Ethical Analysis Paper

2096 Words Apr 26th, 2005 9 Pages
Running Head: Ethical Analysis Paper

When Patient Care Conflicts with Moral, Ethical, and Legal Boundaries
Ethical Analysis Paper
NURS 4080
Trends and Issues
Austin Peay State University
Gregory A. Wood

March 18, 2005
When Patient Care Conflicts with Moral, Ethical, and Legal Boundaries
There are many situations that cause ethical dilemmas in the scope of nursing practice. One such situation that is encountered repeatedly is that in which a patient has no living will or advance directive to designate when extraordinary life saving measures will be stopped and the patient will be allowed to die. This becomes a dilemma in many cases because there is so much uncertainty in outcomes for individuals. This uncertainty stems from
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This was not only an ethical issue but also a legal issue that could jeopardize a nurse's career if the verbal orders were followed. According to the 2001 revision of the American Nurses Association Code for Nurses, there are four provisions that pertain to this situation. The main provision is Provision 1.3 that states:
"Nurses are leaders and vigilant advocates for the delivery of dignified and humane care. Nurses actively participate in assessing and assuring the responsible and appropriate interventions in order to minimize unwarranted or unwanted treatment and patient suffering. The acceptability and importance of carefully considered decisions regarding resuscitation status, withholding and withdrawing life sustaining therapies, forgoing medically provided nutrition and hydration, aggressive pain management and advance directives are increasingly evident. The nurses should provide interventions to relieve pain and other symptoms in the dying patient even when those interventions entail risks of hastening death. However, nurses may not act with the sole intent of ending a patient's life though such actions may be motivated by compassion, respect for patient autonomy, and quality of life considerations. Nurses have invaluable experience, knowledge, and insight into care at the end of life and should be actively involved in related research, education, practice, and policy development."
According to this

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