Discussion Paper 18616407

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Choose a patient-care situation in which the RN should intervene and advocate for the patient.  An example of such a situation might be when a patient has not been given complete informed consent.

Include the following in your paper:

  • Describe the clinical situation concisely and descriptively. It can be an actual situation or a hypothetical one.
  • Apply the Bioethical Decision Making Model to the specific clinical ethical situation that you choose. Address each section of the model in your paper.
  • Conclude with a discussion of nursing advocacy in the clinical setting and the nurse’s role as a patient advocate.  

Your paper should be 4-5 pages.

You must reference and cite 1-2 scholarly sources other than your text. Include a title page and a reference page to cite your text and adhere to APA formatting.

 BioethicalDecisionMakingModel 1. Definethedilemma:Useyourownwordstodescribetheproblem.Stateitinaway thatotherscanquicklyunderstandyourdilemma.Review 2. Identifythemedicalfacts:Describethefactsthatarerelevanttothedilemma. 3. Rememberthatthediagnosisandprognosisaremedicalfacts. 4. Identifythenon-medicalfacts(patientandfamily,externalinfluences): a. Patientandfamilyfactssuchasculture,religion,social,economic,the existenceofanAdvanceHealthcareDirective,verbalpreferencesmadeby thepatient,howthepatientlivedhis/herlife. b. Thosethatyoudiscussshouldberelevanttothesituation. 5. Externalinfluencesinclude:organizationalpolicies,federalandstatelaws,practice acts,codeofethics.Theseshouldberelevanttothesituation. 6. Forbothstep2or3,separatethefactsfromtheassumptions:Sometimesall healthcareprofessionalsallowassumptionstoguidetheirdecision-making.These mustbeidentifiedsothattheseassumptionsdonotinterferewiththeprocess. 7. Identifyitemsthatneedclarification.Yourpapershouldidentifyfactsthatyouneed toclarify.Wheninitiallydiscussinganethicalsituation,itisnotunusualtonothave alloftheanswers. 8. Identifythedecisionmakers:Isthepatientanadultcompetenttomaketheirown choices?Isthepatientachildwhoisoldenoughtohaveasayinthedecision.Ifthe patientcannotmaketheirowndecision,whoisthedecisionmaker?Howwasthis personselected? 9. Reviewtheunderlyingethicalprinciples:Reviewwhichonesandwhytheyapplyt thisparticularcase:beneficence,nonmaleficience,veracity,fidelity,autonomyand justice. 10. Definealternatives:One-Waytoproceedmaybeapparentatthispoint.However, sometimestherearedifferentchoices.Theyshouldbeaddressedidentifyingthe benefitsandburdensfordoingonethingversustheother. 11. Follow-up:Definetheprocesstobeusedwiththechosenalternative. ReferenceSource:Levine-Ariff,J.&Groh,D.H.(1990).CreatinganEthicalEnvironment. Nursem  

 
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