Review “An Integrated Ethical-Decision-Making Model for Nurses” from the University Library Readings.<\/p>\n
Apply the ethical decision-making model in the article to access this case study from the Center for Practical Bioethics:\u202fOur Pregnant Daughter Didn’t Want This…<\/p>\n
Review the Questions for Discussion following the case.<\/p>\n
Follow the steps provided in the model, including the following:<\/p>\n
Step 1: Explain the ethical issues, other relevant ethical considerations, and ethical principles relevant to this case study and how they affect the nursing practice.<\/p>\n
Step 2: Collect and analyze additional information\u202frelated to this case study, including researching and explaining any legal considerations.<\/p>\n
Step 3: Develop alternatives (different options) and compare them.<\/p>\n
Step 4: Determine your position and justify it:<\/p>\n
What specific actions should be taken to ensure an appropriate outcome?
\nWhy is your position important, needed, or beneficial for vulnerable populations?
\nAre the\u202flegal and ethical responsibilities in alignment with each other? If they are not in alignment, how does your position deal with that\u202fconflict?
\nStep 5: Find strategies to implement the plan:<\/p>\n
What ethical arguments could you use to persuade someone who disagrees with your position?
\nFormat your homework as an 875- to 1,050-word.<\/p>\n
Cite at least 3 peer-reviewed sources published within the last 5 years.<\/p>\n
Note: At least 1 of the sources should provide evidence for your resolution recommendation or plan of action.<\/p>\n
Include an APA-formatted reference list.
\n—
\nCase Study: Our Pregnant Daughter Didn\u2019t Want This\u2026
\nBy Tarris Rosell, PhD, DMin
\nTwenty-nine year old Janet and her husband Jack were driving home from her ob-gyn appointment when tragedy struck. Another driver, elderly and distracted by an incoming text message, ran a red light and T-boned Janet and Jack\u2019s Mini-Cooper. Both young people sustained severe injuries.
\nJack died enroute to the hospital. Janet survives, having escaped injury except to her head; but that was unfortunately massive. Her physicians now say, a month after the accident, that the prognosis is grim. The best one could hope for\u2014 or perhaps the worst\u2014is continuation for some time in a persistent vegetative state.
\nJust before leaving the doctor\u2019s office, Janet had sent a jubilant text message to her parents. \u201cGuess what?! We\u2019re pregnant!!! \u201d
\nSo Janet was pregnant\u2014and prescient. Unlike most young adults, Janet had thought about mortality in advance of this accident. She is, or was, a nurse. She had gone to continuing education workshops about end of life care and advance care planning. Janet then had completed her own advance directives some months ago, naming Jack as her primary agent and durable power of attorney for healthcare decisions. She named her parents as secondary agents.
\nJanet also had completed, with notarized signature, a healthcare treatment directive. Among her directives was a clear, handwritten statement about life prolongation if she were, somehow, \u201cto end up in anything like PVS, from which I am not apt to recover.\u201d Janet had written that, in such a condition, \u201cI do NOT want my life to be extended by means of medically Helped nutrition and hydration, ventilator, or other life support.\u201d
\nAnd then it happened.
\nWith Jack gone, treatment decisions are left up to Janet\u2019s parents. They both are thoughtful people, healthcare professionals also, who take very seriously their difficult responsibility of acting as surrogates on Janet\u2019s behalf. After consulting her physicians, other family members, and even their priest, a decision is made to stop everything except palliative care. Janet\u2019s parents had received a copy of their daughter\u2019s advance directives, and they have determined that this is what she would have wanted, what in fact she had conveyed with such tragic prescience. Plans are made to transfer Janet to a hospice unit in another part of the hospital. It would take place the following day.
\nThat evening, a resident physician notices in the patient\u2019s chart that Janet is pregnant. Probably about nine weeks, it appears. He wonders if this matters, legally or ethically or religiously, for his patient\u2019s transfer to hospice, especially when Janet is not imminently dying otherwise. The resident does a bit of online research and learns that in the State of Kansas, a woman\u2019s healthcare directives about \u201cwithholding or withdrawal of life-sustaining procedures in a terminal condition\u201d may not legally be in effect while pregnant.
\n\u201cThe declaration of a qualified patient diagnosed as pregnant by the attending physician shall have no effect during the course of the qualified patient\u2019s pregnancy\u201d (KSA 65-28, 103, (4)B). A note in the patient\u2019s medical record the next morning references this statute, with a question about how it potentially impacts the impending transfer to hospice care. When the attending physician reads the note, she calls Janet\u2019s parents and says hesitatingly, \u201cWe have a bit of a problem here. It appears we may need some legal Helpance, perhaps an ethics consultation, and must postpone Janet\u2019s transfer of care.\u201d The doctor explains further what her young resident colleague had discovered and questioned.
\nThe parents had spent a sleepless night anticipating today. It would be the hardest thing they\u2019ve ever done, and yet the right thing in keeping with their daughter\u2019s wishes. Now they can\u2019t believe what they\u2019re hearing.
\nPostpone? Ineffective advance directives? Continued life support? Did the doctor really say that? That there may even need to be surgery for a feeding tube and a tracheostomy while this legal glitch is being discussed and gets clarified?
\nAlmost in unison, Janet\u2019s mother and father protest, \u201cBut, Doctor, our daughter didn\u2019t want this!\u201d<\/p>\n
Questions for discussion
\n1. What should be done now for Janet and her parents, and on what grounds?
\n2. What values underlie the statute making a pregnant woman\u2019s healthcare treatment declarations of \u201cno effect\u201d while pregnant?
\n3. Do you agree or disagree with this statute, and on what grounds?
\n4. What decision would you be making as Janet\u2019s parental surrogate, and why?
\n5. Ought someone to be a surrogate for Janet\u2019s fetus, or not? And why or why not?<\/p>\n","protected":false},"excerpt":{"rendered":"
Review “An Integrated Ethical-Decision-Making Model for Nurses” from the University Library Readings. Apply the ethical decision-making model in the article to access this case study\u2026<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1463,7667,7669,7657,7663,7662,2751,7665,7664,1468,7666,7659,7660,7661,7658,1465],"tags":[687,116,117,121,125,8905,114,8902,8906,118,8908,8,115,62,8903,71,33,36,119,4,124,122,8904,7,77,50,105,123,8907],"class_list":["post-96388","post","type-post","status-publish","format-standard","hentry","category-best-nursing-paper-writing-service","category-buy-bsn-nursing-papers-online","category-buy-dnp-nursing-papers-online","category-healthcare-management-assignment-help-from-experts","category-help-my-assignment","category-ireland-assignment-help","category-online-healthcare-assignment-help","category-online-nursing-essay","category-online-nursing-paper-writers","category-online-nursing-papers","category-online-public-healthcare-assignment-help","category-online-tutors-helps","category-sample-assignment","category-top-essay-writing","category-urgent-assignment-helper","category-write-my-nursing-paper","tag-assignment-help-website","tag-best-essay-writing-service","tag-best-nursing-essay-writing-service","tag-best-nursing-essay-writing-services","tag-biology-essay-writing-service","tag-book-essay-title-generator","tag-healthcare-essay-writing-service","tag-help-me-write-my-essay","tag-help-write-my-essay","tag-medical-assignment-writing-services","tag-medical-essay-assignment-writi","tag-medical-essay-writing-service","tag-medical-essay-writing-service-online","tag-medical-paper-writing-service","tag-need-help-writing-an-essay","tag-nursing-answers","tag-nursing-essay-help","tag-nursing-essay-writing-examples","tag-nursing-essay-writing-services","tag-nursing-paper-writing-services-reviews","tag-nursing-writing-acers","tag-nursing-writing-helps","tag-online-essay-help-chat","tag-online-nursing-essay-writing-service","tag-pay-for-nursing-essay","tag-please-write-my-essay","tag-professional-medical-writing-services","tag-reliable-online-nursing-assignment-help","tag-write-my-essay-for-me"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/96388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=96388"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/96388\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=96388"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=96388"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=96388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}