To complete the assignment you will need to read the Park XXXXXXXXXXpaper, 'An integrated ethical...

Question

To complete the assignment you will need to read the Park XXXXXXXXXXpaper, 'An integrated ethical decision-making model for nurses' (You will find this paper in the core readings, weeks 4&5). You do not have to apply the whole framework to the following scenario onlyamendedsteps 3, 4 & 5.You are expected tocritically analyse the scenario with support from the relevant peer reviewed literature. The focus of this assignment isethical decision making rather thanclinical.Each sections has an identified word limit.

Scenario

Martin is a 48-year-old man admitted to your ward with a recent history of abdominal pain, significant weight loss and headaches. He lives with his wife Gina and twin 10-year-old girls. Gina is his ‘Enduring Power of Attorney’. Accompanying documentation includes an advanced care directive form. The substitute decision maker is Gina.

Martin has stage 3 lung cancer for which he has received surgery and chemotherapy. The results from his scans and biopsies undertaken during this admission, indicate that Martin has had progression of his disease with metastatic disease in his brain and liver. Martin and his family have been informed that his prognosis is not good, and he may only have 3 months to live. The oncology team have discussed the results with Martin and Gina and are suggesting that he may have a chance of prolonging his survival with another protocol of chemotherapy and immunotherapy through a clinical trial. This will not be curative, but it may prolong his life. Martin is adamant that he does not want further life extending treatment but would rather focus on his quality of life and spend his remaining time with his young family. He did not cope well with previous chemotherapy and found this quite distressing, both physically and spiritually. He also found it difficult to manage quality time with his children and he does not want his family to experience this situation in his last months of life. Martin has also stated on his advanced care directive that he does not wish to receive further cancer treatments if the cancer was to progress. Gina is aware of this and supports his decision, although she is devastated. They have spent many hours over the last year discussing what would happen if the cancer progressed. He would prefer to be kept comfortable with a focus on his quality of life. Martin is not actively involved with a palliative care team currently. He did receive information about the palliative care service at his initial diagnosis but never met with them.

Martin’s brother, Trevor, is very distressed at this news and wants Martin to have further treatment. He does not agree with the advanced care directive and wants Martin to have further treatment. Martin and Trevor have a close relationship. Trevor believes that Martin can survive this and will not acknowledge that his brother is dying. He is obviously distressed and has been arguing with Gina in the hospital corridor. You are the Team Leader and Trevor has approached you asking if you could convince Martin to have the treatment. He has also asked that you do not allow the palliative care team to meet with Martin.

Please use the Park XXXXXXXXXXframework to determine the best ethical course of action.

Step XXXXXXXXXXwords) Develop alternatives and analyze and compare them

– To analyze and compare alternatives, various aspects need to be considered as follows:

1) Ethical rules (fidelity, veracity, and confidentiality)

2) Ethical principles (autonomy, nonmaleficence, beneficence, justice)

3) Ethical theories (utilitarianism, duty-based, virtue ethics, caring ethics)

4) Professional ethics – codes of ethics, guidelines for practice

5) Legal aspects

6) Institute’s or society’s values, guidelines, or policy

Step XXXXXXXXXXwords) Select the best alternative and justify your decision

– As a result of analysis and comparison, which one has a priority among the alternatives?

– Assuming the chosen alternative was implemented, answer the following questions.

1) Legal test. Is the chosen option consistent with law?

2) Role model test. Is a RN you respect likely to make the same decision?

3) Professional standard test. Is your decision acceptable to the nursing profession?

Step XXXXXXXXXXwords) Conclusion. Develop strategies to successfully implement the chosen alternative and take action.

Bidusha · Accepted Answer

ETHICAL DECISION MAKING
Table of Contents
Step 3	3
Step 4	5
Step 5	6
References	7
Step 3
On account of Martin, veracity is the moral guideline to follow since the medical services suppliers are obliged to be honest (veracity) to their patients and to regard the decisions that their patients make. Coming clean or not intestinally beguiling or deluding the patient. On this occasion not coming clean with a patient with regards to his decisions can excuse his confidence and unwavering quality. As indicated by the healthcare consent act (1996). Agree to treatment, and evaluating the ability to agree to treatment, should identify with a particular treatment or plan of treatment (Park, 2012). Medical services professionals have no position to settle on therapy choices for customers, besides in a crisis when no approved individual is free to settle on the choices.
Among the moral standards of independence, nonmaleficence, helpfulness, equity, independence fits the situation impeccably. Independence includes the right of self-assurance or decision, autonomy, and opportunity. This is intently attached to educated assent since it necessitates that customers be given clear and adequate data to use sound judgment for themselves. This standard is a significant moral and lawful rule. In this situation, there is a contention between the doctor's decision and the patient's independence (that he needs to revoke his DNR request). As indicated by CNO, Nurse should advocate for customers to secure data before consenting to, or denying, care, treatment (Park, 2012).
Deontological ethics or obligation-based morals is proper in the situation of Martin as it makes a decision about profound quality by inspecting the idea of activities and the desire of specialists as opposed to objectives accomplished. (About, a deontological hypothesis takes a gander at inputs as opposed to results.) One justification for the shift away from outcomes to obligations is that, notwithstanding our earnest attempts, we can't handle what's to come. We are adulated or faulted for activities inside our control, and that incorporates our willingness, not our accomplishing. It is not necessarily the case that Kant couldn't have cared less with regards to the results of our activities we as a whole wish for beneficial things. Deontological morals are most grounded in large numbers of the spaces where utilitarianism is most fragile. In a moral of obligation, the closures can never legitimize the means (Park, 2012). Individual common freedoms are recognized and sacred. We need not think about the fulfillment of hurtful cravings in our ethical thoughts.
In the case of Martin who is suffering from a terminal disease and especially when the doctors have given him an allotted lifespan, the professional model to be best used is the integrated ethical model. This type of model or guideline is used to make a decision with rationales satisfying more ethical principles or professional standards. In the process of solving ethical problems using the model,

To complete the assignment you will need to read the Park XXXXXXXXXXpaper, 'An integrated ethical decision-making model for nurses' (You will find this paper in the core readings, weeks 4&5). You do...

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