Solution
Dr. Saloni answered on
Sep 13 2022
1
A Case Study
Contents
Introduction 3
Consent 4
Legal Issues 5
Ethical Issues 6
Professional Issues 8
Conclusion 9
References 10
Introduction
Patients are at the centre of ethical and professional nursing practise. Practising and applying professional nursing principles in the medical setting can assist nurses to develop professional, legal, and ethical issues. In some cases, practising in an ethical setting can be challenging. Nurses need to make ethical decisions that may raise ethical issues. Making ethical decisions can lead to ethical problems and legal actions against nurses. Problem-solving strategies should be employed to address ethical quandaries and issues. Nurses should also be familiar with the code of ethics, legal obligations, ethical principles, and statutes that regulate nursing care (Chen & McNamara, 2020).
When a patient such as Kevin, is experiencing a sudden cardiac a
est, the determination to resuscitate is generally based on the physician's professional assessment of the probability of effectively reviving the cardiopulmonary component of a specific patient versus the likely absurdity of a resuscitative endeavour. However, there are legal, ethical, and sometimes economic consequences to consider. The concern of resuscitation presents fundamental ethical issues concerning beneficence, autonomy, justice, and non-maleficence. The medicolegal facets of CPR cope with concerns including an individual's decision-making skill, decision-making procedures and regulations, and quandaries in withholding or instituting CPR in a completely inept individual (Curtis et al., 2020).
This paper focuses on the case of Kevin Murphy, the notion of consent, and analyses relevant legal, ethical, and professional issues of nurses and healthcare professionals.
Consent
As Kevin already had issued an advance health directive, he has given no consent to continue the care plan in certain stages of life and care therapy. "Informed Consent" implies that an individual has been notified about her or his illness and agrees and understands a process and/or therapy that is being intended for them (Danziger et al., 2020). Advance directives are ve
al guidelines and declarations or paper records provided by a patient, including individual instructions (originally recognised as the living will) as well as durable powers of attorney for medical services. The law gives a person the option of receiving all available therapy to survive as long as feasible, or of refusing any or all therapies. When it is ascertained that an individual has compromised decision-making capacity, the physician is required to adhere to the conditions of the advance directive (Cheng et al., 2019).
If an individual is unable to make an informed decision about the way and scope of medical care provided to their body, they have the option of filling out an Advance Health Directive. Consent should be necessitated to withhold therapy that is in the patient's best interests. (DNR) Do not resuscitate instructions are illustrations of end-of-life best interests assessments. These assessments depict moral decisions that cannot be validated in the absence of patient contribution. Individual medical professionals are not legitimate in overturning such dissidence unless patient input leads to that patient disagreeing with the DNR order (Dignam et al., 2021). This would give unjustified precedence to the principles of the individual medical professional. Thus, patient consent is efficiently required to create a DNR order. When a patient, such as Kevin, objects to a DNR order, a reasonable procedure framework should be activated to resolve the issue (Dignam et al., 2021).
In this case, Kevin had given no consent to continue his medical therapy to deliver cardio-pulmonary resuscitation. It aimed to notify medical personnel that Kevin did not wish to be kept alive if he experienced stopped
eathing or cardiac a
est unexpectedly. A DNR order should be considered if a patient's informed consent for CPR is in confusion, the patient has a severe, i
eversible, or terminal ailment or she or he is completely unconscious or at risk of respiratory or cardiac a
est. The sick people with decisional ability have the power to consent to or refuse a DNR order. A DNR order, on the other hand, does not prevent Kevin from receiving intensive care (Fan et al., 2018).
Legal Issues
There are several legal challenges in the case of Kevin due to his do not resuscitate orders. If the health care professional fails to follow Kevin's DNR orders, they may well be held legally responsible. To avoid this kind of lawsuit, they should ensure that their institution possesses DNR order processing instructions and processes in place. When it relates to legal directives and advance care planning, different states and provinces have different regulations (Mentzelopoulos et al., 2021). Under the...