...Sitting in the NICU looking into an isolette at my baby boy that came in to this world 3 months sooner than I expected. With fear in my eyes, relief in my heart knowing everything will be ok. So thankful for the nurses, doctors and technology and medication in this world that made it possible for my son to be here with me. This was the moment I realized my job now as a mother to this beautiful baby boy is to make sure I gave my son a life with opportunity’s, safety, love and support. Being 19 with no idea how this world works, but having the strength and love to push me to better myself so I could be the best mom I could be for my son Trevor. As Trevor grew and I started to learn what it would take to get to the life style I wanted to live with my son I found my interest of caring for others and my dream of being a nurse formed....
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...ETHICAL DILEMMAS FACING NURSES ON END-OF-LIFE ISSUES BASED ON CONFERENCE PROCEEDINGS HELD IN ELDORET, KENYA Author: Kamau S. Macharia: BScN (Moi), MSc (studying) Nursing Leadership & Health Care Systems Management (University of Colorado, Denver), Higher Dip. Critical Care Nursing (Nbi). Graduate Assistant, School of Nursing & Biomedical Sciences, Kabianga University College (A Constituent College of Moi University), . P 0 Box 2030 20200 Kericho, Kenya , Tel +254 722224577, Email: symomash@gmail.com ETHICAL DILEMMAS FACING NURSES ON END-OF-LIFE ISSUES BASED ON CONFERENCE PROCEEDINGS HELD IN ELDORET, KENYA ABSTRACT Problem Statement: A conference to discuss on ethical dilemmas is thought to be a good way of airing out issues. It is unfortunate that at times a patient in our care may die no matter what we do. Profound ethical questions on end of life issues confront the medical personnel as they watch and wait helplessly. This paper touches on ethics, law, social and public policy as they affect nursing practice. Setting: This is a conference proceedings report augmented with a case study of Nelly from a local setting and compares it with two others from elsewhere which were also presented during the conference. Conference was organized by Federation of African Medical Students Associations (FAMSA), Eldoret 2011. The author was a presenter...
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...Rose Dickens ENG 101-55 July 1, 2009 Essay One 653 words Three Ways to Nurse a Dying Houseplant Back to Life When initially brought home, the houseplant was green and vibrant. It might have even been blooming. Now, a few months later, it looks as though it had survived a hurricane. The leaves looking wilted have brown or yellow spots on them. Perhaps the poor plant has lost most of its leaves altogether. No longer looking strong and regal, it has developed a very sickly appearance. The plant looks as though it is on the brink of death. For there are three main reasons your plant may be on the verge of its demise, it could be that it is being incorrectly watered, it could need transplanting, or locating it to a new setting is necessary. How much water to give a houseplant can be one of the most frustrating aspects to its owner. When a plant gets too much water, it causes the leaves to turn an ugly yellow color. The opposite is true when we tend to withhold watering for too long. This causes the leaves to turn brown and dried out. Most plants need watered once every couple of weeks, but then there are those who prefer a more arid soil. The cactus plant is one that rarely needs watering. Of course, there is always a lush in the group. A fern cannot seem to get enough water and would prefer a daily misting. Some plants such as the African Violet cannot tolerate water on its leaves. Sometimes adjusting the watering intervals and rate at which the water is given does not seem...
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...dramatic and political due to different ideologies and rising technology in healthcare. The American Association of Nursing has provided guiding principles where nurses base their decisions. These principles include; “Autonomy, nonmaleficence, Beneficence,, Justice, Veracity, Confidentiality, and Fidelity”( American Nursing Association, 2001). All these doctrines act as a foundation for nurses when making decisions pertaining the fate of patient’s life. The major ethical issue commonly seen and which invoke controversies either in our communities, or in courts of laws, is the issue of “do not resuscitate”. DNR can be explained as termination of life support if a patient is critically ill and permitting patient to die instead of continuing to suffer with no promise for recovery. This is decided by the patient when he/she is still capable, family, or surrogate. Despite the fact that nurses strive to help patients, family members, and responsible parties to make a valuable decision, controversies and confusions do exist daily in hospitals. It is our obligation as nurses to come up with concrete strategies in order to make a smooth end of life to our terminally ill patients and to prevent conflicts and confusions in the process. One of the strategy should focus on information transporting. Nurses should provide all...
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...The Code of Ethics for Nurses, adopted by the American Nurses' Association (ANA) is intended to provide definite standards of practice and conduct that are essential to the ethical discharge of the nurse's responsibility (American Nurses Association, 2012). A nurse cultivates personal ethics through personal, cultural and spiritual values which becomes a moral compass for their professional ethics. Personal ethics in combination with the code of ethics often assist the nurses in personal and social decision making during ethical dilemma. This ability prompts them to better respond to needs of the suffering patient and their own well-being. This paper will discuss the personal, cultural, and spiritual values contributing to nurses’ individual worldview and philosophy of nursing and the moral and ethical dilemma being faced in this profession. Values Contributing to Individual’s Worldview and Philosophy of Nursing Born in a Christian middle class South Indian family, the strict traditional values helped to embed the concept of service, trust, respect, integrity and responsibility through family, friends, education and beliefs. The personal and spiritual belief on the remarks, “Do to others as you would have them do to you”, from the New International Version of Bible has kindled the concept of service, integrity and respect at an early age of one’s personal life. The cultural quench to care for fellow humans and strive to make difference in one’s own life prompts... Professional...
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...The Supreme Court Ruling on Physician-Assisted Death By The Canadian Nurses Protective Society May 2015 The Carter decision presents a profound change to Canadian law. What does the decision mean for nurses? It is a crime in Canada to assist another person in ending his or her own life. However, the Supreme Court of Canada created an exception, after analyzing Canadian constitutional law in the case of Carter v. Canada (Attorney General), released at the beginning of February 2015. The Supreme Court declared that the prohibition in section 241(b) of the Criminal Code on assisting with suicide is unconstitutional to the extent that it prevents physician-assisted death for “a competent adult person who (1) clearly consents to the termination of life and (2) has a grievous and irremediable medical condition (including an illness, disease or disability) that causes enduring suffering that is intolerable to the individual in the circumstances of his or her condition.” In creating this exception, the Carter decision represents a profound change to Canadian law. Nurses may now expect to receive more questions from patients and their families related to end-of-life care. It is important for nurses to understand the law and professional nursing standards relating to end-of-life care as they currently exist and as they may develop. The Carter ruling will take effect on Feb. 6, 2016. The Supreme Court suspended the operation of its ruling to allow the federal government time to...
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...Introduction The nursing profession is unique in that in it exposes the nurse to daily inaction with patients that are in need of urgent and life-threating emergencies that challenge the nurse to use complex cognitive skills to care for that patient and their family. Daily the nurse is faced with pain, trauma and suffering of the patient. These stresses along with environmental stressors can lead to compassion fatigue. Compassion fatigue is defined as a combination of physical, emotional and spiritual depletion that is linked to caring for patients and their families. As the nurse loses control over personal interactions with patients and their families, and emotionally over steps the boundaries between the patient’s distress and the nurse’s ability not distance themselves emotionally from the patient, compassion fatigue sets in. Compassion fatigue is caused by the empathy the nurse has for patients. It is a natural consequence of stress that can result from becoming emotionally connected to a patient and their family while providing care. Nursing is a care profession. We are drawn to become nurses because we a heart and care about others. Nurses are the only population group at risk for experiencing compassion fatigue; anyone in a “help” associated profession is at risk. All who work in healthcare need to be aware of compassion fatigue, the risks, the warning signs and coping mechanisms. Warning Signs of Compassion Fatigue Compassion fatigue symptoms develop...
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...Nurses and other health care providers are constantly challenged to make ethical decisions about life and death issues in providing care to individuals, families and communities. To be relevant and ethical, these decisions need to be considered in the broader context of personal, societal, cultural and professional values and ethical principles (Fry & Johnstone, 2002). Tesfamicael GhebrehiwetThe nursing profession uses regulatory mechanisms, codes of ethics and other means to ensure ethical behavior. For example, The ICN Code of Ethics for Nurses asserts, “Inherent in nursing is respect for human rights, including the right to life, to dignity and to be treated with respect” (ICN, 2000, p. 2). To locate ethical issues within the context of nursing, it is vital to understand the International Council of Nurses (ICN) definition of nursing itself: “Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled, and dying people. Advocacy, promotion of a safe environment, research, participating in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN, 2005). This definition incorporates the three components of bioethics as outlined by Fry and Johnstone (2002), including norms of nursing practice, expansion of knowledge, and advocacy...
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...When a nurse graduates from college they take the Florence Nightingale Pledge, which implies they have a moral obligation to their patients (American Nurses Association, 2015). Nurses additionally take after a Code of Ethics that gives them a guide to what their obligations are in providing quality of care to patients and what their ethical commitments are (American Nurses Association, 2015). Despite the fact that there is a Code of Ethics, nurses still face numerous predicaments when caring for their patients. This paper will examine the author's moral compass, nursing philosophy, and ethical dilemmas. Author’s Moral Compass The author's moral compass has high confidence in God and follows the Nurses Code of Ethics. The author's energy to be a nurse began at just ten years old. The author has always wanted to take care of the elderly and trusts that nobody should have to die alone. The author believes that nursing was a calling from God, and this is what spurred the author to become a nurse. The author had difficulties becoming a nurse due to already having one child while being pregnant with another. However, the calling to be a nurse was sufficiently high enough to overcome the difficulties. For instance, the author had a four-year-old daughter and had only four weeks left of the pregnancy of her second child when she was accepted into the nursing program. During Christmas break of the first semester, the author gave birth to a little girl. The yearning to be a nurse and the...
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...basis for nursing activities. It endorses ethical values we hold as basic and bases our beliefs in theory. Nursing philosophy is based on both professional organization and individual definitions. Many factors both intrinsically and extrinsically influence one’s personal perceptions of the great profession called nursing. Every nurse is accountable for maintaining her own knowledge and education after completion of a nursing program. With a focus on personal professional growth that intellectually stimulates and promotes individual autonomy with her given specialty of practice, a nurse can greatly improve her self-confidence and professional motivation, thus providing a firm foundation on which to base her nursing judgment. Nursing Philosophy One strategy nurses can use to affirm that their practice is in harmony with their value system is to write a personal philosophy statement. This might be general in nature, such as a philosophy that relates to life values; it could be a philosophy statement related to beliefs about the profession of nursing; or it might be a philosophy specific to school nursing. In each case, this activity will encourage nurses to clarify their values and then examine how their philosophy fits with their professional practice. Articulating a philosophy statement is an intellectual activity that requires careful thought, because values need to be identified, clarified, and prioritized. As the profession of nursing is dealing with rapid changes in knowledge...
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...When one turns to a dictionary for the definition of a Nurse, he or she would find that a nurse is someone who offers “protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” (What, 2015) Needless to say, nurses are very special and unique individuals whose number one goal is to care for someone in need. In order for nurses to be successful when caring for patients, he or she must be able to apply several different framework pillars into their style of caring. South University provides each of its nursing students with a list of five pillars, which include Caring, Communication, Critical Thinking, Professionalism, and Holism. (SUHP, 2015, P.6) Each nursing student is educated to learn and understand these pillars, for this is the way each student will...
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...IN END OF LIFE: THE ROLE OF NURSES BY (Student’s Name) Course Instructor Institution City, State Date Dignity in End of Life: The Role of Nurses LITERATURE REVIEW INTRODUCTION A literature review is a critical appraisal of researches that provides a comprehensive and up to date knowledge on a specific topic (Coughlan, Ryan and Cronin 2013). The purpose of literature review in nursing includes evaluating current practice and making recommendations for policy development and change. Thus, the purpose of this literature review is to establish the current perspectives of patients, family and nurses on the factors that improve dignity in the end of life. Resultantly, this literature review will explore the role of nurses’ based on the findings of the perspectives that patients, family and health professionals have concerning the issue of dignity in the end of life care. In that regard, the paper follows a systematic approach which involves an introduction that explains the concept of end of life and the types of end of life care available. The paper then proceeds to explore the concept of dignity as viewed from several perspectives through the use of literature on the models of dignity means of measuring dignity and the themes associated with this conception. Consequently, the factors that improve dignity are laid out and discussed at length. Eventually, the paper will achieve its secondary goal which is to determine and expound on the topic of the roles that a nurse plays in...
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...Quality of Life and Functioning What does the phrase “quality of life” mean? Does it have an actual definition? The answer may not be as clear as one would expect because the concept of “quality of life” can vary from one person to the next based on the values of the individual in question. The purpose of this paper is to examine the quality of life of a patient with a cancer and describe an appropriate nursing care plan based on the patient’s values. Personal Perceptions Personal perceptions about quality of life and health promotion can greatly influence an individual nurse when attempting to create a plan of care for a patient with a lingering illness. I have worked in home health care setting as a visiting nurse and have experienced this scenario firsthand. I believe that one of the hardest parts of nursing is being able to put personal perceptions behind you in order to accommodate the needs and desires of patients. Understanding my own personal perceptions on quality of life was a lesson I learned quickly as a new nurse. I was caring for an elderly woman who recently suffered a stroke and needed several surgeries on her right shoulder due to a fall. The woman was no longer able to care for herself and was receiving assistance from her daughters. The family had cultural concerns and beliefs that their mother should not receive any narcotic pain medication even after several doctors had recommended narcotics for pain management until the surgeries were complete...
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...Nurses today face many ethical dilemmas in the delivery of patient care. What can or should be done for the patient versus the wishes of the patient’s physician conflicting with the personal beliefs the nurse holds to be true. The client’s wishes may conflict with the institutional policies, physician professional opinion, the client’s family desires, or even the laws of the state. According to the nursing code of ethics, the nurse’s first allegiance is to the client (Blais & Hayes, 2011, pg. 60). The ethical ideals of each nurse must be weighed with the laws of the state along with providing the most ethical care for the patient. The advancements in medical technology make it possible to sustain a patient life where previously there was no hope of recovery. These advancements have put nurses in the forefront of decision making begging the question “just because we can, should we” to be answered. Nurses need to understand the legalities involved with these new technologies to practice safely and effectively. Scientific achievements have opened new ground for nursing exploration. In response to the need for nursing input into social and legal issues, nurses now find career opportunities as forensic nurses, legal nurse consultants, and nurse-attorneys (Blais & Hayes, 2011, pg. 75). This paper will explore the ethical and legal issues encountered by nurses in two case studies. The American Nurses Association Code of Nursing Ethics could influence a final decision in each case study...
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...End of Life Nursing Donnie Barnes Oklahoma Wesleyan University End of Life Nursing Every life will end in death. It can happen anywhere or anytime along the human lifespan, but it will definitely happen. Death is never an event in life that is encouraged or hope for, however when faced with impending end of life circumstances, it can be faced with dignity and decency. Many people associate end-of-life care with treating physical pain and discomfort. While that is an important part, complete end-of-life (EOL) care also includes helping the dying person manage mental and emotional distress. An elder who is nearing the end of life who is alert might understandably feel depressed or anxious. Encourage conversations, so the elder has an opportunity to talk about their feelings. You might want to contact a counselor, possibly one familiar with end-of-life issues. If the depression or anxiety is severe, medicine might provide relief. A dying person might also have some specific fears and concerns. He or she may fear the unknown or worry about those left behind. Some people are afraid of being alone at the very end. This feeling can be made worse by the understandable reactions of family, friends, and even the medical team. For example, when family and friends do not know how to help or what to say, sometimes they stop visiting. Or, someone who is already beginning to grieve may withdraw. Doctors may become discouraged because they can't cure their patient and feel helpless...
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