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Reflective Journal on Ethics Game Simulation

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Reflective Journal on Ethics Game Simulation
Maria R. Brook
HCS/478 Health Law and Ethics
January 23rd, 2012
Caroline Etland, PhD, RN

Reflective Journal on Ethics Game Simulation

In this journal I will write my reflections on two ethical dilemmas presented in Ethics Game's online simulation, which has been designed to teach students how to make ethical decisions through a practical and repeatable decision model.
Ethical Issue #1 Presented During my Shift
Near the beginning of my shift last night, we admitted a 16-year-old mother, RB. She's in her tenth hour of labor now. Her parents have been with her, and they have chosen to limit the amount of medication and other medical assistance we've administered for personal reasons. Given the length of her labor, however, her situation could worsen. Fetal distress is not currently critical, but it has been increasing gradually, as has RB’s own distress and fear. We have been keeping a close eye on her. I'm not sure her parents understand how dangerous her situation could get because RB and the baby may be moving toward irreversible medical danger if some intervention is not made.
Ethical Issue #2 Presented During my Shift One of our ICU's patients, AT, has been unconscious for nearly a day and as yet no definitive diagnosis has been reached by doctors. AT was brought to the hospital by his domestic partner, YM, who was with him while he was in the ER, but was prevented from visiting him in the ICU by CB, the shift supervisor for the day shift. Hospital policy states that domestic partners are to be treated as married couples, for the purposes of access and, most importantly, when it must be determined who can make medical decisions for a patient unable to give their own consent. How can I best to assure the access for gay partners of Seva's patients on equal footing with straight couples?
Decision-making

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