The ethical principles toconsider may take different perspectives depending on the facet of the problem the nurse wouldlike to give magnify.
At times the professional caregivers used a hard paternalistic approach in order to avoid harm by for example installing technical devices in a home. Her daughter-in-law said the professional caregivers did not have updated information on Mrs C until she told them about the present situation.
Caring is a dynamic and ongoing process requiring more than making the right decision at a certain moment. In fact she was overwhelmed by the situation and she found little time or opportunity for her own self-interests. Because of the dementia trajectory, all data in each case were collected in the course of 1—2 days.
Subsequent studies resulted in the publication of the first evidence-based guidelines, which recommended that hospital personnel remove restrictions on family presence. At times paternalism was called for and they provided a web of relationships that formed a safety-net surrounding the person with dementia.
Facing ethical dilemmas involves continuous assessment of values and interests. Thoughts towards a solution may move along communal vs. During the interview the professional caregiver said she wished she had more knowledge of dementia so that she could understand and communicate more effectively with Mrs I.
She also admitted to telling him white lies about going away for treatment for her own medical problems so that he would accept a short-term stay in the SCU.
They provided her with information, arranged for her to see her new flat and applied for a care package that they thought she needed. The professional caregivers and the family wished to safeguard her and protect her from harm. Combining dependency and autonomy in dementia care In this study persons with dementia who wished to remain living in their own homes, appeared to accept dependence on family carers and professional caregivers who made this possible.
This requires attentiveness, responsibility, competence and responsiveness and it follows that those who care are active, committed and involved [ 63 ]. The professional caregiver had regular meetings with Miss G and her family so that they could negotiate how to support her.
A similar potential ethical dilemma was identified in the following case; raising the question of how long it was possible for Miss G to live alone in her home choice autonomy despite the risks involved and which increased as dementia progressed.
In a worst case scenario, she said she might have been the one abusing her husband. Paternalism can thus be beneficial or detrimental for persons with dementia and usually the best alternative is to start out by using the least restrictive measures since paternalism can lead to abuse if it is taken too far [ 7172 ].
When necessary they negotiated to reconcile competing interests between parties [ 5960 ]. Persons with dementia were asked to participate after receiving information which could be reread to compensate for deficits in short-term memory. The ethical dilemma in this category was the value of autonomy versus the need to prevent harm and distress in accordance with the principle of non-maleficence.
Next Section Case Study A year-old man lost control of his vehicle and struck a guardrail in a single-car collision. It is in this context that the dilemma inwhich Sammy finds himself in the case described in the task calls for an in-depth and reflectiveanalysis.
He was not wearing a seat belt and was thrown through the windshield, sustaining a traumatic, closed-head injury. No ethical dilemmas of this type existed before the development of CPR in the late s because family members were present at almost all deaths.
Mrs C was on her own most afternoons and evenings. Her brother considered a nursing home to be the best alternative for her but he said: This was done without the person with dementia fully understanding the situation or consenting.
After some months she changed her mind and wanted to return home, phoning her family frequently to say she was anxious, afraid of being alone and that she no longer saw any reason for living. Caregivers then asked them if they were willing to participate in the study and written consent was obtained.Teaching Clinical Ethics Using a Case Study: Family Presence During Cardiopulmonary Resuscitation Ainslie T.
Nibert, RN, PhD Ainslie T. Nibert is the director of research at Health Education Systems, Inc, and a clinical associate professor at College of Nursing, Houston Center.
Moreover, to better solving the case and making the best moral and ethical decision, the ethical theory, the ethical principles and the national nurses' code of ethics values statement, the associated literature relative with this case should be analyzed comprehensively before the nursing.
Case Studies in Nursing Ethics presents basic ethical principles and specific guidance for applying these principles in nursing practice, through analysis of over actual case study conflicts that have occurred in nursing practice.
According to a recent study by Redman and Fry () on ethical issues in nursing practice, prolonging the living-dying process with inappropriate measures is one of the most profoundly disturbing experiences that we nurses face and witness.
Ethics in Nursing: Case Study Among the five most frequently cited ethical concerns by nurses surveyed in a recent study in Australia is protecting the dignity and. Ethical Analysis of a Nursing Case Study `Ethics' is defined as."joeshammas.com basis on which people decide that certain actions are right or wrong and whether one ought to do something or has a right to something"(Rumbold, ).Download