Thursday, February 21, 2019

Analysis of an Ethical Dilemma Essay

on that point ar times when life takes an unforeseen route, and one is faced with an obstructer or situation that was not expected. Many people are diagnosed with destination diseases, behave accidents and are left with severe impairments, and suffer horr arrestous complications from medical examination issues. One has the right, according to law, to take in medical decisions just about their care and sermon options. But should one have the right to can their life? assist, or voluntary mercy killing, is the direct administration of a lethal agent to end ones life at the request of the uncomplaining (Tamayo-Velazquez, Simon-Lorda, & Cruz-Piqueras, 2012, p. 678). Should a person have to intolerably suffer for the duration of their disease or disability, or should they have the right to choose to end their life?related honourable Implications and Obligations military volunteer euthanasia naturally sparks the debate between moral philosophy and legality (Young, 2010). Eth ical implications come with being faced with if assisted euthanasia is morally reassert, or if adoreing ones right to make choices about their life, including end of life decisions, supersedes all different aspects of the subject. Nurses are an integral occasion in end of life care of patients, and often times are witness to those expressing the appetency to die. Ethical dilemmas are before long high regarding end of life care in nursing, and would merely grow more manifold and severe if assisted euthanasia became legal worldwide, as nurses would not only provide comfort measures, but rather be a bit of ending life. Currently, assisted euthanasia is legal in three countries the Netherlands, Belgium, and Luxembourg. mercy killing is con military positionred murder in every other place in the world. (Assisted Suicide & Death with lordliness, 2013).In the United States, thither are currently three states, Oregon, Montana, and Washington, where Physician Assisted Suicide, or PAS, is legal. PAS is referred to as the Death with Dignity Act and permits doctors to prescribe a lethaloverdose to a patient who is expected to die within six months. This decision is totally hooklike upon patient wishes, and mendeleviums are not obligated to inform families, only to lay aside the prescription (Analysis of Assisted Suicide Initiative, 2013). In any other state, assisted suicide is considered manslaughter and is punishable by law. Assisted euthanasia remain a hot topic worldwide, and aims to pass laws are constantly challenged. Ethical Theories Ethical decisions are always difficult for the nurse to make in a challenging situation Confidentiality and covert are part of honorable issues but can raise confusion as to the best didactics of an action for a nurse to take.There is a need for nurses to fuck that patient obligations and laws concerning privacy and confidentiality matters. Healthcare has the HIPAA law that guides patients privacy (HIPAA. ORG, 2008) w hich is essential for nurses to under(a)stand the pertinent guidelines or rules on confidentiality so as to carry out their practices based on the law guidelines. The code of morality states, The nurse advocates for, promotes and strives towards safety, health and the patients rights (ANA, 2010). (ANA, 2010) stated that Deontology speculation is helpful for the nurse to judge the morality of an action based on the actions hamper to rules. Whether an action is good depends on the intentions behind the decisions rather than the outcomes that result. Beneficence represents pity on the other hand, fetching positive action to help others and desire to do good which is the core principle of our patient advocacy. (Butts, J. B., & Rich, K. L, 2008). Autonomy theory help nurses respect and honor a patients or clients right to make a course of action and support independent decision making. date the right to autonomy is not to hurt or negatively partake an outcome, it often gives the nurse a sense of freedom to choose a moral decision. Voluntary assisted euthanasia may be justified with the Beneficence theory but ethically wrong for the nurse in assisting. Impact of affectionate valves, morals, and norms The terry cloth Schiavo scale was perhaps the highest profile example to ever do by the issue of prolonging ones life when that person suffers a life-altering medical tragedy. With her husband fight on one side for the right to not prolong her life and multiple parties, including her other family members, fighting for the right to prolong her life, this object lesson took national media and up to now the courts bystorm.The case brought to light what has been called the right-to-die question. Because she lacked a living will, the courts were left to determine what her finals wishes would have been in a situation like this. Legally speaking, the court in Florida rig that people have the right to refuse medical treatment, and that right extends to them no twithstanding when they are in a vegetative state. This case was complicated because there was no clear consensus on whether Schiavo would have liked to exercise that right. Ultimately, her husband was able to convince the court of this, and his persuasiveness came largely because he was the ambient person to her and was thus in the best position to understand her wishes.The case brought about complicated ethical issues, especially for the medical professionals conductd. Nurses and doctors are under an oath to preserve life whenever possible, but they must also respect the wishes of patients. Because the decision involved removing a feeding tube rather than taking any direct action to harm the patient, medical professionals were able to accompany with court orders without violating their oath.It is also worth noting that this case was complicated by well-disposed and governmental issues. Pro-life groups advocated on behalf of Schiavos family, and President George W. Bush even t ried to intervene. Some argue that these things were designed to make a political point. Implementing an ethical theory Implementing an ethical theory or principle to address an ethical dilemma should involve identifying the type of ethical problem. Doing this lays the groundwork for the flying in the pity response. From here, an ethical theory can be use and methodically followed to conclude with the best caring response. In the case of Terry Schiavo, there were ambiguities of who should make the decisions. With this, a locus of authority was established to this ethical problem and ultimately, the Supreme Court would act as the moral agent. With the escape set, the Supreme Court was now going to be held responsible for the caring response outcome.Furthermore, the Courts would likely have to rely on a record approach to ethical decision making. Purtilo and Doherty(2011) define the narrative approach as information told through stories that, as a result, affect the human experie nce. With the bombardment of coming from the Schiavo case, the Supreme Court must be sure to gather up all the relevant details in order to establish facts, relationships and values. Consequently, this is the inaugural step in many ethical theories as well as Purtilo and Dohertys (2011, p. 103) six steps to ethical decision making. The determination of an ethical decision in deeply rooted in private and societal values. The ethical theory provides the framework, but it is the value-laden details that guide the decision (Aulisio & Arnold, 2008). With this say an accurate prediction with regard to cases such as Terry Schiavo would be the immediate intervention of ethics committees to mitigate lengthy legal processes and preserving a caring response.ConclusionIn this case all of the moral and social valves that were implicated involved nursing ethics. Nurses play an important role in caring for patients that are at the end of life. Nurses must understand the issues that involve as sisted euthanasia because of the legal and ethical implications that are involved. Nurses must have adequate knowledge and understanding of assisted death to prevent themselves from violating their personal and professional ethics.ReferencesAnalysis of Washington Assisted Suicide Initiative I-1000. (2013). Retrieved from office/analysis-washington-state/ Assisted Suicide & Death with Dignity Past, Present & Future sort III. (2013). Retrieved from http// Aulisio, M. & Arnold, M. (2008). Role of the Ethics Committee Helping To Address order Conflicts or Uncertainties. Retrieved fromhttp//, T. L., & Childress, J. F. (2009). Principles of biomedical ethics (6th ed., pp. 38- 39).New York, NY Oxford University Press. Butts, J. B., & Rich, K. L. (2008). Nursing ethics across the plan and into practice(2nd ed., pp. 21-22). Sunbury, MA Jon es and Bartlett. Purtilo, Doherty. (2011). Ethical Dimensions in the Health Professions (5th ed). W.B. Saunders Company. Retrieved from http//, M., Simon-Lorda, P., & Cruz-Piqueras, M. (2012). Euthanasia and physician assisted suicide Knowledge, attitudes and experiences of nurses in Andalusia Spain. Nursing Ethics, 195, 677-691. http// Young, R. (2010). Voluntary Euthanasia. Retrieved from http//

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