Their autonomy was violated, their loyalty was questioned, and they were threatened to either accept the situation or they will lose their job. Therefore, I believe provision six of the code of ethics is related to this situation the best. According to ANA, provision six describes “The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action” (code of ethics, 2011). Nurses in this case study have to work in an environment that patients’ rights have been violated. Nurses are not able to advocate for their patients.
One way that has personally proven to be the most difficult for me, is separating the patients from their disease symptoms. Mental health nurses usually see patients at their absolute worst. When symptoms are not managed, and the disease is un-controlled, is usually when patients are admitted to the hospital. During this time, symptoms may be so severe, their true personality is hidden. One way that I have found to be helpful in reaching out to the individual, and to find the essence of themselves is by listening.
Then again, when consideration is declined the doctor must guarantee the patient has the ability to comprehend his or her decision, and that the dangers, advantages, and options have been properly disclosed to the patient. Also, the choice to reject care should not be the aftereffect of wrong weight or compulsion. At the point, when confronted with a patient who declines mind, the doctor must evaluate and report the persistent choice making. It is not sufficient to just clarify the dangers of declining the care and request that the patient rehash these dangers or to sign a structure. A full limit appraisal is a complex undertaking, and it is illogical for crisis, doctors do this in an occupied ED with a patient who may be uncooperative.
Another consideration is the quality of life. Many questions raise as to when does life stop having quality and who gets to decide that. Often debated, is whether or not the patient is able to determine it. “The challenge is to define what a patient’s best interests are and, again, identify who should be allowed to determine what those best interests are and whether they are met by withdrawing or administering a particular treatment.” (ASRN, 2010). Additionally, there are complications when a patient is incapacitated and a surrogate is making decisions for them.
One of the ethical laws of Nursing is Nonmaleficence or the requirement for nurses to act in such a manner to avoid hurting patients (Martin). However, if hospitals are understaffing, nurses are more prone to making mistakes that can hurt a patient. For example, a patient might be ringing a bell for help. However, the nurse does not respond because he/she is busy caring for another patient. This can be an example of failing to do non maleficence.
While some have very strong views for the capacity of self-disclosure to cause serious harm to their clients (Smith & Fitzpatrick, 1995). Others point out the difficulty inherent in evaluating the short and long term implications, since the effects of self-disclosure may change over time (Goldstein, 1994). Smith & Fitzpatrick (1995) pointing out it is important for clinicians to avoid seeking personal gratification from their clients. Along these lines many stress the necessity to clarify both the therapist and client’s motivations. Yet some suggest this is not an easy a task, Mendelsoha (1991) cautions that even seasoned professionals have a difficult time determining if their impulse to engage in unusual therapeutic measures is based on their own needs or if it is the correct empathic response.
It is an individual’s personal decision whether or not to choose to record a living will for future circumstances. A living will can be of great value, especially in extremely stressful situations, such as when a person falls into a persistent vegetative state. “Essentially, for a definitive diagnosis of vegetative state, lack of any evidence of awareness of self and/or the environment across serial assessment(s) and setting(s) would be warranted” (Wilson, 2005, 432). In these occasions, if a person does not retain a living will, their wishes of the healthcare they would prefer would be in the hands of someone else. To eliminate unnecessary problems and consequences on others, some people feel it is wise to formulate and execute a living will.
Therapeutic privilege involves the deception of patients by their doctors. If a doctor feels that pertinent information may potentially do more harm to the patient than good, he may withhold that information. It was once widely believed that if a terminal patient found out he/she were going to die, the information would ultimately cause him/her more harm and anguish. To “protect” their patients, doctors often withheld such information. Grounds for this justification are in the principles of beneficence and nonmaleficence.
A diversity perspective is something that you take into major consideration when you counsel a client. In person-centered therapy the first major limitation to this multicultural populations is for people who are in mental health clinics may way a different type of treatment. They may want something more structured to help them resolve their emotional problems, and want to learn certain coping skills to deal with everyday problems. In person-centered counseling this may not be the best type of therapy in this type of situation. The second reason there might be some limitations is because it could be difficult to translate the core therapeutic conditions into an actual practice with some cultures.
However, opponents of physical restraint argue that it causes more harm than good. Along with the physical and psychological trauma that it may bring, it also violates a person's autonomy and decision-making. While the main goal of using restraints is to assist a patient and prevent harm from occurring, the opposite may happen from a mishap by inexperienced or immoral practitioners. To improve the understanding on this topic, background information must be supplemented. According to the State Operations Manual Appendix PP of the Centers for Medicare and Medicaid Services (CMS), or formerly Health Care Financing Administration (HCFA), the term physical restraint is defined as “any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the in... ... middle of paper ... ...L. B., and M. Cullinan.