Case Study Of Ethics And Professional Codes

Case Study Of Ethics And Professional Codes

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Health care ethics guide healthcare professionals in resolving end-of-life issues. Thus, these ethical guidelines prevent dilemmas that might arise in end-of-life care. This paper focuses on ethics and professional codes regarding Tonya’s incident, including the most significant end-of-life issues in healthcare ethics based on this Scenario; the most appropriate action that the hospital should take based on principles of healthcare ethics and moral theory applicable in this case; the connection between the presented view and professional code of ethics; how the presented view aligns with the mission statement and values of the hospital selected hospital, and if accrediting bodies would support the view. Case Study Of Ethics And Professional Codes

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The most Significant End-Of-Life Issues in Health Care Ethics based on this Scenario

The first relevant end-of-life issue in health care ethics relating to Tonya’s case is the quality of life of a person. Provision 2 of the American Nurses Association states that a nurse’s primary commitment is to the patient as an individual, group, family, population, or community. Thus, nurses should focus on promoting the life quality of all patients. Thus, the healthcare providers should focus on improving Tonya’s quality of life by keeping her in the life support machine. Other health care ethics relevant to Tonya’s case are Provision 1 of the American Nurses Association, which hold that nurses should have compassion and respect for an individual’s inherent dignity, unique attributes, and self-worth. Based on these ethical principles, healthcare providers should be compassionate and respect Tonya’s inherent dignity, special characteristics, and self-worth. Hence, healthcare providers should not take Tonya off the ventilators. Doing so would be disrespecting her dignity, self-worth, and unique attributes.

What should the Hospital Do?

Health care ethics and moral theory can guide a hospital’s action. The ethical principle of patient autonomy holds that parents can consent for their children if they are minors with no consenting capacity (Silverman et al., 2019)Case Study Of Ethics And Professional Codes . Consequently, the hospital should consider Tonya’s parents’ decision regarding her end-of-life care. Her parents are against taking Tonya off the ventilator. Therefore, the doctors should let Tonya remain on life support to respect her parents’ decision. Although medical evidence indicates permanent damage to Tonya’s brain, life support should not be removed since it would act against parental autonomy. Additionally, the decision to remove Tonya from the life-support machine can be based on Human Properties Theory. This moral status theory holds that any entity with human properties or characteristics is entitled to moral status (Beckwith & Thornton, 2020). Thus, Tonya has moral status and removing her from the life support machine would disrespect her inherent dignity, unique attributes, and self-worth.

The Connection between the presented View and the Professional Code of Ethics

Nursing’s five codes of ethics include nonmaleficence, beneficence, autonomy, justice, and privacy/confidentiality. Patient autonomy is the most relevant ethical principle regarding this case. This ethical principle holds that patients have the right to make significant decisions regarding their end-of-life care. In this case, the client is a minor (15 years); hence does not have consenting capacity. Silverman et al. (2019) state that the parent’s consent should be considered if the patient is a minor with no ability to consent. Parents give their informed consent upon understanding potential options, benefits, and risks associated with each choice. Therefore, the healthcare providers should consider Tonya’s parents’ wishes in making decisions concerning her end-of-life care. Her parents are against the removal of the ventilators. Thus, the healthcare professionals should consider her parents’ decision and let Tonya remain in the ventilators Case Study Of Ethics And Professional Codes .

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The connection between the View and Hospital’s Mission Statement and Values

The hospital’s mission is to offer quality nursing and health care education to enable the learners to serve all individuals with the greatest love and care. On the contrary, Tonya’s doctors intend to take her off the ventilators, indicating they had failed to show love and care to her. Additionally, the hospital’s vision is to become a leader in nursing, health care practices, and education. The hospital could not achieve this vision due to deficiencies in moral ethics, which is evident in Tonya’s case.

Would Accrediting Bodies support the Choice?

Accrediting organizations such as the Joint commission advocate for providing quality health care services to all patients. Therefore, the organization would advocate for Tonya to remain on the ventilator since she is entitled to quality care irrespective of her state.

            Overall, the doctors should not take the client off the ventilators. Based on provision 2 of the American Nurses Association, a nurse’s primary commitment is to the patient as an individual, group, family, population, or community. Additionally, this view is supported by Provision 1 of the American Nurses Association, which holds that nurses should have compassion and respect for an individual’s inherent dignity, unique attributes, and self-worth.

References

Silverman, R, D., Opel, D, J., & Omer, S, B. (2019). Vaccination over Parental Objection – Should Adolescents Be Allowed to Consent to Receiving Vaccines? N Engl J Med; 381(2):104-106.

Beckwith, F., & Thornton, A. K. (2020, July). Moral status and the architects of principlism. In The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine (Vol. 45, No. 4-5, pp. 504-520)Case Study Of Ethics And Professional Codes . US: Oxford University Press.

How Institutional Conceptual Frameworks Influence Ethical Decision Making

We wrap things up by exploring institutions and groups designed to help ensure that hospital staff at all levels think and act ethically in caring for patients. Accrediting bodies are oversight agencies charged with performing accreditation of hospitals and helping to establish standards for health care delivery. Their aim is to keep the quality of care as high as possible and to make sure the care is delivered ethically. Ethics committees are groups of individuals within hospitals that meet regularly to advise staff on ethically difficult cases and to promote an ethical institutional culture.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 2: Apply sound ethical thinking related to a health care issue.
  • Demonstrate sound ethical thinking in applying ethical principles and moral theories to a specific case.
• Competency 3: Analyze ethical issues associated with patient care from the perspectives of various health care professionals.
  • Explain professional codes of ethics and apply them in to a specific case.
• Competency 4: Explain the conceptual framework that health care leaders use to make ethical decisions.
  • Explain organizational documents like mission and value statements and use them to analyze a case study.
  • Explain the role of accrediting bodies and applies this understanding in analyzing a case study.
• Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
  • Provides validation and support within written communications by including relevant examples and supporting evidence using APA citations.
  • Produce writing with minimal errors in grammar, usage, spelling, and mechanics Case Study Of Ethics And Professional Codes .

Preparation

Complete the Case Study: Tonya Archer media activity, which is linked later in this assessment.

Before you begin creating your submission for this assessment, make sure you have worked through the Tonya Archer case study. This will provide the foundational context for the assessment, for which you will be carrying out independent research by using the Internet to complete the following:

• Identify the professional code of ethics for your professional specialty or a specialty that you are interested in.
• With a local hospital in mind (perhaps one you work for), locate the mission, vision, and values statement of that hospital.

After you identify the professional ethics code and the hospital mission, vision, and values statements relevant to your work and interests, it may be useful to complete the following:

• Identify which item in the ethical code you believe is the most important and explain why.
• Name something in the code you would like to see addressed in more depth. Why?
• Which item in the code do you think would be the most challenging to follow and why?
• Does your code make an explicit distinction between what is legal and what is ethical? That is, is the code clear that, while an action may be legal, it may not be ethical?
• Finally, how well does your professional code of ethics align with the mission and values statement of your hospital? Can you imagine a situation in which following one would make it challenging to follow the other? Case Study Of Ethics And Professional Codes

Instructions

For this assessment you will apply some concepts we have learned in the course, particularly those relating to the basic principles of health care ethics, professional codes of ethics, and values of health care institutions.

Write a paper that answers the following questions as it relates to the Tonya Archer Case Study:

• What are the most relevant end-of-life issues in health care ethics as they relate to this case?
• What should the hospital do? Should doctors simply keep Tonya on life support, as the parents want? Or, since all medical evidence indicates that Tonya’s brain damage is permanent, should life support be removed?

Support your answer with the following considerations in mind:

• Explain which principles of health care ethics and which moral theory are the best philosophical foundations for your view.
• Is your view supported by your professional code of ethics? If so, explain how. If not, explain what your code gets wrong about a case like this.
• Is your view consistent with the mission statement and values of the hospital you identified in your independent research you conducted to prepare to complete this assessment?
• Would an accrediting body, like the Joint Commission, support your choice? Why or why not?

Submission Requirements

Your paper should meet the following requirements: Case Study Of Ethics And Professional Codes

• Written communication:Written communication is free of errors that detract from the overall message.
• APA formatting:Resources and citations are formatted according to current APA style and formatting guidelines.
• Length:2–3 typed, double-spaced pages.
• Font and font size:Times New Roman, 12 point.

Case Study

Tonya Archer is a fifteen year-old who has been admitted to Saint Anthony Medical Center for surgery to repair an ACL injury she suffered while playing softball. Tonya and her family have met with her surgeon and understand that while all surgery carries risks, this is a straightforward procedure that he has performed many times with no complications.

The surgery goes as expected, but as Tonya is being transferred from the recovery room to her hospital room, she went into cardiac arrest. While Tonya received immediate medical attention, it took over seven minutes to restore cardiac function and the loss of blood circulation resulted in brain damage. During the attempt to resuscitate Tonya, she was intubated and placed on a ventilator. The medical staff has determined, though, that the loss of circulation caused brain death.

Tonya’s doctors explain to her family that the damage Tonya sustained is irreversible and that she suffered whole brain death, which means that there is no neurological function, even at the most basic functions such as respiration or cardiac function. They tell the family that the next step is to take Tonya off the ventilator. Tonya’s parents reaction is of steadfast refusal. They tell the doctor that they understand that Tonya has had a serious accident, but they point out that her body is warm, her heart is beating, and that she therefore is not dead Case Study Of Ethics And Professional Codes .

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The doctors, hospital administrator, and the hospital’s medical ethicist tell the family that while the ventilator and other interventions can sustain the body’s functions, the damage done by the cardiac arrest will get worse and there is near certain expectation that Tonya will not recover any brain function. The family is told that there is no reasonable hope of benefit to Tonya by continuing ventilator and other treatment Case Study Of Ethics And Professional Codes