Ethical concerns Assignment paper

You will explore evidence-based practice guidelines and ethical considerations for specific scenarios.
Scenario 1:
The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines. Ethical concerns Assignment paper
Scenario 2:
A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.
Scenario 3:
A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.
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Scenario 4:
A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.
Scenario 5:
A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.
Scenario 6:
A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.
Scenario 7:
A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.

To prepare:
• Select one scenarios, and reflect on the material presented.
• What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
• Consider how you would respond as a nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
To complete:
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as a practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature. Ethical concerns Assignment paper
The second scenario involves a 49-year-old woman who is in the advanced stages of cancer and has been admitted to the emergency room with cardiac arrest even as her husband and children accompany her. In this case, the ethical dilemma involves what sort of information to offer the family and how much of the woman’s medical condition can be discussed with her family. The issue is that informing the family about the patient’s whole condition could violate her right to privacy as well as the confidentiality concerns about medical information. On the other hand, the family is genuinely concerned about her and would require this information in order to plan their decisions on her care needs. Besides that, the information would also help in alleviating their worry since her admission into the emergency room is an indication that her condition is critical. Whichever option is selected will only satisfy one party while leaving the other party unsatisfied. Given this set of circumstances, the best decision would entail first gaining an understanding of what the family knows about the patient’s condition. This would help in planning what they should be informed as well as anticipating the questions they would ask. The next step would entail resolving the information gap with the best possible information to facilitate the patient’s care without violating the information management rules in place (Ball, 2015; Potter et al., 2018). Should the family require more information, then they would be requested to respect patient confidentiality rules and wait for the patient to provide further clarification or permit medical personnel to provide further clarification. For that matter, the nurse’s focus would be in reassuring the family and calming them down so that they are not distressed about the woman’s condition. Under no circumstance would the nurse discuss the patient’s cancer condition with her family unless they had prior knowledge of this and the patient expressed a willingness to discuss the same with her family (Woods, 2014). In essence, the nurse would seek to allay the fears tabled by the family but in no instance and under no circumstance would the nurse violate patient confidentiality rules.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S. & Stewart, R. W. (2015). Seidel’s Guide to Physical Examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Potter, P., Perry, A., Stockert, P., Hall, A. & Castaldi, P. (2018). Study guide for essentials for nursing practice. St. Louis, MO: Elsevier.

Woods, M. (2014). Beyond moral distress: preserving the ethical integrity of nurses. Nursing Ethics, 21(2), 127-128. Ethical concerns Assignment paper

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