The following clinical cases are derived from an academic medical center in the state of Missouri during the author’s career as a Registered Nurse (RN). The cases are used to demonstrate dignity, beneficence, sympathy, nonmaleficence, respect for autonomy, and veracity. While the first case exhibits allowing a choice to occur, the second case counterpoints by exhibiting forcing a choice that may have otherwise not have happened. (This isn’t very fluid and I’m not sure if I should add more here… and if I should add more here, I’m not sure what to add here.)
Clinical Situation #1
Introduction
When a young child or adult dies, we, as a society, often see a loss of opportunity; a loss of what that patient could have been, such as a father, grandmother, …show more content…
There are approximately seven billion people on this planet and every single person is different in their thoughts, feelings, and experiences. Sympathy allows us to relate, or understand, one another, even in unfortunate situations. Beauchamp and Childress state that “sympathy enables us to enter into, however imperfectly, the thoughts and feelings of another being (Beauchamp & Childress, 2009, p. 92).”
The Cultural Care Theory describes how cultural elements influence the way look at and go through health, illness, and treatments. “Cultural humility is a process of inquisitiveness, self-reflection, critiquing, and lifelong learning (Fahlberg, 2016).” Cultural desire is the motivation of the medical staff to want to become culturaly aware and knowledgeable instead of being forced to (Campinha-Bacote, 2002). This patient was able to die with dignity due to hospital staff accommodating his, and his family’s, religious views and ceremonies. Hospital staff arranged for the use of special equipment so the family could prepare the patient’s body according to Islamic burial rites. As part of the medical staff, we were able to make a trade; we used additional resources keeping this patient alive and then, again, after death to accommodate family. The human cost in this situation overrides the medical cost; we weren’t able to help the patient anymore, but we were still able to help the …show more content…
The accepting attending physician visited with her. While speaking with her, the physician told her about her options going forward with her care. He wanted to do a cardiac ablation, a procedure used to scar the tissue of the heart decreasing or interrupting extra electrical pathways that cause AFib. The patient did not want the procedure due to it being invasive; however, the physician purposely worded his phrases to seem like this was the only option he was willing to consider. In the end, the patient changed her code status so the procedure could be performed, despite questioning from nursing staff. She later died while the doctor was performing the
Clinical Situation #1
Introduction
When a young child or adult dies, we, as a society, often see a loss of opportunity; a loss of what that patient could have been, such as a father, grandmother, …show more content…
There are approximately seven billion people on this planet and every single person is different in their thoughts, feelings, and experiences. Sympathy allows us to relate, or understand, one another, even in unfortunate situations. Beauchamp and Childress state that “sympathy enables us to enter into, however imperfectly, the thoughts and feelings of another being (Beauchamp & Childress, 2009, p. 92).”
The Cultural Care Theory describes how cultural elements influence the way look at and go through health, illness, and treatments. “Cultural humility is a process of inquisitiveness, self-reflection, critiquing, and lifelong learning (Fahlberg, 2016).” Cultural desire is the motivation of the medical staff to want to become culturaly aware and knowledgeable instead of being forced to (Campinha-Bacote, 2002). This patient was able to die with dignity due to hospital staff accommodating his, and his family’s, religious views and ceremonies. Hospital staff arranged for the use of special equipment so the family could prepare the patient’s body according to Islamic burial rites. As part of the medical staff, we were able to make a trade; we used additional resources keeping this patient alive and then, again, after death to accommodate family. The human cost in this situation overrides the medical cost; we weren’t able to help the patient anymore, but we were still able to help the …show more content…
The accepting attending physician visited with her. While speaking with her, the physician told her about her options going forward with her care. He wanted to do a cardiac ablation, a procedure used to scar the tissue of the heart decreasing or interrupting extra electrical pathways that cause AFib. The patient did not want the procedure due to it being invasive; however, the physician purposely worded his phrases to seem like this was the only option he was willing to consider. In the end, the patient changed her code status so the procedure could be performed, despite questioning from nursing staff. She later died while the doctor was performing the