Ethical Dilemma In Nursing

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Identify the ethical dilemma
In the scenario Mr Abdullah, the 48 years old, requires an urgent cardio angiogram to assess his current medical conditions, but declined the procedure due to financial difficulty, worry not able to finance his Son for his tertiary study. Because Mr Abdullah was in depressed state was put under suicide precaution. So he told the student nurse his concern and not to reveal his situation to the Doctors and Nurses,
In this dilemma of ethical issue, if the student nurse choose to keep a secret from the doctor or the Nurses, ethically the student nurse seems to respect patient autonomy, but on the hand, the student also aware of patient current conditions requires immediate medical attention, if she respect patient autonomy
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The student is not practice Veracity on her professional conduct. And may result in delay treatment or patient condition deteriorated. This is not beneficence to the patient.
In the clinical simulation in nursing journal, the research had stated in the classrooms education when students face this kind of Ethical dilemma situation due to their inexperience in work and lack of personal experience they might not be able have the ability to recognise the potential ethical issues, and proper or effective communication with patient and make a right moral decisions. Studies have shown that this is a common dilemma between patient confidentiality and nonmaleficence to the patient.
Examine all
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Apply what they learn from the classroom, using her paternalism view, one of the direction approach is provide health education related to the disease process, create the health awareness to the patient, this is can beneficence and empower the patient by providing information in patient decision making, this giving him autonomy.
The other option student may involve the family in respect to patient autonomy. Patient may willing to share his concern and worries with his family, on the handle family members may felt respect and be aware of the patient condition, be prepared or anticipated the outcome. This may given patient more willing to accept other option or helps, this is definitely beneficence to his current situation.
Another option student nurse may seek senior nurse advise, as the senior nurse may have more experienced, the senior able to provide her paternalism view. Student can provide anonymous information without disclose the detail of the patient. So student can still keep the respect to the patient. Even she is seem to not apply Fidelity in this

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