Key TermsEthics Bioethics-term given to right vs wrong decisions or actions as they relate to the scope of the medical fieldMorals Reflects the way a person interprets respect for other individualsValues Understanding a patient’s values allows for the nurse to understand the decisions and actions of the patientRights A legally recognized entitlement (freedom)
Ethical DilemmaThis is a situation that requires an individual to make a choice between two equally unfavorable alternatives.How do you make these choices? By utilizing ethical principles, or guidelines to help you examine the issue and decide on what action (or if an action) should be taken.
Ethical PrinciplesAutonomy Right to determine your own destinyBeneficence Duty to promote the good of othersNonmaleficence Do no harm to othersJustice Fairness, equal treatment regardless of race, sex etc.Veracity One’s duty to be truthful
Model for Making Decisions vs. Nursing ProcessDecision Making Model Nursing Process Assess situation Assessment Identify problem Diagnosis Make a plan Identify outcome wanted Implement plan Planning Evaluate Implementation Evaluation
Ethical Issues for Psychiatric NursingThe Right to Refuse Least Restrictive Medicine Doctrine Established in 1992 Health care providers The patient has the right must attempt to provide to refuse medication “to treatment in the manner the extent permitted by that least restricts the law” and to be “informed freedom of clients. of the medical Including seclusion consequences of his Chemical intervention actions” Mechanical Restraints
Legal IssuesConfidentialityPrivacyPHI (protected health information)Informed Consent- this may be challengedRestraints and SeclusionCommitment IssuesNursing Liability Malpractice/ Negligence/ Defamation of character/ assault/battery
How do I avoid Liability?Respond to the patient, put their welfare firstEducate the patientComply with standard of careSupervise careAdhere to the nursing processDocument!!! DOCUMENTFollow upDevelop a good relationship with client and family