Question 1. The visiting nurse is facing an ethical dilemma over respecting Brady’s right to autonomy and making decisions for herself and the moral principle of fidelity maintaining her agreement with Brady not to call the police or jeopardize having her children taken away. The nurse is vacillating between maintaining a trusting relationship with Brady, respecting her rights and autonomy, maintaining the fidelity of their relationship and a duty of nonmaleficence by reporting Brady to child protective services.
Question 2. The ethical dilemma that the visiting nurse is facing with the care of Brady is veracity and autonomy (Kubsch, n.d). The nurse would like to respect Brady’s right to autonomy and making decisions for herself. The nurse …show more content…
The professional value of the AACN’s Essential 8’s five professional values helped guide my decision regarding which ethical principles are conflicting. These ethical principles are altruism, autonomy, and human dignity. In altruism and autonomy, the nurse was concerned about the welfare of Brady and the infant and acted on seeking treatment for the infant as well as respecting Brady’s right to autonomy to make her own decisions about the care for herself and her children (AACN, n.d). The nurse recognized Brady’s human dignity and self-worth as a unique person living with mental illness and attempting to manage six children on a limited income (AACN, …show more content…
Action 3 would be the best, informed, ethical decision plan of care. Action 3 is aimed at providing help and assistance to Brady and her children and attempting to render the interdisciplinary resources to assist Brady in providing a clean, safe, home environment and aiding in the care of the infant and having Brady evaluated by her psychiatrist for postpartum depression and medication compliance. These actions would respect and maintain Brady’s autonomy. The ANA code of ethics states that the nurse shall appreciate and value the uniqueness of all individuals and be nonjudgmental, or restricted by socioeconomic status or health problems (Blais & Hayes, 2016). Cleanliness of the home, heat and environmental factors can be changed with discussion, teaching and proper assistance. If Brady had received the appropriate help at this stage in the scenario, conditions might not have escalated to the level seen at the second visit. On the second visit, the nurse notes clear signs of neglect in the care of the infant as demonstrated by a “pathetically frail and weak infant” (Curtain & Flaherty,1985). The lack of heat and deplorable environment, and the infant that is gravely ill and Brady’s lack of willingness to seek the appropriate care, escalate this to a situation of mandated reporting by the nurse. In Utilitarianism must look at what action will provide the greatest good for the most people (Blais & Hayes, 2016). The nurse must take in to account the welfare of all
Question 2. The ethical dilemma that the visiting nurse is facing with the care of Brady is veracity and autonomy (Kubsch, n.d). The nurse would like to respect Brady’s right to autonomy and making decisions for herself. The nurse …show more content…
The professional value of the AACN’s Essential 8’s five professional values helped guide my decision regarding which ethical principles are conflicting. These ethical principles are altruism, autonomy, and human dignity. In altruism and autonomy, the nurse was concerned about the welfare of Brady and the infant and acted on seeking treatment for the infant as well as respecting Brady’s right to autonomy to make her own decisions about the care for herself and her children (AACN, n.d). The nurse recognized Brady’s human dignity and self-worth as a unique person living with mental illness and attempting to manage six children on a limited income (AACN, …show more content…
Action 3 would be the best, informed, ethical decision plan of care. Action 3 is aimed at providing help and assistance to Brady and her children and attempting to render the interdisciplinary resources to assist Brady in providing a clean, safe, home environment and aiding in the care of the infant and having Brady evaluated by her psychiatrist for postpartum depression and medication compliance. These actions would respect and maintain Brady’s autonomy. The ANA code of ethics states that the nurse shall appreciate and value the uniqueness of all individuals and be nonjudgmental, or restricted by socioeconomic status or health problems (Blais & Hayes, 2016). Cleanliness of the home, heat and environmental factors can be changed with discussion, teaching and proper assistance. If Brady had received the appropriate help at this stage in the scenario, conditions might not have escalated to the level seen at the second visit. On the second visit, the nurse notes clear signs of neglect in the care of the infant as demonstrated by a “pathetically frail and weak infant” (Curtain & Flaherty,1985). The lack of heat and deplorable environment, and the infant that is gravely ill and Brady’s lack of willingness to seek the appropriate care, escalate this to a situation of mandated reporting by the nurse. In Utilitarianism must look at what action will provide the greatest good for the most people (Blais & Hayes, 2016). The nurse must take in to account the welfare of all