One position I do not agree with is with Marie’s older son, Jacques, who tells me to change Marie’s mind in her decision to getting the surgery, abusing the trust that Marie and I have. If I were to do this course of action, I would be acting by the moral theory of act utilitarianism. In this moral theory, the actions that I decide to do is right when it produces the greatest amount of good to the greatest amount of people (Colier & Haliburton, 2015, p. 10). This moral theory focuses on the consequences of my actions (M. Schwartz, personal communication, September 28, 2015). If I were to convince Marie to receive the surgery, her peritonitis would be treated and there is a high probability that she would be physically well. As a consequence, Marie’s family, which consists of six members, would be happy that she is well. In addition, the health care team, which consists of a number of doctors and nurses would be happy as they were...
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...fferences. In Marie’s case, she has the right to be respected in terms of her preferences and choices, especially that she was given all the information regarding her condition and treatment and she was competent enough to make those decisions. Using the care ethics approach, I am able to consult Marie first and determine why she does not want to receive the treatment that could ultimately save her life. Marie could have her own preferences such as a different surgeon that has the ability to perform the same operation. By providing Marie with alternative options, the interest of all parties, Marie, her family and health care providers, can be met, without breaching her trust that can jeopardize the nurse-and-patient relationship. Furthermore, Marie’s own preferences and values regarding her care is honoured and her choices are voluntary and not influenced by others.
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