topgradeauthors.com-logo.png

Our Services

Get 15% Discount on your First Order

HELP!! 200 word response wth 2 references Ethical

HELP!! 

200 word response wth 2 references

Ethical Dilemma

       Throughout my healthcare career, I have experienced various healthcare roles, as I transitioned from a certified nursing assistant to a registered nurse over 7 years. During my time as a Neonatal Intensive Care (NICU) technician, I witnessed an ethical dilemma, that remains on my mind even after all these years. The ethical dilemma involved a term infant of 37 weeks, delivered via c-section due to tight nuchal cord around the neck syndrome (tCAN syndrome). This infant sustained hypoxic-ischemic encephalopathy (HIE), which is characterized as impaired cerebral blood flow and oxygen delivery to the brain with resulting primary and secondary energy failure (Allan et. al., 2011). Due to this hypoxic injury, the infant never experienced a first cry, was immediately intubated at the delivery, inserted multiple access lines, and began his month-long journey in the highest level of the NICU. As the medical workup began, the imaging of the brain and EEG gave a poor prognosis.

       The ethical dilemma began when the patient’s mother failed to visit the patient in the NICU. As social workers would discover, the patient’s mother was discharged from the labor and delivery unit home and did not stop by the NICU. Now, weeks began passing and the mother of the patient would only consent verbally over the telephone and did not visit in person. The infant required certain procedural consents to be well understood by the parent, as the procedures had risks, such as infection, paralysis, hemorrhage, disability, and death. The NICU team and social workers utilized local law enforcement to summon the mother to the NICU to finally see her child in person after a months-long stay while being intubated. As the weeks passed, the patient displayed signs of decompensation, as he was on vasopressors to raise blood pressure, maxed out on all antibiotics, on albumin to keep intracellular fluid from seeping, and became a popular one among the NICU nurses. His primary nurses would buy him clothes, bathe him, give him nicknames, watch movies with him, and spend time in his room to keep him company. During an event of decompensation, the medical team aggressively worked to stabilize the patient and suggested a “do not resuscitate” order (DNR), where one would consider his quality of life and palliative measures. Potential conflicts can occur between the parental opinion of what is in the best interests of the child, the healthcare professional’s view of what is in the best interests of the child, the parental authority to make decisions for their children, the child’s future autonomy, and the parent’s view of what is in their own best interests (Eichinger et. al., 2021). The parents refused a DNR and opted to transfer, once stable and with enough weight. Now, those the parents of the minor were absent, it was rumored that the family was able to collect a disability benefit income from the patient, which seemed to be supported as he was transferred to a pediatric/infant assisted living facility with a tracheostomy and feeding tube. Word from another children’s hospital made it back to the NICU and it was said that he experienced a decompensation episode in the assisted living facility and passed after 6 months of life.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Technology for Patient Safety in Saudi Arabia Paper Nursing Assignment Help

You are the manager of a busy hospital unit.  Your unit has been tasked with selecting and implementing upgraded technology on your hospital unit.  As the unit manger, address the following in your selection of technology and implementation plan: Examine the features of the new technology that are important in

WU Detail and Dynamic Complexity Discussion

Are you overwhelmed by complexity? If so, you are not alone. Peter Senge notes that people are now able to “create far more information that anyone can absorb,” and he continues to say that the “scale of complexity is without precedent” (2006, p. 69). This “detail” complexity can make managing

Pediatric Health & Medical Worksheet Nursing Assignment Help

Provider: i. Questions for HPI When did these symptoms begin? Is the child experience exercise intolerance? Any shortness of breath/signs of respiratory distress? History of genetic conditions? ii. Questions for ROS Poor feeding? Any newborn cardiac concerns? Previous cardiac history? Any pain, weakness, coldness to the extremities? Fluid retention? Cough

Health & Medical Capital Budgeting at Cleveland Clinic Nursing Assignment Help

Respond to each of the following prompts or questions: Using the information provided in the Los Reyes Hospital case study from Module Three, what capital expenditures may the selected departments need to budget? Considering the organization you selected, what is a capital expenditure that may be needed that would result

NVCC Service Implementation and Elements of Financial

Instructions: Part 1 1.Read Chapter 10, Capko. -Critique either Dr. Grainger’s or Mid-South Pulmomary Specialists efforts in developing  new services. -What lessons did you learn as related to new service development?   -List three main items which you must address before implementing a new service.  Instructions: Part 2 -The physicians

Healthcare is reimbursed in a variety of ways. The Nursing Assignment Help

Healthcare is reimbursed in a variety of ways. The prospective payment method is one of those ways. This paper will be about the prospective payment method where diagnosis-related groupings (DRGs) forms the basis for payment. Research and explain the origin, purpose, and description of DRGs. Include what payment is based on.

TOPIC: Maternal mental health in pregnancy and child

                                                                TOPIC: Maternal mental health in pregnancy and child behavior.   Find 3 professional journal articles on your topic of

In this Discussion Board, choose one of the topics below for

In this Discussion Board, choose one of the topics below for your original post. Be certain to address each of the questions for that topic. In responses to your peers make certain you participate in both discussions. Topic 1: The Nursing Shortage How would you define the Nursing Shortage? What

HU Health & Medical Clients Discovery of Negative Impacts

A discussion about one of the videos you watched, either for client Eddie, Ms. Clark, or Leann.  You will find a link for the videos within this week’s folder.  After viewing the video, answer the following questions on a new thread: Name the Stage of Change for this client and

NUR 630 FIU Impact on Healthcare Systems and Public Health

Autism Spectrum Disorder, Intellectual Disabilities, or Childhood-Onset Schizophrenia In recent years, there have been reports linking autism to vaccinations. After studying Module 5: Lecture Materials & Resources, address the following in a well-written discussion post: Explain the controversy regarding vaccines as a possible cause of autism spectrum disorder. Does the