Ethical nursing

  1. [font=Arial Black]Hi all

    [font=Book Antiqua]I'm currently a nursing student pursuing my degree in nursing.

    I will like some help with doing my project in ethical nursing.

    a case study regarding the issue of elderly and nutrition. If they

    cannot eat, should nurses put a feeding tube in? Below is the given scenario;
    A 65 years old female was admitted to hospital after a fall. She was diagnosed with left CVA stroke. Patient refused to eat and drink and was in a denial stage for her condition. She tried to eat but unable to swallow properly, therfore, lead her to deny all food and drink served a couple of days. Doctor in charged thus ordered a ryles tube insertion for her to replace oral intake.

    Upon insertion, patient refused the procedure, family members were contacted to persuade patients to undrego the procedure but they were not supportive of the idea as they feel that the patient was capable of ingesting orally.

    Despite the family and patient disagreement of ryles tube insertion, the nurse incharge proceeded with the Dr's order.

    This is one case study i can think of. What i have to present is

    1)the evidence of critical analysis( what does it mean?) or can give me some exapmles or structures

    2)discuss ethical principles issues and values central to the case study

    3)application and critcal evluation of nurse's code of ethics to the case

    4) the best ethical resolution of the case


    Please give me some guidelines
    Will appreciate very much for all the kindness of the nurses here.


    Last edit by babyjoyce78 on Feb 17, '04
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  2. 7 Comments

  3. by   ceecel.dee
    Quote from babyjoyce78
    A 65 years old female was admitted to hospital after a fall. She was diagnosed with left CVA stroke. Patient refused to eat and drink and was in a denial stage for her condition. She tried to eat but unable to swallow properly, therfore, lead her to deny all food and drink served a couple of days. Doctor in charged thus ordered a ryles tube insertion for her to replace oral intake.

    Upon insertion, patient refused the procedure, family members were contacted to persuade patients to undrego the procedure but they were not supportive of the idea as they feel that the patient was capable of ingesting orally.

    Despite the family and patient disagreement of ryles tube insertion, the nurse incharge proceeded with the Dr's order.

    This is one case study i can think of. What i have to present is

    1)the evidence of critical analysis( what does it mean?) or can give me some exapmles or structures

    2)discuss ethical principles issues and values central to the case study

    3)application and critcal evluation of nurse's code of ethics to the case

    4) the best ethical resolution of the case
    Joyce,

    I'm not going to do the assignment for you, but you may want to think about a few things in this situation:

    1. the evidence of critical analysis means what problems can you see in this situation? What must be "critically" thought about? Does she have a living will or advanced directives? Has she had a swallowing evaluation and/or a video swallow? What are the risks of oral feeding with inadequate swallowing ability? (this is just a few)

    2. Think about the controversy here. Like, should the patient be allowed to refuse? Is she in the right state of mind to make a life and death decision? Has she been adequately assessed for depression? Should the family be "persuading" the patient to consent to the tube, and why or why not? Has thorough counselling been done with the family (by Dr. and/or case manager)? (to pick a few)

    3. Should the nurse carry out a physician order that the patient and family do not consent to, and why or why not? (one example)

    4. Only you know your ethical stand on this issue, Joyce.

    Hope it helps you get started.
  4. by   babyjoyce78
    thanks.....

    orelse i'm still stuck
    Any other sugesstion?
    Last edit by babyjoyce78 on Feb 17, '04
  5. by   ceecel.dee
    Quote from babyjoyce78
    thanks.....

    orelse i'm still stuck
    Any other sugesstion?
    Better meet with your instructor.
  6. by   babyjoyce78
    Another help is, my nursing ethics exam is coming.
    Our topics covered are:
    ethical theories & frame work
    rights and principles
    justice and the allocation of healthcare
    ethical issues at the beginning of life -abortion
    ethical issues at the end of life- eunthanasia

    So, anybody sat thru this exam before?
    can give me some sample qns. or past year exam qns from your uni?
  7. by   ifunes
    I want to ask if you find that there is a hierarchy within the ANA Code of Ethics values?
  8. by   seyd
    My opinion regarding this situation is that you should make a conversation with the patient’s family together with the doctor. Discuss all the facts that could happen when a certain procedure is done or not done. Then come up with the result that best helps the patient’s condition. - Michael
  9. by   rn/writer
    So, anybody sat thru this exam before?
    can give me some sample qns. or past year exam qns from your uni?
    I don't know if you're aware of this or not, but most university level exams are considered copyrighted material. To cite specific questions would violate the copyright and be, ironically enough, against the rules and ethically wrong.

    I may have developed an erroneous impression, but it seems like you're not feeling very well prepared for either the case study project or the upcoming exam. I'm wondering what might be behind that.

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