Latrease Magwood
Bloomfield College Nursing 215
Dr.Moore and Dr.Tuella
Ethics of Culturally Competent Care
In the article, “Dead Wrong!” The Ethics of Culturally Competent Care” by Jacqueline Ortiz and Donna Casey, the authors discussed a case about a young woman from Haiti who was diagnosed with HIV with a co-morbidity diagnosis for worsening case of renal function and pneumocystis pneumonia. Within the article, the authors discussed the cultural and linguistic barriers, ethical issues, and the determining capacity through the barrier of the culture its implications of the surrogate decision maker and the nursing implications for delivering care.
Ms. C., was first diagnosed with HIV 5 years …show more content…
According to the text, Autonomy “ focuses on the patient’s right to make decision about matters that impact the patient (Finkelman & Kenner, 2016). In “Dead Wrong! The Ethics of Culturally Competent Care” , they was stating “ to preserve her autonomy, the medical team tried to convince her of the importance of naming a trusted surrogate to make her medical decisions when she lost capacity: someone who would divulge her medical history (Ortiz & Casey, 2015).” This was an ethical dilemma because the nurses was trying to urge a patient to tell their family so that they will not break the ethical principle of Fidelity. Fidelity is the able to tell the truth/ truthfulness, and puts the nurses in a tough spot for they are not able to speak on an illness the patient has if the patients tell them not to, even if the family shows genuine concern and frustration on why their loved one isn't getting …show more content…
This affects healthcare and nursing for it tests an healthcare cultural competence. Cultural competence is “the ability of healthcare systems to tailor care delivery based on patient’s values, beliefs, and behaviors (Ortiz & Casey, 2015).” With the growing diversity in the United States, healthcare systems have to be able to care for patients with different beliefs and values (Ortiz & Casey,2015) . In some cases, it forces the nurses hands, and making them call for an ethic consult for patients who has a very strong culture background, and refusal of medical treatment based on their