination of the services , fast responses and the availability of the 24/7 care for her, which
are inclusive of the nursing and care ethics in medicine in line to responsibilities and use of
power in care (Schroeder and Lorenz 2018). From the given case study it is evident that Mrs.
Wang is hesitant to speak in English and her first language in Mandarin. Towards ensuring the
ethical principles of medical care, the nurses and the health professionals should respect the
dignity of Mrs. Wang towards her preference of language in communication at her last stage and
arrange for a interpreter of language.
It is to note that human rights and legal aspects gives the basic and the fundamental protection
allowing equal participation as well as individual justice within the society. Right to life and

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right to health care followed by right to information regarding treatments which needs to be
considered by the health care individuals and the nurses involved in care. In the category of
terminal stage of Mrs. Wang, it is also important for the health care professionals and the nurses
to note that Mrs. Wang does not intent to end her life or initiate euthanasia. According to Hui and
Bruera (2016), euthanasia can be defined as the deliberate intervention that are taken with the
expression of the intention related to ending of life for relieving intractable sufferings of the
patient. While Mrs. Wang have the right to know her treatment as well as her nature of diagnosis
followed by the communication and language preferences, the nurses and the individuals in care
should follow a strict strategic plan of giving preferences to the type and the category of
treatment and care, that Mrs. Wang wishes to receive. According to Wiener et al. (2015), justice
can be defined as the principle that governs the social fairness. The code of Ethics for the nurses
involves the commitment towards the patient and their care irrespective of their economic and
social status. One of the major dilemma that the nurses and the health care professionals tends to
face relates to cessation regarding the medical intervention within patients. In case of the case
study of Mrs. Wang, nurses might get in the dilemma of non-life sustaining interventions of
medication to mechanical ventilations. According to the reports by the National Cancer Institute,
advance directives are essential since it enables patients to make their own decision regarding
medical care as well as their treatments. Some of the additional terms which accompanied the
ethical principles includes the capacity and the informed consent (Rassouli and Sajjadi 2016). If
Mrs. Wang is not being informed regarding any kind of surgery which might be required for her
cancer, then this is not an informed decision in medical care. The nurses and the health care
individual have the role and the responsibility to use their power for palliative care for Mrs.
Wang by respective her right to comfortable communication language and to know her