Posted: October 5th, 2022

Summative Assessment: Ethics In Practice 875- to 1,050-word.

Assessment “An Built-in Moral-Resolution-Making Mannequin for Nurses” from the College Library Readings.

Apply the moral decision-making mannequin within the article to entry this case research from the Middle for Sensible Bioethics: Our Pregnant Daughter Did not Need This…

Assessment the Questions for Dialogue following the case.

Observe the steps supplied within the mannequin, together with the next:

Step 1: Clarify the moral points, different related moral issues, and moral rules related to this case research and the way they have an effect on the nursing follow.

Step 2: Acquire and analyze further info associated to this case research, together with researching and explaining any authorized issues.

Step three: Develop options (totally different choices) and examine them.

Step four: Decide your place and justify it:

What particular actions must be taken to guarantee an applicable consequence?
Why is your place vital, wanted, or useful for weak populations?
Are the authorized and moral tasks in alignment with one another? If they aren’t in alignment, how does your place cope with that battle?
Step 5: Discover methods to implement the plan:

What moral arguments may you employ to persuade somebody who disagrees along with your place?
Format your homework as an 875- to 1,050-word.

Cite at the very least three peer-reviewed sources revealed inside the final 5 years.

Observe: At the very least 1 of the sources ought to present proof on your decision suggestion or plan of motion.

Embrace an APA-formatted reference record.
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Case Research: Our Pregnant Daughter Didn’t Need This…
By Tarris Rosell, PhD, DMin
Twenty-nine yr previous Janet and her husband Jack had been driving dwelling from her ob-gyn appointment when tragedy struck. One other driver, aged and distracted by an incoming textual content message, ran a crimson mild and T-boned Janet and Jack’s Mini-Cooper. Each younger folks sustained extreme accidents.
Jack died enroute to the hospital. Janet survives, having escaped damage besides to her head; however that was sadly huge. Her physicians now say, a month after the accident, that the prognosis is grim. The perfect one may hope for— or maybe the worst—is continuation for a while in a persistent vegetative state.
Simply earlier than leaving the physician’s workplace, Janet had despatched a jubilant textual content message to her dad and mom. “Guess what?! We’re pregnant!!! ”
So Janet was pregnant—and prescient. In contrast to most younger adults, Janet had thought of mortality prematurely of this accident. She is, or was, a nurse. She had gone to persevering with training workshops about finish of life care and advance care planning. Janet then had accomplished her personal advance directives some months in the past, naming Jack as her main agent and sturdy energy of legal professional for healthcare selections. She named her dad and mom as secondary brokers.
Janet additionally had accomplished, with notarized signature, a healthcare remedy directive. Amongst her directives was a transparent, handwritten assertion about life prolongation if she had been, someway, “to find yourself in something like PVS, from which I’m not apt to recuperate.” Janet had written that, in such a situation, “I do NOT need my life to be prolonged by way of medically Helped vitamin and hydration, ventilator, or different life Help.”
After which it occurred.
With Jack gone, remedy selections are left up to Janet’s dad and mom. They each are considerate folks, healthcare professionals additionally, who take very significantly their tough duty of performing as surrogates on Janet’s behalf. After consulting her physicians, different members of the family, and even their priest, a choice is made to cease every thing besides palliative care. Janet’s dad and mom had obtained a duplicate of their daughter’s advance directives, they usually have decided that that is what she would have needed, what in actual fact she had conveyed with such tragic prescience. Plans are made to switch Janet to a hospice unit in one other a part of the hospital. It could happen the next day.
That night, a resident doctor notices within the affected person’s chart that Janet is pregnant. In all probability about 9 weeks, it seems. He wonders if this issues, legally or ethically or religiously, for his affected person’s switch to hospice, particularly when Janet just isn’t imminently dying in any other case. The resident does a little bit of on-line analysis and learns that within the State of Kansas, a lady’s healthcare directives about “withholding or withdrawal of life-sustaining procedures in a terminal situation” might not legally be in impact whereas pregnant.
“The declaration of a professional affected person recognized as pregnant by the attending doctor shall don’t have any impact in the course of the course of the certified affected person’s being pregnant” (KSA 65-28, 103, (four)B). A word within the affected person’s medical file the subsequent morning references this statute, with a Question Assignment about the way it probably impacts the approaching switch to hospice care. When the attending doctor reads the word, she calls Janet’s dad and mom and says hesitatingly, “Now we have a little bit of an issue right here. It seems we might have some authorized help, maybe an ethics session, and should postpone Janet’s switch of care.” The physician explains additional what her younger resident colleague had found and questioned.
The dad and mom had spent a sleepless night time anticipating immediately. It could be the toughest factor they’ve ever carried out, and but the best factor in step with their daughter’s needs. Now they will’t imagine what they’re listening to.
Postpone? Ineffective advance directives? Continued life Help? Did the physician actually say that? That there might even want to be surgical procedure for a feeding tube and a tracheostomy whereas this authorized glitch is being mentioned and will get clarified?
Virtually in unison, Janet’s mom and father protest, “However, Physician, our daughter didn’t need this!”

Questions for dialogue
1. What must be carried out now for Janet and her dad and mom, and on what grounds?
2. What values underlie the statute making a pregnant lady’s healthcare remedy declarations of “no impact” whereas pregnant?
three. Do you agree or disagree with this statute, and on what grounds?
four. What choice would you be making as Janet’s parental surrogate, and why?
5. Ought somebody to be a surrogate for Janet’s fetus, or not? And why or why not?

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