Ethical Dilemma In Patients

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Ethical dilemma is unpreventable in the clinical setting. It is often difficult for nurses to make decisions every time that they are in this kind of situation. Physically restraining a patient is one of the most common situations that nurses may deal with that may challenge their ethical principle. Placing patients in restraints is viewed differently by many people as this has both pros and cons. However, when solving ethical issues, nurses are guided and supported by ethical principles and value statements. The ethical issues involve in Mrs Stock and Mr Bogg’s situation are respect for autonomy, beneficence, and non-maleficence and the value statement one and two will also be discuss. Furthermore, it is considerable that there are other …show more content…
Stock and Mr. Bogg’s situation is autonomy. According to Johnstone (2016) patients have the right to make their own decision. Physically restraining the patient without consent is a breach to patient’s autonomy (Jiang, Li, Gu, & He, 2014; Muhammand, 2014) as health caregivers should provide care with informed consent (Brodtkorb, Skisland, Slettebo & Skaar, 2014). It is the nurses’ moral obligation to inform or consult the patient before taking any action and failure to do so is a clear violation to the patient’s autonomy (Muhammad, 2014). Nurses must include their patients in making decision about their care (Johnstone, 2016). In addition, by not providing all necessary information to the patient, the patient is unlikely to participate in the treatment plan (Muhammand, 2014). Physically restraining patients is viewed as unethical because it interferes with preserving the dignity of a person and the concern about harming the patient (Goethals, De Casterle, & Gastman, 2013; Hughes & Paula, 2014). Johnstone (2016) claims that a client must be treated with respect, and as an autonomous person. Thus, the action of the nurse to put Mrs Stock and Mr Bogg in restraint is a violation to their rights as human beings and as an independent person capable of making …show more content…
Muhammand (2013-2014) stress the importance of understanding the distinction between these two-ethical principles as it may seem that they are overlapping each other. Physical restraint has both advantages and disadvantages. Having said that, putting Mrs Stock in restraint is a way for the three nurses to obtain the specimen needed to treat her urinary tract infection. Mrs Stock is confused and not get still, thus it would be difficult to insert an in and out urinary catheter, which is needed to collect the midstream urine specimen needed to treat and diagnose her condition. Mr Bogg, however, is intoxicated and he is at risk of harming himself and others, the nurse restrained him so that sedative can be administered and to safeguard everyone in the emergency department as he is being aggressive. If Mrs Stock and Mr Bogg are not in restraint the medical procedure order by the medical officer cannot be carried out and they are unlikely to be treated. Nurses believe that restraining the patient is an effective strategy to safeguard patient from possible harm, fall and disrupting treatment (Jiang et al., 2015). This associates with the ethical principle of beneficence. This is defined as an action that benefits others and this pertains in easing, lessening, and avoiding harm (Goethals, Diercks, & Gastmans, 2013; Johnstone, 2016). All

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