Country : Australia
Assignment Task:

An Essay on Ethical and Legal issues in nursing
Instructions to Write the Essay
An essay to be written on Ethical and Legal issues in nursing based on the case study given below.  This assessment has a weighting of 40%.
You need to consider:  
The legal and ethical concerns that the situation in the scenario raises.
The possible actions or inactions that could be taken and the implications of those actions.
You do not need to provide the ‘right’ answers, what you will be assessed on is your ability to determine the implications of different actions or inactions from a legal and ethical perspective.

  1. Firstly, think of the possible courses of action (or inaction) that could be taken and then consider, do any ethical theories support (or not) the actions that you discuss? 
  2. Which ethical principles, doctrines or concepts apply to the actions/inactions put forward and if so, how?
  3. Do any of the ethical principles conflicts with each other or with the law?
  4. Which torts or other legal concerns apply to your suggested actions/inactions?
  5. Consider the Code of Conduct, Code of Ethics and RN Standards of Practice (2016), how do they apply to this situation?

Scenario:
Michelle, FORD a Registered nurse working in a public hospital was attending her patient, James Keren admitted with the complaints of pressure injury unstageable. He is scheduled for debridement of his pressure sores on the next day and is fasting from midnight. He has an IV fluid at a rate of 100mls per hour. The patient has past history of spinal cord injury and is paraplegic with a permanent suprapubic catheter. James also has a history of aggression and is on a behavioral contracts.
Around 2 o clock in the morning, James called out and Michelle went to attend his call bell. James complained of discomfort and the Nurse took his vital signs which shows BP of 156/86mm of Hg, HR 102bpm, Temperature of 37.7, RR 24. The nurse asked the patient about his pain score and he denies pain with aggression. The nurse assumed he is having pain and given PRN analgesia. James insisted that he want to talk to the nurse in charge, which Michelle denies thinking he is aggressive. Michelle did not check the catheter for the urine output and when he again called after 15minutes she informed the in-charge that James is aggressive and do not want to provoke him by visiting frequently. Michelle asked another nurse to attend to call bell as he was aggressive to her and told that he has been given PRN analgesia. The nurse noticed his urinary bag was empty. A nurse checked the patient’s fluid balance chart which shows the last entry at 1800hrs. The nurse in charge was informed and the bladder scan was done immediately, and the bladder was full.
The nurse in charge took consent from the patient and the catheter was changed immediately by them as they felt it is blocked. The urine was drained completely, and the vital signs returned to normal limits. In charge also apologized on behalf of Michelle, FORD.
General instructions for the assessment 
The essay word limit is 2000 (plus or minus 10%). All words are calculated towards the word limit except for the cover page, title page, direct quotes, and end-text references. If you write less or more than this, penalties will apply.
The essay must be presented in accordance with this assessment Guidelines. Students can submit their written paper to Turnitin through Canvas at any time during the course but no later than the assessment submission deadline. Keep your Turnitin receipt as evidence of submission.
The essay will be written in an academic essay format with an introduction, body, and conclusion.
Students required to use the APA referencing system and select seven to ten refereed articles that provide the strongest evidence for your topic.
All articles must be ≤ 7 years old.
If the student wishes to apply for an extension, they can apply two days prior to the due date in writing, using the correct IHM form for requesting extensions, stating the grounds for the extension request and any evidence to support the extension (e.g. medical certificate).

 

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  • Uploaded By : Alex Cerry
  • Posted on : May 22nd, 2019
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