1PROFESSIONAL ROLES AND VALUES Response to Mr. Newcomb 1.The given case study reveals that Mr. Newcomb is terminally ill. Mr. Newcomb has spent 40 years of his life with his wife and it seemed they are in deep love. On the contrary, Mr. Newcomb also wants to see his mistress for the last time before death. For the time being, one might thinkskeptical about this fact that the patient wants to meet his mistress in spite of having a loving wife, but according to me and as per the ethics of nursing conduct, it is my duty to advocate the dignity and the integrity of the patient and think about his health and safety.It is the last day of his life; hence as a nurse I would try to address his wishes. Ethical principles of nursing 2.Compliance with the different ethics of nursing is important to the safety and quality of the patient. Normally there are six key ethical principles of nursing. They are- Non- maleficence, beneficence, fidelity, autonomy, principles of totality and integrity and justice (Parahoo, 2014). The ethical principle ofnon maleficencerefers to the protection of the patient safety. Non maleficence involves the avoidance of any action that can harm the patient (Martela & Ryan, 2016)In this case it is evident that Mr. Newcomb is seriously ill and such an act of non maleficence can bring about satisfaction in the patient. It might happen, that if Mr. Newcomb's wish is not granted, his integrity will be destroyed or his health condition might further deteriorate, which will be contradictory to the nursing ethics..
2PROFESSIONAL ROLES AND VALUES Beneficencecan be practiced by doing well to the patient. Now an ethical dilemma may arise as what is good for the patient. A patients good should come before the organization or nurses or the family members (Parahoo, 2014). In this case it can be seen that the patient has reached the last days of his life and fulfilling his last wish would help him to die in peace. In such a case Mrs. Newcomb's condition can be considered. Lying to Mrs. Newcomb may question the ethical principles of nursing, but that act can help a terminally ill patient to die in dignity (Schmeck (Ed.),2013). As per the principles ofautonomy, a patient should have the right to make decisions about their lives without any interference from the others (Judkins-Cohn et al., 2013). In context to this Mr. Newcomb cannot be doubted or questioned because of his wish, which some might find as obnoxious. Furthermore as per the principle ofjustice, every patient should get equal care (Martela & Ryan, 2016). As a nurse it would be my duty to provide a compassionate care to Mr. Newcomb and help to fulfill his last wish by maintaining confidentiality. My personal beliefs and values 3.According to me ethics are fundamental to nursing. A patient depends on the trust and honesty of a nurse and the adherence to the nursing standards. A nurse should be able to develop compassion and empathy for the patient (Parahoo, 2014). Nurses are the important members of a multidisciplinary team. According to me, a registered nurse should sometimes push her limits or step beyond her conventional world and should accept the patient’s ideologies for the well being of the patient, even if it hurts the morality of other person.
3PROFESSIONAL ROLES AND VALUES Strategies or promoting self care 4.Three strategies for promoting self care are as follows (Schmeck ,2013):- To figure out the things that is lacking in one's life, the things one is yearning for, bringing out some time for own self.Here Mr. Newcomb wants to see his mistress; such a wish at this point of life can be fulfilled as it would not bring about any harm in anybody’s life. To find out the own rhythm and the routine that can give the life security and stability. To create a "no" list; that is the list of things that is beyond one's capacity of doing.Those things that can bring complications to one’s life can be avoided and people should strive for whatever brings happiness. In this case Mr. Newcomb’s meeting with his mistress would give him some peace during his last days.
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4PROFESSIONAL ROLES AND VALUES References Judkins-Cohn, T. M., Kielwasser-Withrow, K., Owen, M., & Ward, J. (2013). Ethical principles of informed consent: exploring nurses’ dual role of care provider and researcher.The Journal of Continuing Education in Nursing,45(1), 35-42. Martela, F., & Ryan, R. M. (2016). The Benefits of Benevolence: Basic Psychological Needs, Beneficence, and the Enhancement of Well‐Being.Journal of personality,84(6), 750- 764. Parahoo, K. (2014).Nursing research: principles, process and issues. Palgrave Macmillan. Schmeck, R. R. (Ed.). (2013).Learning strategies and learning styles. Springer Science & Business Media.