...Nursing ethics and law Name Institution’s name The case scenario involving Jazi, a patient admitted in ICU, depicts a number of both legal and ethical issues. The fact that Jazi was not involved in the decision making process regarding his treatment option has resulted to professional and moral questions on whether it was right or wrong. Inherently, this paper identifies the ethical and legal issues that results from the actions of the nurses, and the doctor with regard to Jazi condition. Legal issues Legal Issues | Facts supporting / refuting | Further information which needs consideration | * NFR directive | * Nurses should have worked on the verbal order | * Why did the nurses not follow up with the doctor on the NFR directive? | * Decision making process involvement | * The nurses did not involve the patient in decision making process (Matt, 2012). | * Why did the nurses continued with their duty despite their knowledge of the mistake? | * Negligence | * The nurses owed the Jazi duty of care, | * Why did the nurses not follow up with the doctor on the NFR directive and provide the required care? | Ethical issues Principle | Explanation | Independence | The scenario reveals Jazi's autonomy breached since he was not involved in the decision making process regarding his treatment options (Ghaye, Gillespie & Lillyman, 2000). | Moral duty | The nurses have the moral duty to ensure the well being of the patient, and so they...
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...* CASE STUDY “SFC Sharp and the SECRET Papers” Recently, you received an assignment as the communications and electronics staff NCO of the 99th Infantry Battalion. You are replacing SFC Sharp who is on the promotion list to master sergeant and is departing for his next duty assignment in two weeks. SFC Sharp’s welcome was impressive and he has done everything imaginable to ensure you’re getting off to a good start. Your Soldiers appear well trained, and your section sergeant, SGT Day, seems to know just about everything. You know you have big shoes to fill when SFC Sharp leaves because everyone seems to like and respect him. You’ve heard people say that he knows more about infantry operations than most infantry platoon sergeants. SFC Sharp has cleaned out his desk and tells you to make yourself at home. Later this afternoon he is receiving an award for his service to the 99th. His farewell party is this evening at the club. As you are setting up your things in your new desk, you discover some papers wedged between the wall and the side of the desk. You pull them out and discover that they are pages from a communication security book and marked “SECRET.” You attach a cover sheet to them and go into the security vault to talk to SGT Day. SGT Day checks the inventory and destruction certificates and discovers that SFC Sharp certified the destruction of the book these pages came from two weeks ago. Both you and SGT Day search the vault and the outer office for any other pages...
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...Running head: FIGHTING FOR DEAR LIFE: AN ETHICAL CASE STUDY ON Fighting for Dear Life: An Ethical Case Study on Terri Schiavo Catherine Grace Bautista Adventist University of Health Sciences Ethical and Legal Issues in Healthcare HTCA543 Dr. Stanley Dobias February 24, 2015 1 FIGHTING FOR DEAR LIFE: AN ETHICAL CASE STUDY ON 2 Introduction Death is inevitable. However, for some of us, we fail to express our final wishes to our loved ones and this more often than not ends in conflict. In the United States, it is necessary for an individual to have a living will since this provides answers to end of life issues that would be in question. The story of Terri Schiavo was a case study worthy of note given that concerns or conflicts about end of life care have never been a source of familial dispute in my native country, the Philippines. Her 15-year saga brought about several questions that correspond to moral, ethical, and legal issues. Terri Schiavo’s end of life issue has now set a treacherous precedent for all vulnerable Americans, especially those who are in the marginalized sector: the disabled, those who have terminal illnesses, those who can no longer speak for themselves, and perhaps one day even to those who are indigent and unable to pay for costly health care. These individuals may become gradually compelled to make the choice to die and “get out of the way” notwithstanding their true wishes. Early Years Therese Marie Schindler was born...
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...Summary of Findings The Professor felt ill and decided to go home but during the drive he experienced discomfort and in the succeeding hours experienced severe diarrhea and persistent nausea and vomiting. Eventually the nausea ceased but his stomach was still upset. The following day he called Dr. Martin, his primary health care physician. Betty, the doctor’s nurse assisted him over the phone and after the professor explained his condition she told him that Dr. Martin cannot see to him because of his packed schedule. The professor asked for a referral to go to the HealthCheck Clinic but the nurse declined claiming that Dr. Martin is not willing to send him there and was instead prescribed with medicine for the diarrhea. The prescription was placed in the pharmacy for the professor to pick up. Unsatisfied, the professor called up Candy, the director of the Employee Benefits Office, but Wendy picked up and relayed everything to Candy who then expressed her surprise and distress over the situation. She too did not understand that the request for a referral was denied as the professor asked for it. The professor picked up the medicine from the pharmacy, drove home, took a pill, and went to bed. The following day the diarrhea was under control but the gastric discomfort was still a problem. He decided to go to work but in the afternoon he gave up and went home. He called Dr. Martin’s office and once again Betty answered the phone. She informed him that the doctor is out all...
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...“To Thine Own Self Be True” “Honey, how do you like my new dress?” The dreaded question that every husband hates to hear. Having learned that an honest answer to such a question will throw the household into turmoil , he tells a little white lie, he looks at his wife and says automatically, “it looks great honey”. It doesn’t matter if the color of the dress makes her look like she has jaundice or like she’s a Paris Hilton wannabee. How many times a day are our abilities to tell the truth put to the test? Daily, we make decisions to questions like, “How are you?” We respond with the obligatory “fine” or “great” or with a truthful five minute description of all our aches and pains, both mental and physical. Constantly society dictates, “Good people don’t tell lies”, but day in and day out we have to make the decision whether we will express our true feelings, the truth, and accept the fallout from others, or say a lie to protect ourselves or our peers. We have to ask ourselves, what is a lie? How often do people lie? At what point does lying become addicting and behavioral? When it comes right down to it, Shakespeare probably had it right when he said, “to thine own self be true.” If truth is what we seek, then we should try to avoid lies. It’s helpful to take these questions out and examine them so that the truth that Shakespeare referred to is something we’ve thought about and made those “self” decisions about. What is a lie? According to Wikipedia, “A lie is a type of...
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...JOURNALISM GYMNASIUM INTERIOR INSURANCE UNETHICAL PRACTISE IN DIFFERENT SECTORS Hospital No profession is more fundamentally rooted in an ethic than medicine. In the 21st century, almost every young American physician graduates from medical school by reciting some version of an oath of ethical behavior first sworn to by doctors in the fifth century B.C. To be sure, the original formulation by the Greek physician Hippocrates is a bit outdated--starting with its invocation of obscure Greek gods and, among many anachronisms, equating treatment with "dietetic measures" and relegating surgery to barbers. Many medical schools have adopted updated versions of the oath, in which not only the language and concepts are modernized but also considerations such as avoiding overtreatment and factoring the patient's economic well-being into the therapeutic relationship are explicitly included in the pledge. Ethical guidelines are central to medical practice because of what one respondent to ACPE's recent poll of physician leaders summarized as the "inherent conflict of interest" between the physician's role as trusted healer and the physician's role as breadwinner--earning a living from the medical knowledge and ministrations applied Case studies: the legal implications for health care's bad business practices Bad, or unethical, business practices have always been a concern for physicians and health care organizations. But recent high-profile business catastrophes refocused our attention...
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... 3) ETHICAL THEORY 4) ETHICAL DECISION MAKING 5) NEGLIGENCE 6) CONSENT IN COMPETENT ADULTS 7) CONSENT IN CHILDREN 8) CONSENT IN INCOMPETENT ADULTS 9) CONSENT CONCERNING UNUSUAL IDEAS 10) ADVANCE DIRECTIVES 11) CONFIDENTIALITY 12) CONFIDENTIALITY AUDIT 13) EUTHANASIA 14) ABORTION 15) BIOTECHNOLOGY 16) SUGGESTED READING ONE – INTRODUCTION (Registrar) The importance of Ethical thinking in General Practice is becoming more and more apparent. It should not be thought that Ethics merely relates to the “Life and Death” issues in our Professional life – Abortion, Contraception, Euthanasia and the like. Ethical issues affect some part of almost every consultation, even if the ethical issue is something more mundane like obtaining adequate consent for an examination or respecting a patient’s dignity. Indeed, it could be argued that the Consultation skills that we foster so assiduously are actually Ethical skills – and that we need to know the patient’s “Ideas, Concerns and Expectations” in order to respect his Autonomy as well as in order to improve the outcome of the Consultation. In the 1998/99 academic year, I was appointed the deanery’s Medical Ethics fellow with a bursary from the MDU. I developed an approach to the teaching of GP ethics based on two half day sessions, which I presented in each VTS scheme in the deanery. The first session involved a consideration of Ethical theory....
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...unfavorably influence the conduct. Subsequently, the breakdown of moral outrages has risen discharged in the United States of America and Europe. Business, which obviously shows the need and significance of business morals have significant lessons from the breakdown. PharmaCARE which is a pharmaceutical company that has introduce the product AD23 which is a top selling diabetic drug. AD23 also aimed at slowing the progression of Alzheimer’s disease. John who was a former pharmacist that helped in the research of AD23 has made some concern after the death of his wife from taking AD23 with some other reported case of 200 cardiac death. This paper seeks to analysis some ethical issues related to PharmaCARE introduction of AD23, intellectual property, John protection as a whistleblower and the operation of CompCARE. Ethical issues These days, marketing morals, a moral issue thinks of offers-related studies and affectability in the group. This part of the business from a societal viewpoint ought to demand the significance of moral practices. As an aftereffect of advertising exercises by the group because of the high impression, regularly concoct moral issues in the publicizing, individual offering, statistical surveying and universal showcasing issues are seen to be accessible to dishonest conduct. Particularly in the 1970s and 1980s, different outrages in the universal coliseum, huge scale debasement in the motivation for the global promoting have prompted...
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...53 hica1 Di1emma* Applying Moral .Philosophies One of the problems Lael Matthews has had to deal with in trying to climb the corporate ladder is the glass ceiling issue for minorities and women. In her current position, she must decide which of three managers to promote. Her superior has informed her that making the wrong decision would not be good, either internally or externally. These are the candidates: Liz (African-American, 34, divorced, one child) graduated in the lower half of her college class (Northwest State). She has been with the company for four years and in the industry for eight years, with mediocre performance ratings but a high energy level. She has had some difficulties in managing her staff. Her child has had medical problems, and so higher pay would be helpful. If promoted, Liz would be the first Mrican-American female manager at this level. Lael has known IJz only a short time, but they seem to have hit it off. In fact, Lael once baby-sat IJz's daughter, Janeen, in an emergency. The downside to promoting Liz. though. might be a perception Lael is playing favorites. Roy (white, 57, married, three children) graduated from a private university in the top half of his class. Roy has been with the company for twenty years and in the industry for thirty. He has always been a steady performer, with mostly average ratings. The reason Roy has been passed over before was his refusal to relocate, but that is no longer a problem. Roy's energy level is average to...
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...Moral Development Many theorists have developed theories to understand and define the ability of people to reason morally. Moral reasoning is defined as the thinking process where the objective is to determine whether an idea is right or wrong and involves the formation of values on which someone bases their decisions. Theorists have different views on moral reasoning and the factors that contribute to an individual’s level of reasoning capabilities. Lawrence Kohlberg and Carol Gilligan developed cognitive theories to explain moral reasoning in a series of stages. The movie John Q, raises the question of what is considered morally right and what is wrong and by whose perspective. The characters in the movie can be classified into either Kohlberg’s or Gilligan’s theories of reasoning. Theorist Lawrence Kohlberg (1973) had a qualitative perspective of moral development. His theory breaks development into three levels, each of which is divided further into two stages. The levels consist of: pre-conventional, conventional, and post-conventional. These can be loosely correlated with age. He theorized that moral growth begins at the beginning of life and continues until the day one dies. He believed that people proceed through each stage of moral development consecutively without skipping or going back to a previous stage. Level One, the Pre-Conventional level, is the level of moral reasoning based solely on a person’s own needs. The person is ego-centric and does not...
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...Pope John Paul II’s Theology of the Body A Cliff Notes’ Version Introduction A. The Theology of the Body is the term used to describe the teaching of Pope John Paul about the human person and human sexuality given during his Wednesday Catecheses in St. Peter’s Square between September 5, 1979 and November 28, 1984. John Paul II says that these catecheses could be called “Human Love in the Divine Plan” or “The Redemption of the Body and the Sacramentality of Marriage.” B. Various scholars, in different language groupings, will generally break the theology of the body found in these 129 catecheses down into four main sections, others six. I think the most logical way to do so is to break it down into seven interrelated sections: 1) The Original Unity of Man and Woman as found in the Book of Genesis • 23 catecheses from September 5, 1979-April 9, 1980 2) Purity of Heart versus Concupiscence: Catechesis on the Sermon on the Mount • 27 catecheses from April 16 to December 10, 1980 3) St. Paul’s Teaching on the Human Body: Life according to the Spirit • 13 catechesis from December 17, 1980 to May 6, 1981 4) Marriage and celibacy in light of the resurrection of the body • 9 catechesis from November 11, 1981 to February 10, 1982 5) Virginity or celibacy for the sake of the Kingdom of Heaven • 14 catecheses from March 10, 1982 to July 21, 1982 6) The sacramentality of marriage based on Ephesians 5:22-33 • 27 catecheses from July 28, 1982 to July 4, 1984 7) Reflections...
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...Chapter 51. Enhancing Patient Safety in Nursing Education Through Patient Simulation Carol Fowler Durham, Kathryn R. Alden Background The alarming rise in morbidity and mortality among hospitalized patients throughout the United States heightens concerns about professional competency.1 Nurses and other health care professionals are under increased scrutiny to provide safe, effective care. Likewise, nursing education programs are faced with increased pressure to produce graduates who are capable of providing safe patient care. Toward that end, nursing education programs develop curricula, hire qualified faculty, and select learning experiences for students in an effort to train and graduate competent, effective nurses. The instructional strategies utilized in both didactic and clinical components of nursing education courses are highly influential in determining critical thinking and clinical decisionmaking ability as well as in developing the psychomotor skill performance of new graduates. Of course, it is unrealistic to think that graduates of nursing education programs have received all the training they need when they depart the doors of academia. Orientation programs for new graduates and continuing education for nurses are essential tools to help practitioners improve their knowledge, skills, and expertise so that quality patient care is provided and outcomes are optimized while errors are minimized. Ongoing evaluation of nursing competence is necessary...
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...University of San Francisco USF Scholarship Repository Doctor of Nursing Practice (DNP) Projects Theses and Dissertations 1-1-2009 The Experience of African American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care Elizabeth Joy Gifford University of San Francisco, lgiffman1@aol.com Follow this and additional works at: http://repository.usfca.edu/dnp Part of the Nursing Commons Recommended Citation Gifford, Elizabeth Joy, "The Experience of African American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care" (2009). Doctor of Nursing Practice (DNP) Projects. Paper 14. This Project is brought to you for free and open access by the Theses and Dissertations at USF Scholarship Repository. It has been accepted for inclusion in Doctor of Nursing Practice (DNP) Projects by an authorized administrator of USF Scholarship Repository. For more information, please contact zjlu@usfca.edu. COMPREHENSIVE EXAM 2 Section I: Introduction Statement of the Problem Although 60% of African Americans in the United States have stated that they would want hospice care when they are dying (AARP, 2003), they only comprise 8% of all hospice enrollees (NHPCO, 2007), despite the fact that they represent 13% of the total population in this country (U.S. Census Bureau, 2008). In fact, hospice care in this nation has always been underutilized by African Americans (Connor, Elwert, Spence,...
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...for his alleged benefit. (If death is not intended, it is not an act of euthanasia) ARGUMENTS FOR EUTHANASIA: It provides away to relieve extreme pain It provides a way of relief when a person’s quality of life is low Frees up medical funds to help people It is another case of freedom of choice ARGUMENTS AGAINST EUTHANASIA: Euthanasia devalues human life Euthanasia can become a means of health care cost containment Physicians and other medical care people should not be involved in directly causing death There is a “slippery slope” effect that has occurred where euthanasia has been first been legalized for only the terminally and later laws are changed to allow it for other people or to be done non-voluntarily. Opposition overcomes 48 point deficit to defeat assisted suicide - Ballot Question 2 in Massachusetts 1 1 0 Google BOSTON, Nov. 7, 2012 /PRNewswire/ -- In a stunning upset, the voters of Massachusetts soundly defeated Ballot Question 2 on Election Day. Dealing a significant setback to the expansion of the assisted suicide movement throughout the United States by Compassion & Choices (the organization formerly known as the Hemlock Society), a diverse coalition of disability rights organizations, medical associations, nurses' groups, community leaders and faith-based organizations united in this effort. "Tonight was a huge victory for those of us in the disability rights community that have worked for so long against assisted suicide...
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...left behind by corporate criminals. A forensic scientist will use computer software, known in their profession as computer-aided tools and techniques CATT to detect white –collar crimes. Some software includes data extraction, spreadsheet and data mining analysis.” According to forensic Accounting (2012) suggests that Forensic Accountant’s investigative skills involve collecting and analyzing the audited information for possible discrepancies. The investigations delve into both missed by ordinary accounting and auditing methods. A forensic accountant bases his finding on criminology specifically centered on regulatory and ethical issues. According to Poole (2002) “forensic accountant must also be open minded and skeptical. In most cases he/she will be instructed by one party or the other and will therefore be presented with that party’s perspective of their case. Forensic Accountant...
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