Lets get ethical!
In this theory, Joe would receive less time with the nurse, as he is not a beneficial person towards society.
What is Utilitarianism
True or False
These are examples of personal preferences
The patient wants care as he continuously returns to the hospital
The patient is competent as his actions are intentional (however may be uneducated about the long term effects of his actions)
Patients wishes are unknown and inadequately informed
Care providers likely wish not to take part in Joes care as it can lead to discomfort and moral issues
What is true
Joe is purposely cutting himself and performing certain acts to ensure that his wound becomes infected, therefore requiring him to be hospitalized.
What type of crisis is this?
What is an internal Crisis
What law protects Joe if he was being neglected or not properly cared for in the hospital OR if Joe does not receive adequate time, negligence is more likely to occur
Is this civil or criminal law
What is Civil Law
Before report, you overhear nurses gossiping about their previous experiences with Joe's, myths and other rituals about care were share. The nurse is conducting what kind of assessment
Visible, Audible, or underlying assumptions
What is Visible Assessment
In this theory, Joe will receive equal time, as we have a duty to do good regardless of the end
What is Deontology
True or False
These are examples of Legal factors
We must keep in mind the interests of other patients, security and healthcare
there are extra costs of security, staffing, and hospital bed
we must recognized that stigma, BCCNP, CNA Code of ethics, and procedure and policies may influence our decision
False
These are contextual factors
What is Joe going through in these steps?
Joe is in prison and has to serve time (Stressor)
Joe does not have any strategies that will help him cope with being incarcerated (coping strategies fail)
Joe is purposely self-harming and ensuring that his wound stays infected so that he does not have to stay in prison. (resources are mobilized)
Joe is in the hospital with an infected leg that now may need to be amputated, due to it not responding to treatment. (Absence of crisis resolution)
What are the phases of crisis
What kind of law is in place if Joe is harassing staff or being inappropriate
Is this common law or criminal law
What is Criminal Law
True or False, is this a values assessment
When assessing if Joe will be treated with the same standard of care as the other patients, there is mixed beliefs amongst the nurses regarding Joe's value.
What is Values assessment
The nurses morals go against her helping someone who has harmed children. She is unable to provide his care without violating her morals. She goes home and contemplates her decisions to perform care to Joe.
What 3 moral issues is she facing
What is Moral Violation, Moral Distress, and Moral Residue
True or false
why do we assume Joe has poor coping and engaging in self-harm good quality of life
QoL Prison < QoL Hospital
False - Joe has a poor Quality of Life
These are examples of quality of life and death
Burnout, ethical disengagement, vulnerability, and lack of compassion
these are barriers of empathy or sympathy?
What is Empathy
True or False, these are ALL example of advocacy
Protecting Joe’s right to choose treatment,
providing him with education about his choices and the consequences.
Providing Joe access and information to appropriate resources (ie. support groups)
Equal treatment is not a priority
FALSE
Equal treatment is a priority for advocacy
True or False
Underlying assumptions these are guides to behaviour that are deeply held and not open to challenge when discussing Joes care
Example: Ethics (BCCNP, CNA)
What is TRUE
In order to provide Joe with the care he needs, which 2 resource allocation principles are most important
accountability
equity
societal need
True or False
These are examples of Clinical Issues
The patient has an Infection d/t Self harm
Do we allocate equitable time (or less time)
We can give everyone equitable nursing care (or inadequate) some may suffer vicarious trauma, harassment, or caregiver burnout as a result of treating Joe
However, he would have inadequate care/poor health outcomes and likely return to hospital
There is a possibility that he does not adhere to treatment
and all patients require complex care and therefore should all receive equitable time allocated to their care.
What are Clinical Issues
True or false, before advocating for Joe, nurses do not need to know their own personal values and beliefs
False
Nurses DO need their own personal values and beliefs
There are specific policies and procedures written out that will determine Joe's care (because he is a prisoner)
Is this implicit or explicit workplace culture
What is Explicit workplace culture
Is it acceptable on this unit for employees on the unit to treat prisoners poorly? are nurses disciplined by management for treating these individuals poorly?
Is this implicit or explicit workplace culture
What is implicit Workplace culture
- these rules are NOT formally written