Wednesday, March 13, 2019
Ethics Case Study Essay
What ar Ethics? Ethics are standards of behavior, certain as a result of ones concept of just and wrong (Judson & Harrison, 2010). encrypt of ethics is a list of dogmas that is intended to influence the actions of wellnesscare professionals in spite of appearance an organization. Ethical principles help guide the decision-making process among healthcare workers in change lieus. This paper will review the assigned episode study and take into account the reader with the honourable issues and principles.The case study discussed an 8-month old kid brought into the arrest department by the fuck off due to inconsolable crying. It was wrap uped that the child had been crying since picked up at daycare. The entertain found that the childs vital signs were slightly elevated and childs thighs were edematous and unattackable to the touch. The assessment was then presented to the physician concern was expressed that the child whitethorn experience been injured. An x-ray was ord ered revealing fractures to both femurs. The mother was sensible of the findings by the physician after speaking with the mother the physician contumacious it was not child call out and therefore, the situation did not need to be account.The honest issues have-to doe with in this case study are the take in and physicians responsibility to report suspected child abuse. companionable services should open been consulted to assist in the process of reporting the situation to Child Protective Services (CPS). Hardy and Armitage state In every(prenominal) actions concerning children, the lift out interests of the child shall be a primary consideration (2002, p. 109). In this case, the primary consideration was not in the best interest of the child. correspond to Judson and Harrison the physician has the responsibility to understand the tools for diagnosing and treating abuse and to be acquainted(predicate) with the available resources (2010). The carry in this case has the ho norable duty to report the physician for not having concern regarding a possible child abuse situation. Healthcare professionals have an ethical duty to expose unethical behaviors by other members of the healthcare field.Nursing has progressed over the years into a esteem and honorable profession. Insaf Altun (2008) states it best by saying, The six key rolesof nursing are protagonism, promotion of a safe environment, research, participation in shaping health insurance, in patient and health systems management, and education (p. 839). The two key roles the nurse in this case study failed to provide for the patient are advocacy and promotion of a safe environment. If the nurse was using good good and professional judgment, he or she would have reported the situation at a time for the wellbeing of the child.Three of the ethical principles that are discussed are nonmaleficence, veracity and paternalism. The first gear ethical principle is nonmaleficence, meaning first do no revil e (Judson and Harrison, 2010). A question asked by Milton and Cody (2001 p.290) was, How can one keep from doing injure if one acts without knowing what the reality of the lived experience is for the person? In the case study, neither the nurse nor physician knows what happened to the child or the reality of the heap that led to fractured femurs. The healthcare professional would have upheld this ethical principle and the uprightness by reporting the suspected abuse, thus doing no harm and defend the child from further harm.Another ethical principle that the physician could have employ is veracity. The ethical principle of veracity deals with the integrity or truth telling (Henry, 2005). The physician in this case should have discussed the health place of the child with the mother, made a good moralistic judgment, and told the mother the mishapal must be reported to CPS the case could have been presented to the mother in a non-accusatory manner. The physician should have be en reported for assuming the incident did not need to be reported. Furthermore, the nurse should have stepped forward and reported the incident, thereby promoting veracity on behalf of the case at hand.The third ethical principle in the case study to discuss is paternalism. At generation paternalism viewed as a negative act because it allows healthcare providers to make decisions for the patients (Andre & Velasquez, 2008).The facts in the case study provide for an excellent example of when paternalism should be exercised. The nurse or physician in the case study could have employ paternalism as a guiding ethical principle to do what was right for thesafety of the child by reporting the incident. The child has no contribution to defend or protect him or herself and in this situation, the nurse should have advocated for the patient.The three ethical principles mentioned above are valued in my ain and professional life as a mother, nurse and student. The first ethical principle dis cussed nonmaleficence has been a personal value of mine throughout my life, used in all aspects of my life. The second ethical principle, veracity is maintained well-nigh of the time. I believe there are situations where telling the person the all in all truth would not have an optimal outcome. The third ethical principle mentioned paternalism is used at times in my professional life as a nurse and in my personal life as a mother.The outcome of the case study could have been optimal for all involved the child, mother, nurse, and physician if the situation occurred at a childrens hospital. The likelihood of cater in a childrens hospital to have the proper reproduction on signs of, diagnosing, treating, and reporting suspected abuse is much higher than an freehanded focused medical examination center.The American Association of Heart Failure Nurses incorporates ethical principles in the respect of advancement of care, education, and research to promote the best outcomes for pati ents with snapper failure. One ethical principle used by the association is sympathy this principle is used by providing evidence-based research, treatment, and education for patients and healthcare professionals. Using evidence-based medicate the association is giving optimal care for this patient population.Using ethical principles healthcare professionals can ensure they are making good moral decisions regarding care and treatment of patients. The ethical principles do not have to be a value of the healthcare professional, but must be upheld for the best interest of the patient.ReferencesAltun, I. (2008). Innovation in behavior patterns that characterize nurses. Nursing Ethics, 15(6), 838-840. Retrieved April 20, 2009, fromEBSCOHost database.Andre C. & Velasquez M. (2008). For your take good. Retrieved April 21, 2009, fromhttp//www.scu.edu/ethics/publications/iie/v4n2/owngood.htmlHardy, M., & Armitage, G. (2002). The childs right to consent to x-ray and vision investigations issues of restraint and immobilization from a multidisciplinary perspective. Journal of Child Health Care, 6(2), 107-119. Retrieved April 20, 2009, from keen-witted database.Henry, L. (2005). Disclosure of medical errors Ethical considerations for the development of a facility policy and organizational culture change. Policy, Politics, & Nursing Practice, 6(2), 127-134. Retrieved April 21, 2009, from SAGE database.Judson, K. & Harrison, C. (2010). Law and ethics for medical careers (5th ed). New York,NY McGraw-Hill.Milton, C. & Cody, W. (2001). The ethics of bearing witness in healthcare A beginning exploration. Nursing Science Quarterly, 14(4), 288-296. Retrieved April 20, 2009 from SAGE database.
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