Implications Of Medical Ethics And Ethical Dilemmas In A Patient Care

1540 Words 7 Pages
The refusal of observations by John could potentially place his health at risk by preventing early detection of deterioration, this left the MDT with a moral dilemma. When discussing ethical dilemmas it was important in John’s case to involve all members of the MDT. Rich and Butts (2014) suggest that ethical decisions should involve all healthcare professionals in a patients care intervention. Similarly Finlay (2008) encourages the involvement of the patient in discussing ethical problems along with the healthcare professionals (in Ellis, 2015).
Taking into account the four principles of biomedical ethics (Childress and Beauchamp, 2009) the MDT could justify their reason to try and encourage John, as a team, to reconsider his refusal to
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It was important to share the decision regarding John’s reluctance to have the regular observations with the MDT as he was exhibiting challenging behaviour by preventing delivery of effective care (Local Trust Conflict Resolution Policy, 2015). The nurse had an obligation to “escalate concerns” (NMC, 2015, pg.12) in regards to John’s refusal of treatment with the doctor by “referring matters to them when appropriate” (NMC, 2015, pg.8). By doing so the mentor was respecting the “skills” and “expertise” of other professionals in the MDT involved in John’s care (NMC, 2015, pg.8), thus, allowing interprofessional collaboration to prevent the risk of harm to John’s …show more content…
The episode of care showed that the legal, ethical and professional considerations regularly overlap each other and may influence and guide decisions in each separate framework. It is important as a healthcare professional to have understanding of the three frameworks as they guide professional standards and aid sometimes difficult decisions. Patient’s expectations are now much higher and healthcare professionals have responsibilities to maintain their legal ethical and professional knowledge to meet these expectations.
The case study has emphasised the importance of interprofessional collaboration and communication within the MDT, especially when faced with an ethical dilemma. It has demonstrated how different skills and expertise can influence an episode of care and working together in the patients best interest produces safe and effective

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