Contemporary Ethical Dilemmas : How Do Managers Evaluate Beginning Of Life Dilemmas?

The ethical dilemma, in this case, is that Nancy Cruzan was in a vegetative state in a Missouri hospital and that the parent wanted to withhold hydration and nutrition from their daughter. There was no documentation that Nancy Cozen wanted this kind of action to take place if she was ever in a vegetative state. The hospital would not go forth with withholding the hydration and nutrition because of the lack of documentation. The hospital dilemma was that they believe that the individual in a vegetative state has a constitutional right to choose if they want to be withheld from hydration and nutrition. There had to have already been a living will or well-documented evidence of the patient wishes.

Moreover, an emphasis is imposed on the rights of a single patient to commit an act or decision even though it is in contrast with the views of the others. In regards to the ethical dilemma, a nurse could not justify the morality of the two possible choices based on their results and consequences. The Deontological approach would encourage the health care staff as well as the patient to ask themselves the most righteous choice for their situation. With this in mind, a combination of ethical theories can also be employed to give light to the dilemma. In view of this, another ethical approach could be applied to solve the issue, and this is the Right-based approach. This theory also aim to promote the rights of every person, and that, they are indispensable just to make ends meet. However, not all ethical theories can be incorporated in every dilemma in a health care setting because their foundations would contradict one another. In order to provide an effective and efficient solution, nurses should be knowledgeable of the principles enveloping each of the ethical theories and should be wise to apply them in appropriate issues and

Today many nurses, doctors, and other health care professionals encounter ethical dilemmas on a daily basis. An ethical dilemma can be defined as when there is more than one reasonable solution to a specific scenario. No one solution is more right than the other. In fact, they may both feel wrong, but a decision must be made (Butts & Rich, 2016). In the healthcare setting, nurses should be prepared to think critically and make ethical decisions. There are many factors that contribute to the process of ethical decision making such as ethical perspectives, principles, theories, and guidelines. Ethical decision making is to be rational and systematic. The selected case to be discussed is the case of Jahi McMath,

CNA Code of Ethics for Registered Nurses (2008) provides guidance in dealing with cases like this by explaining the core nursing values and responsibilities involved which are: a) providing safe, compassionate, competent and ethical care; b) promoting health and well-being; c) promoting and respecting informed decision-making, and d) Preserving dignity; e) maintaining confidentiality, f) promoting justice and g) being accountable. The first nursing value is always expected to be upheld in any case because it is their duty to provide care using appropriate safety precautions and preventing/minimizing all forms of violence (CNA, 2008). The collaboration of the nurses between the physician and Mr. C’s family has been evident since then. This therefore calls Mr. C’s nurses to be more compassionate about his situation and try to recognize where he is coming from as they build a trust-worthy relationship before judging him or jumping into conclusions like he does not want to live anymore. Even if he decides to withdraw from these potentially life-sustaining treatments, health care providers are still obliged to give him the care he need the best way they can up until the end of his life. The second nursing value, just like the first one, still calls nurses to still aim to promote or at least maintain Mr. C’s health and well-being to the highest possible level regardless of the path he had chosen for his life. This can be achieved by continuing to collaborate well with other

This assignment will discuss a case involving an individual known to me. It centres on the real and contentious issue of the “right to die”, specifically in the context of physician-assisted death. This issue is widely debated in the public eye for two reasons. The first considers under what conditions a person can choose when to die and the second considers if someone ever actually has a ‘right to die’. The following analysis will consider solutions to the ethical dilemma of physician-assisted death through the lens of three ethical theories. It will also take into account the potential influence of an individual’s religious beliefs

The principles of justice, nonmaleficence, and beneficence must be considered in this situation as the patient herself has neither voice nor living will expressing her desires. An ethical theory that applies to this situation is rule utilitarianism. This theory is a hybrid of deontological and utilitarian approaches (Purtilo & Doherty, 2012). Terri’s husband feels that he is legally honoring her wishes by allowing Terri to die as the natural consequence of her unfortunate medical condition. Using the utilitarian theory removing her feeding tube justifies the end goal of death. For her family, they feel a duty to Terri and having her feeding tube removed betrays their sense of duty and right. Conflict resolution, in this case, must consider promoting the person’s good or prevention of further harm to the patient. Ethical theories and principles can guide the best

The ethical dilemma that I have ever encountered was dealing with a DO NOT RESUSCITATE (DNR) situation at a previous place of employment. The 67 year-old male patient was admitted from the hospital on a DNR status, but there was no physician order for DNR or legal documents in the chart. As the shift went on, his medical condition had gotten worst and he coded. Now the question was whether or not to perform cardiopulmonary resuscitation (CPR) since the patient has a DNR status. Without the physician order for the DNR on file, I had to make a decision to active the code blue button and performed CPR with the other nurses and staff team members on the floor. The family was notified after the fact and the patient’s daughter was not happy. She

With major advancement in medical treatments, it is now possible to keep a patient alive, which would not have been possible in former times. This has made end of life issue one of the most controversial issues in healthcare. Medical improvements have set the stage for ethical and legal controversies about not only the patient’s rights but also the family’s rights and the medical profession’s proper role. It is critical that any decision made in such situation is ethical and legal to preserve the rights of the patient and also protect the healthcare institution involved. It is very important when making decisions to discontinue treatments to make sure all other alternatives have been explored.

In this scenario, the patient is a 49-year-old woman with end-stage cancer. End of life snags are always poignant for the healthcare provider and family mutually, I would need to comprehend the extent of the cancer proliferation, the maximum period given to live; if the patient has an advanced directive in place. According to American Cancer Society (2017), advanced directive usage emerges when the patient is incapable of making the decision for themselves. I would need to understand the patient and family wish in event whereby the patient in incapable to make a decision, the ethics committee will be contacted because the end of life issues can be arduous. It is vital that the family and patient while alert and oriented to have every necessary information to make an informed decision because several might desire quality over quantity and vice-versa. Further, I would encourage the family to be at bedside with life-saving procedures to allow the family to comprehend the practicality of the condition and to eyewitness extend of the life-saving procedures and to

Everyday, healthcare professionals are faced with ethical dilemmas in their workplace. These ethical dilemmas need to be addressed in order to provide the best care for the patient. Healthcare professionals have to weigh their own personal beliefs, professional beliefs, ethical understandings, and several other factors to decide what the best care for their patient might be. This is illustrated in Mrs. Smith’s case. Mrs. Smith is an 85 year old who has suffered from a large stroke that extends to both of her brains hemispheres which has left her unconscious. She only has some brain stem reflexes and requires a ventilator for support. She is unable to communicate how she wishes to proceed with her healthcare. Mrs. Smith’s children, Sara and Frank have different views regarding their mother’s plan of care. The decision that needs to be made is whether to prolong Mrs. Smith’s life, as Sara would like to do, or stop all treatments and care, as Frank feels his mother would want. In the healthcare field, there are situations similar to this case that happen daily where moral and ethical judgment is necessary to guide the decision that would be best for the patient. The purpose of this paper is to explore and discuss, compare and contrast the personal and professional values, ethical principles, and legal issues regarding Mrs. Smith’s quality of life and further plan of care.

Another major part of this that has yet to be touched is the subject of passive euthanasia. The main concern with this is the debate as to how important is this person’s life? Are they worth the expensive hospital bill they’re being charged? If they have zero chance of survival or of return, is it worth keeping them alive? Who gets to decide that? The doctor or the family of the patient? Should family members be allowed to speak on behalf of their emotions and what if they don’t have family? Even then it can come back to whether the patient even wanted to be put on life supporting services, or if they accept blood transfusions, is it moral to just let them die? Either way, all of these aspects should be taken into consideration when taking a standpoint with this. Nevertheless, perhaps an attempt at setting the issue in a philosophical framework and examining the ethical value of euthanasia using the moral criteria of Specific Deontology and Mill’s Utilitarianism and how they would deal with topic can help.

This diver issue raises many questions such as: how should decisions be made, and by whom? What should be determined as a matter of law and what left a matter of discretion and judgment? Should those who want to die, or who are in a "persistent vegetative state" be allowed to die voluntarily? Who should decide: the patient, the physician, the courts, or the families? The

      Death is deeply personal, generally feared, and wholly inescapable, but medical technology now can prolong our biological existence virtually indefinitely, and, with these advances, comes the question of whether we should pursue the extension of life in all cases.  Most people would agree that, under certain circumstances, it would be preferable to cease our hold on life.  Nearly everyone can agree that there are situations when terminally ill patients have the right to call for a halt to life-extending treatments, and that their physicians will have the moral obligation to comply.  What appears to be quite difficult for us as a society to come to terms with is the thought that someone would

Such a controversial topic as euthanasia and physician assisted suicide obviously brings about both proponents and opponents. When it comes to the case of a terminally ill person who is fully competent, how can one say no to his desire in having

There are many ethical issues that the medical field faces daily. One major issue that is a common debate recently is death and dying and the ethical dilemmas associated with this stage in life. There are many different routes a patient can take when they are diagnosed with a terminal illness, two routes that are often up for debate are palliative care and physician assisted suicide. Many ethical concepts are brought up in the debate of these routes of care, sometimes even conflicting one another. Since medicine has advanced over many years we are experiencing a growing population of elders. With this increase in the elderly population, the debate of death and dying has become an important topic to