Wednesday, February 20, 2019

Reflective Journal on Ethical Issues for Case Studies Essay

As nurses, we encounter ethical situations every(prenominal) twenty-four hour period regarding uncomplaining c be. How we overlay these situations promote equality while seeking rationality. After exercise the two case studies presented, I will discuss in my ruminative journal how the ethical issues were presented, the steps taken in the decision-making operate to ethically address the issues, the lenses intaked and how these lenses influenced the decisions made, and as well how these can relate to the workplace. The Baird Decision flummox is a five step process that guides us by means of that decision-making process when making ethical decisions. The steps include, being attentive to what is happening, being intelligent, reasonable, responsible, and reflective.In the first case simulation, Rachel a sixteen year old is adult birth to her first child. The ethical issues presented are that she is a minor, parents are requesting token(prenominal) medications during spoken language, and the situation could gradually worsen at any moment. The decision-making process involves decision making who is highly impacted from the outcomes of the decisions made by the parents and wellness care staff.From there, the use of the Rights/Responsibility lens were use to help make my decisions. Based on these lenses, you must recognize your duties as caregiver. We as nurses must always make out rules and policies. By advocating for the patient, accommodation of parents harming her is not the right choice. The best care assertable must be given to prevent harm to Rachel or the baby. By informing the parents of any risks and benefits regarding Rachels care, this allows them to make informative decisions. During this process, the parents treasures are maintained and the patient receives effective care. By using these lenses, the nurse is also trusted to provide ripe care to the patient and safe delivery for the baby without unnecessary pain.My decision was influence d by these lenses because they help determine the value of the stakeholders and the impact it made. In my workplace, concepts from this situation would help because we encounter patients who are bush league and patients who cook relative with control oer their plan of care, such as a POA, or power of attorney. This would guide us toward the right elbow room for providing safe and competent care, respecting the wishes of the patient, and preventing harm.In the second case simulation, Allen was brought to the ER by his same sex domestic partner, Yves. The ethical issues presented are as follows, Allen has remained unconscious(p) in ICU without a diagnosis for almost a day and Yves has been prevented from visiting him in ICU by the shift supervisor, per policy. Yves has shown minimal produce that they are actual domestic partners. The issue remains how to best check off access for gay partners of Sevas patients on equal footing with reliable couples. The decision-making process involves identifying the basic rights and liberties. These rights are as follows, the right to notice or know what the rules entail, the right to voice or share concerns, and the right to have agreements honored and not change at any given moment.The lenses used in this case are Relationship/Reputation lenses. The relationship lens establishes fairness by using authority properly. The reputation lens sorts through the problem and maintains ones basic liberties. These lenses influenced my decision because I traffic pattern fairness regardless of who you are. The best option to fulfill the requirements of both lenses for me were to apply a note on Allens chart that the policy was not being followed and Yves is getting access to visit Allen. We have to be mensural because there is a thin line that could easily cross over into discrimination which cases regarding same sex couples. We would want to maintain our integrity with the corporation in regards to similar situations but also abide by the natural law concerning release of patient information. The concepts in this simulation relate to the workplace every day.As we take care of our patients, visitors come and go around the clock. many a(prenominal) visitors inquire about the patients status. It is our duty to provide safe care and preserve the patients right to privacy. HIPAA is governed by country laws. It is a privacy regulation that ensures the safety and confidentiality of health information. As I encourage visitation, I also remind visitors of patient privacy regarding their health records. So as we continue taking care of patients, we must handle diversity, represent company values, and practice fairness.ReferencesWhat is HIPAA?. (2012). Retrieved from http//www.dhcs.ca.gov

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