Nursing Leadership and management DQ 3 student reply Martha Gomez

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Illegal and unethical- Based on both the utilitarianism principle and deontological theories, abortion is unethical as it involves the destruction of life.
Legal but unethical – Healthcare professionals are expected to try all means possible to save a patient’s life.
Legal and ethical
Illegal and unethical – The action amounts to stealing and irresponsible use of one’s capacity

2
Deontological theories and utilitarianism are two opposites. Deontological theories hold that the morality of an action should be determined by whether it is right or wrong under a series of rules rather that basing on the consequences the action causes (Tappen et al., 2004). On the other hand, utilitarianism is a principle of the consequentialism approach that holds that the morality of an action is determined by consequences with actions that maximize happiness and well-being considered morally right.
3
While disclosing information about poor prognosis to a patient maybe have, the patient is legally entitled. I think it is necessary as the information will help the client make decisions about his/her treatment and potentially end of life care.
4
The law requires that patients have the right to know the truth about their treatment regardless of whether they are good or bad news. However, requests of nondisclosure from family members is often done when patients have unlimited capacity to make decision (Levine et al., 2017). As such, I think it is irresponsible of the health-care professional to disclose such information if the family requests as it may have negative consequences on the patient treatment especially if they have no sound judgment.
5
In this case, the nurse illegally acquires prescription drugs by impersonating another worker. This is both an unethical and illegal act requiring a response from both aspects. Therefore, I would first approach the nurse and advise them to avoid such actions as they would lead to legal consequences. Seeing that the nurse took narcotics, there might be a problem of drug abuse. As such, a responsible person should also seek to understand the underlying factors to the challenge. Finally, I would advise the other nurse to change their password to avoid such mistakes in the future.
6
Removing dressing and saline using a patient’s identification number is wrong. Based on Deontological theories, an action is wrong regardless of the end results if it is against the established set of rules (Tappen et al., 2004). As such, I would stop her and request that she brings her child in the hospital, acquire a number and get the dressing and saline using the standard procedure.
7
Patients have a right to be told that they are at the end of their lives. Informing the patient that they will die is important as it will help them make decisions on end of life care. However, it is also necessary to choose words proper when disclosing this information. Also, Lee & Sörensen, (2019), recommends that the disclosure about death and making decisions on end of life care should be done in the presence of family members.
8
A patient has a right to be given information about treatment, I would tell the patients about the medication. Hydromorphone is an opioid given to patients with severe pain when other medications have failed (Walsh et al., 2017). I would also include the fact that as an opioid, the drug is highly addictive and discourage the patient against using it unless when extremely necessary.
References
Lee, J. E., & Sörensen, S. (2019). FUTURE CARE PLANNING AND END-OF-LIFE CARE DECISION MAKING: INDIVIDUAL AND SOCIAL INFLUENCES. Innovation in Aging, 3(Supplement_1), S425-S425.
Levine, D. R., Johnson, L. M., & Baker, J. N. (2017). Navigating nondisclosure requests in pediatrics: Honesty and sensitivity are transcultural practices. JAMA pediatrics, 171(11), 1044-1045.
Tappen, R. M., Weiss, S. A., Whitehead, D. K., & Fletcher, M. (2004). Essentials of nursing leadership and management.
Walsh, S. L., Comer, S. D., Lofwall, M. R., Vince, B., Levy-Cooperman, N., Kelsh, D., … & Sheldon, B. (2017). Effect of buprenorphine weekly depot (CAM2038) and hydromorphone blockade in individuals with opioid use disorder: a randomized clinical trial. JAMA psychiatry, 74(9), 894-902.

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