Peplau Ethical Theory

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7. ETHICAL DILEMMA
Ethical dilemma is a complex situation that involves mental conflict between moral imperatives of when obeying one might end up transgressing another. It is also known as moral dilemma or called ethical paradoxes in moral philosophy. Ethical dilemmas come about when we try to rebut an ethical system or code of ethics, or to improve it to resolve what contradict it. Ethical dilemma is also a process of trying to choose between two options, of which both are morally right but in conflict and neither resolves the situation in an ethically acceptable way. The person involve tries to abide by social norms like the code of law or religious belief to make choice ethically possible.
Ethics and morals are not separable, because
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NURSE-CLIENT RELATIONSHIP
Nurse-client relationship is an interaction aimed at enhancing well-being of a client, which could be an individual, family, a group, or a community. Peplau’s theory is highly relevant to nurse-client relationship. The major aspect of the theory is that the nurse and client become more knowledgeable and mature during the course of the relationship. Peplau believed that client stands to be benefit better health when all the specific needs are fully considered in the relationship and the relationship is depended on the interaction of thoughts, feelings and action of both nurse and client.
Nurse-client relationship is the bedrock of nursing practice all over the world. It is therapeutic in the sense that it focuses on patient’s needs. This relationship is based on respect, trust and professional intimacy with appropriate use of authority. There is boundary in nurse-client relationship and this boundary separate professional and therapeutic behavior from non-professional and non-therapeutic behavior. The client’s autonomy, dignity and privacy are maintained throughout the relationship. In this relationship clients are usually vulnerable because the nurse has more power. Nurses have the competencies to develop a therapeutic relationship and set appropriate boundaries with the
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INFORMED CONSENT
Informed consent is a process of getting permission before performing any form of intervention medically on an individual. Before any form of treatment is given by healthcare provider to a patient consent is required from that patient or in clinical research, the researcher would have to obtain informed consent according to guidelines from fields of medical ethics and research ethics before enrolling the individual for the research.
An informed consent is based on clear understanding of the facts, consequences of action and implication. Before obtaining an informed consent, the client must have adequate reasoning faculties and have all relevant facts. Some cases that can impaired reasoning and judgment are emotional immaturity, basic intellectual high level of stress like PSTD, severe intellectual disability, intoxication, Alzheimer’s disease, severe mental illness, severe sleep deprivation, or a state of

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