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Assignment: Professional Development Exercises: Read the case study presented at the end of Chapter 8 (Guido, p. 150) Is the patient correct in asserting that he has a right to know the names and...

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Assignment:

Professional Development Exercises:

  • Read the case study presented at the end of Chapter 8 (Guido, p. 150)
    • Is the patient correct in asserting that he has a right to know the names and status of individuals who will be performing this procedure?
    • Does the manner in which the student introduced herself and the two other team members have relevance in this case?
    • Was the informed consent deficient to the degree that there was a lack of informed consent by the patient?
    • How would you decide this case?
  • A patient is admitted to your surgical center for a breast biopsy under local anesthesia. The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications. You give the surgery permit form to the patient for her signature. She readily states that she knows about the procedure and has no additional questions; she signs the form with no hesitation. Her husband, who is visiting with her, says he is worried that something may be said during the procedure to alarm his wife. What do you do at this point? Do you alert the surgeon that informed consent has not been obtained? Do you request that the surgeon revisit the patient and reinstruct her about the surgery? Since the patient has already signed the form, is there anything more you should do?

Now consider the ethical issues that such a scenario raises. Which ethical principles is the husband in this example most portraying? Which ethical principles should guide the nurse in working with this patient and family member?

  • Jimmy Chang, a 20- year- old college student, is admitted to your institution for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because "Jimmy has suffered enough."

You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective. Did you come to the same conclusion using both an ethical and a legal approach?

Answered Same DayMar 01, 2020

Solution

Anju Lata answered on Mar 04 2020
85 Votes
Running head: Professional Development Exercises
Professional Development Exercises
Legal and Ethical Issues in Healthcare: N520 Module Five
INFORMED CONSENT & PATIENT SELF DETERMINATION
Toyin Talabi
Aspen University
A. Case Study Chapter Eight (p.150)
The right of informed consent
The patient is co
ect in asserting that he has a right to know the names and status of individuals performing the procedure. According to ‘Right to consent’ and the patient’s ‘Self determination Act’, every patient has the right to know about the intervention to be performed on his body and the name and qualification of persons who will perform the procedure so that he can make informed and voluntary choice; and may refuse the intervention in case he finds any risk. So, healthcare providers have a duty to get consent from the patient before performing any surgery over his body otherwise the surgeon is committing an assault and he is fully liable for all sorts of damages. In absence of any informed consent, the patient may sue the concerned hospital authorities for un-consented touching or battery (ANA, 2018).
Manner of introduction
The student introduced herself to the patient just immediately before the surgery. She used only her first name without any title and said that she is a registered nurse. The introduction of other two members was also not adequate. She must inform the co
ect full names along with status in a manner understood by the patient, at least 24 hours before the operation so that the patient may inquire further to his satisfaction level and may possibly refuse the intervention if he feels to do so. Here, the patient was not enough given time to think over the names and designations. The information was provided in a partially hidden way (Guido, 2013).
Lack of informed consent by the patient
The informed consent was deficient in many ways. The information given to the patient was incomplete and was provided immediately before the surgery. That time the patient was not in a condition to decide anything because he was just going to face a surgery. The introduction involved no proper reference to designations and also, no surgical procedure was
iefed to the patient. No surgery permit form was signed by the patient or any of his family members. The informed consent should have been given in presence of patients family members. So, that they could discuss the implications...
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