The article I choose to read in goes through in essence the biology of ethics when dealing with a patient that has dementia. The introduction explains a bit of history of ethics compared to morals. Proving them ultimately very similar while stating ‘…both words are concerned with discriminating good from bad,’. Hughes J, Common J (2014) The introduction concludes though’…ethics are not optional…’ which can’t be understated in our field. The theories and principles of ethics were outlined next. This included but was not limited to beneficence, justice, and virtue. Conflict is said to occur between approaches when caring for patients but Hughes and Baldwin (2006) states ‘…the principles do at least provide a shared language for ethics.’ (p. 43)
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It’s about the casuistry approach which is basically just a case-by-case approach at patient care. Hughes goes into six specific case-by-case examples. The one I found the most ethically mind-bundling was Norah: therapeutic lying. The situation was the Norah battling her dementia believes her husband is still alive and even though he is dead. No matter what the staff has told her she still insists to question about him. So they conclude to approach the dilemma by comforting her with talks about how her marriage was and the happier moments. ‘The staff avoid an overt lie and instead, in line with validation therapy, establish empathy with the feelings and emotional content of Norah’s conversion, but in so doing they deceive her.’ (46) I find this situation hard to make a good means of. If I were a RN encountered by this ethical issue I would reflect first upon Norah’s spiritual beliefs. I would ask myself, would she lie to me if she were in my shoes? Then I would think about the autonomy of the case, would avoiding her claims to remember her husband’s passing away am I disrespecting her right to
It’s about the casuistry approach which is basically just a case-by-case approach at patient care. Hughes goes into six specific case-by-case examples. The one I found the most ethically mind-bundling was Norah: therapeutic lying. The situation was the Norah battling her dementia believes her husband is still alive and even though he is dead. No matter what the staff has told her she still insists to question about him. So they conclude to approach the dilemma by comforting her with talks about how her marriage was and the happier moments. ‘The staff avoid an overt lie and instead, in line with validation therapy, establish empathy with the feelings and emotional content of Norah’s conversion, but in so doing they deceive her.’ (46) I find this situation hard to make a good means of. If I were a RN encountered by this ethical issue I would reflect first upon Norah’s spiritual beliefs. I would ask myself, would she lie to me if she were in my shoes? Then I would think about the autonomy of the case, would avoiding her claims to remember her husband’s passing away am I disrespecting her right to