Please post your thoughts on an ethical and a moral dilemmas in nursing (2).
2. What strategies do you have for resilience/coping? What policy would you change if you were in a position of power?
Example to follow:
1.An ethical dilemma for me is when I come across a medical error, usually an error of omission. A patient with a history of a bioprosthetic valve and a prior stroke was not on aspirin. I review his back chart and 9 months ago, he was admitted for hematuria, and his aspirin was stopped by the urologist and never restarted. I believe that we have failed the beneficence value, do good and no harm, although no harm has come, it is still wrong.
I say kindly but firmly to the patient, “You need to be on aspirin, resume it now and don’t stop it unless your cardiologist, me and your wife all togehter tell you to stop it.”
2.A moral dilemma that gives me moral distress is some fraudulent or illegal behavior on the part of the patient I must ignore, or try to manage ” When asked who prescribes a patient’s suboxone so I can call the provider to manage his perioperative pain needs, he states, ” I get it from my cousin”. Now I have no way to help him transition off for a safe surgery, so I have to force him to seek his own treatment, or confess to his PCP, so I can get some ativan or other therapy to manage his withdrawal.
3.My strategy for resilience is that I view each patient as my family, and I recognize the imperfections in all of us.
4. The one policy I would change is to amend the restraint policy to be able to use airline style seat belts on wheelchairs and specific chairs so that patients could safely sit in the hallway, and not be confined in a room with a sitter due to confusion. this would help my moral distress as I feel they are ‘punished’ or secluded, sometimes not with a therapeutic situation, and I believe they could benefit from more social interaction.
PLACE THIS ORDER OR A SIMILAR ORDER WITH NURSING TERM PAPERS TODAY AND GET AN AMAZING DISCOUNT
