Please make a reply to this student post adding something extra of what the student already did. APA references and less than 20 % similarity
Deontological theories and utilitarianism are two opposites. Deontological theories hold that the morality of an action should be determined by whether it is right or wrong under a series of rules rather that basing on the consequences the action causes (Tappen et al., 2004). On the other hand, utilitarianism is a principle of the consequentialism approach that holds that the morality of an action is determined by consequences with actions that maximize happiness and well-being considered morally right.
While disclosing information about poor prognosis to a patient maybe have, the patient is legally entitled. I think it is necessary as the information will help the client make decisions about his/her treatment and potentially end of life care.
The law requires that patients have the right to know the truth about their treatment regardless of whether they are good or bad news. However, requests of nondisclosure from family members is often done when patients have unlimited capacity to make decision (Levine et al., 2017). As such, I think it is irresponsible of the health-care professional to disclose such information if the family requests as it may have negative consequences on the patient treatment especially if they have no sound judgment.
In this case, the nurse illegally acquires prescription drugs by impersonating another worker. This is both an unethical and illegal act requiring a response from both aspects. Therefore, I would first approach the nurse and advise them to avoid such actions as they would lead to legal consequences. Seeing that the nurse took narcotics, there might be a problem of drug abuse. As such, a responsible person should also seek to understand the underlying factors to the challenge. Finally, I would advise the other nurse to change their password to avoid such mistakes in the future.
Removing dressing and saline using a patient’s identification number is wrong. Based on Deontological theories, an action is wrong regardless of the end results if it is against the established set of rules (Tappen et al., 2004). As such, I would stop her and request that she brings her child in the hospital, acquire a number and get the dressing and saline using the standard procedure.
Patients have a right to be told that they are at the end of their lives. Informing the patient that they will die is important as it will help them make decisions on end of life care. However, it is also necessary to choose words proper when disclosing this information. Also, Lee & Sörensen, (2019), recommends that the disclosure about death and making decisions on end of life care should be done in the presence of family members.
A patient has a right to be given information about treatment, I would tell the patients about the medication. Hydromorphone is an opioid given to patients with severe pain when other medications have failed (Walsh et al., 2017). I would also include the fact that as an opioid, the drug is highly addictive and discourage the patient against using it unless when extremely necessary.
Lee, J. E., & Sörensen, S. (2019). FUTURE CARE PLANNING AND END-OF-LIFE CARE DECISION MAKING: INDIVIDUAL AND SOCIAL INFLUENCES.Innovation in Aging,3(Supplement_1), S425-S425.
Levine, D. R., Johnson, L. M., & Baker, J. N. (2017). Navigating nondisclosure requests in pediatrics: Honesty and sensitivity are transcultural practices.JAMA pediatrics,171(11), 1044-1045.
Tappen, R. M., Weiss, S. A., Whitehead, D. K., & Fletcher, M. (2004). Essentials of nursing leadership and management.
Walsh, S. L., Comer, S. D., Lofwall, M. R., Vince, B., Levy-Cooperman, N., Kelsh, D., … & Sheldon, B. (2017). Effect of buprenorphine weekly depot (CAM2038) and hydromorphone blockade in individuals with opioid use disorder: a randomized clinical trial.JAMA psychiatry,74(9), 894-902.
As a medical professor responsible for creating college assignments and providing feedback to medical college students, I would like to add some extra information to the student’s post.
1. Illegal and unethical- While the student correctly identifies that abortion is both illegal and unethical, it is important to note that there are situations where it may be necessary to save the life or health of the mother. In such cases, the decision should be made with the guidance of medical professionals and in accordance with local laws and regulations.
2. Deontological theories and utilitarianism are two different ethical frameworks that have their strengths and weaknesses. It is essential to understand and analyze the implications of decisions made based on each theory before making recommendations.
3. The student’s response to disclosing poor prognosis information to a patient is correct. However, it is important to note that such disclosures should be made in a compassionate and empathetic manner that takes into account the patient’s emotional state and beliefs.
4. The student raises an essential ethical dilemma in regards to disclosing information to a patient when the family members request non-disclosure. It is essential to engage in collaborative decision-making with the family members, the patient, and other healthcare professionals to ensure that the patient receives high-quality care and that their autonomy and dignity are respected.
5. The student rightly identifies that the nurse’s actions of acquiring prescription drugs by impersonating another worker is both unethical and illegal. It is essential to address the underlying factors causing the nurse to improperly seek narcotics and provide appropriate interventions that support education, prevention, and treatment of substance abuse disorders.
6. The student’s response to a nurse who removes dressing and saline using a patient’s identification number is correct. It is important to follow established nursing standards and protocols to prevent errors that could harm patients.
7. The student’s response to informing patients of their end-of-life care is accurate. The family members’ presence and openness in communication help patients cope, reduce anxiety and improve their quality of life.
8. The student’s recommendation regarding informing the patient about the risks and benefits of hydromorphone use is crucial. Educating patients on the need for opioid stewardship and controlled substance diversion prevention measures is essential in reducing the increasing rates of opioid-related deaths and injuries.
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