Essay about The Ethical Side Of Medical Treatments

1109 Words Dec 6th, 2016 5 Pages
The ethical dilemma I encountered was when I used to work in a Neurosurgery ICU floor. We received a patient from the OR department who suffered a gunshot wound to the temple and was clinging to life with unstable vital signs and a poor GCS status.
Step 1) Identify the problem: With the patient having a poor prognosis based on no significant improvement after initial treatment in ER and eventual surgical intervention, the family continues to request that all life-saving interventions be done for the patient (blood transfusion, dopamine, etc.) Immediate and extended family members, admitting doctor and Neurosurgery doctor and ICU nurses are all involved. Patient does not have a signed advance directive on file. The predicament is do we continue aggressive treatment on this patient given his grave status? The ethical side of medical treatments can sometimes be problematic and determining futile treatment is an example of an ethical dilemma (Terra & Powell, 2012). Given the situation, the best outcome everyone is hoping may not be realized.
Step 2) State your values and ethical position related to the problem: Personally, I feel that even if vital signs improved and blood transfusions cease, far too much irreversible damage has already occurred and would suggest to family to consider letting nature takes it course. This will lessen the suffering, the stress and prevent further untoward complications in addition to the traumatic injury sustained. I believe that my values are…

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