EUTHANASIA AND SUICIDE DYSTHANASIA ORTHOTHANASIA
ADMINISTRATION OF DRUGS TO THE DYING
ADVANCE DIRECTIVES END OF LIFE CARE PLAN OR DNR
NURSING ROLES AND RESPONSIBILTIES
ETHICAL DECISION MAKING PROCESS
• Definition- pg 46 + 48 in Du Toit
• Concepts within transcultural nursing care- pg 47 in Du Toit
• Leininger’s transcultural nursing theory- pg 47-48 in Du Toit
• Transcultural nursing assessment model of Giger & Davidhizar (transcultural variations)- pg 49-51 in Du Toit
EUTHANASIA AND SUICIDE DYSTHANASIA ORTHOTHANASIA
ADMINISTRATION OF DRUGS TO THE DYING
ADVANCE DIRECTIVES END OF LIFE CARE PLAN OR DNR
NURSING ROLES AND RESPONSIBILTIES
ETHICAL DECISION MAKING PROCESS
• Definition- pg 46 + 48 in Du Toit
• Concepts within transcultural nursing care- pg 47 in Du Toit
• Leininger’s transcultural nursing theory- pg 47-48 in Du Toit
• Transcultural nursing assessment model of Giger & Davidhizar (transcultural variations)- pg 49-51 in Du Toit
The Filipino registered nurse believes in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost.
1st Post op NCP Should be continuation of Pre op nursing care plan
Purpose of using care plan is to individualize and improve care provided to client
Appendectomy is the surgical removal of the appendix
Pre op preparations for patient under go surgery are patient history, lab investigation, allergies, NPO, I.V. fluids, preoperative medication, teaching, consent, ……..
Post op monitoring include Vital signs, Intake & output, Pain relief, Bowel sounds, Wound healing.
continuous patient health education from admission to discharge
Critical Thinking is a complex process and new topic included for novice nurses. i hope this presentation will enhance and be helpful in understanding critical thinking
The Filipino registered nurse believes in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost.
1st Post op NCP Should be continuation of Pre op nursing care plan
Purpose of using care plan is to individualize and improve care provided to client
Appendectomy is the surgical removal of the appendix
Pre op preparations for patient under go surgery are patient history, lab investigation, allergies, NPO, I.V. fluids, preoperative medication, teaching, consent, ……..
Post op monitoring include Vital signs, Intake & output, Pain relief, Bowel sounds, Wound healing.
continuous patient health education from admission to discharge
Critical Thinking is a complex process and new topic included for novice nurses. i hope this presentation will enhance and be helpful in understanding critical thinking
Ethical Dilemma In the documentary The Invisible.docxhumphrieskalyn
Ethical Dilemma
In the documentary The Invisible Patients, Jessica, a nurse practitioner for home-limited patients, is faced with several ethical dilemmas. For example, Jessica provides care for an elderly couple named Wink and Patty Sherrill. Both Patty and Wink are prescribed narcotics to manage their arthritis pain. During a routine urine drug screen, it is discovered that Patty does not have any trace of her pain medication in her system, yet she is still having her narcotic prescription refilled regularly. This obviously raises concerns for medication diversion. Patty is presumably giving her narcotics to her husband or selling her narcotics, which is a clear violation of her pain contract. She is banned from her primary care MD’s practice, which causes her great difficulty in finding another healthcare provider. Jessica feels that it is her responsibility to provide care for this couple.
This scenario raises the ethical dilemma of beneficence versus nonmaleficence. The principle of beneficence is “the duty to do good and prevent or remove harm" (Hamric, Hanson, Tracy, O'Grady, 2014, p. 337). Prescribing narcotics to those experiencing chronic pain and disability is a necessary and beneficent act of healthcare providers. The principle of nonmaleficence is “the duty not to inflict harm or evil” (Hamric et al., 2014, p.337). Prescribing narcotics to a patient who is suspected of narcotics diversion has the potential to cause harm to the person who is taking the narcotics illicitly. Jessica must now decide which principle to follow and which principle to potentially break. Jessica decides that even though Patty is abusing her prescription, she does in fact still need her narcotics and continues to prescribe the pain medicine.
My
Solution
In this scenario, I would not continue to prescribe Patty narcotics. Since she is not taking her pain medications but still seeking refills, she is abusing her prescription and the trust placed in her. If she is diverting her narcotics to her husband and/or selling them on the street, this places Wink and/or the narcotic abuser at risk for health complications such as respiratory depression, constipation, drug dependence, increased tolerance, and narcotic withdrawal in the future. I believe Wink has a legitimate need for pain medications, but he should be honest and open with Jessica about the need to increase his pain medications or try different modalities if his pain is not properly controlled. Regardless of motive, illegally diverting narcotics is a breach in contract and should not be overlooked.
If I were presented with this scenario, I would have talked with Patty and Wink about Patty’s narcotic diversion and sought an alternative solution to continuing to prescribe narcotics. If Patty were in fact giving her narcotics to her husband to help control his pain, I would adjust Wink’s medications and pain management strategy. If they were selling their excess n.
Series of lectures I gave for the PEER (Professionalism and Ethics Education for Residents) Project sponsored and organized by the Saudi Commission for Health Specialties (SCHS).
OUTLINE:
What is an informed consent to treatment?
What is the elf basis to consent?
What makes the consent an ethically valid one?
Types of Consent
When it is needed? When could it be waived?
How to take an informed consent?
What if the patient is not able to give consent?
Documentation of Consent
Special Issues about Consent
Judy Starts to Cross the Autoimmune AbyssDrBonnie360
Content and Visual Design by Tiffany Simms
Bringing the Lonely Voices of Autoimmune Disease back to Stanford Medicine X 2015, DrBonnie360 describes an autoimmune journey through Judy's Story.
Judy finds hope in patient power, new data sharing and collaboration, and turning data into insights.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
The global radiation oncology market size reached US$ 8.1 Billion in 2023. Looking forward, IMARC Group expects the market to reach US$ 14.5 Billion by 2032, exhibiting a growth rate (CAGR) of 6.5% during 2024-2032.
More Info:- https://www.imarcgroup.com/radiation-oncology-market
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
1. 30/03/2022
Prepared By: MARY ELEANOR N. USIS, MSN, RN
University of Perpetual Help System-Molino
COLLEGE OF NURSING 2nd Semester, AY 2021-2022
Virtue Ethics – A moral theory that focuses on
the development of virtuous character.
Virtues – Engrained dispositions as to act by
standards of excellence.
In virtue ethics, character is the key to the
moral life, for it is from a virtuous character
that moral conduct and values naturally arise.
One of the aim of philosophy is to cultivate in gifted
people their potential intellectual and moral qualities
The Nightingale Pledge: promise purity, faith, love,
loyalty, devotion, temperance, and trustworthiness
Good character is cornerstone of good nursing
Nurse will act according to principle.
Steady, unchangeable character internal to one’s
identity
- Virtues: fidelity, honesty, integrity, humility, respect,
compassion, prudence, and courage.
- Vices: pride, greed, cruel, unkind, dishonest, impatient, unjust, untruthful
…..
Gives direction for action
- Presents an account of right action.
1 2
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2. 30/03/2022
Fidelity
Is faithfulness.
In the relationship of trust every patient
must know that his healthcare provider
will keep his promises and keep the
patient’s best interest first in his mind.
Honesty
Is truthfulness.
It is telling the patient, the family,
colleagues, and society the truth about an
illness, its nature, prognosis, effectivity of
care, and research findings.
Integrity
Is wholeness.
It is acting in the same way one says he
should act and believes he should act.
A nurse who tells his patient smoking is
bad should himself not smoke.
Humility
Is recognizing one’s capabilities and
limitations.
It is doing one’s best and asking for help
as needed.
It is acting deserved praise graciously and
denying undeserved praise.
5 6
7 8
3. 30/03/2022
Respect
Means paying attention to others.
It is listening attentively to a patient’s
complaints, or a colleague’s opinion.
Compassion
Is loving kindness, a feeling for those who
suffer.
It is self sacrifice voluntarily given for the
benefit of another, or given with no hope of
return, gain, recognition, or payment but
given because other’s needs are greater.
Prudence
Is foresight: a habitual deliberateness,
caution and circumspection in action.
It is “to look before you leap” or to consider
how different options may affect other
before making a decision.
Courage
Is doing what one sees as right without
undue fear, or standing against what one
sees as wrong even if it means standing up
alone.
9 10
11 12
4. 30/03/2022
Angelica goes to the clinic for BP monitoring.
Nurse Reignhart knows that his BP app has not
been working properly; yet he continues to use it.
Doña Mary Larae is a 72-year-old
demanding, irritable, partially disabled, arthritic
patient who is also quite stingy. She needs the
services of a nurse. There are 3 nurses on duty.
All claim to be busy and no one among them
want to take care of her.
Joshua has a urethral secretion which
reveals gonorrhoea (a sexually transmitted
disease). Jan Neriz, the medical technologist who
did the test is a good friend of Jessa, Joshua’s
wife. Jessa asks Jan Neriz for the result of the
test.
13 14
15 16
5. 30/03/2022
Juilliana goes to the drugstore to buy a
prescribed drug. As a nurse, you know that a
similar generic drug is available at a lower cost.
Mrs. Arriola brings her daughter to see Dr.
Yoshihiro. Not satisfied with Dr. Yoshihiro’s
treatment, she complains to Dr. Peria.
A patient in the ward has acute renal failure.
Rajini, the nurse on duty noticed that he is being
ordered to be given a
aminoglycoside that will
toxic dose of an
further damage the
patient’s kidneys.
Leni has a bad cold. She goes to Dr. Marcos
and asks for an antibiotic. Dr. Marcos knows
that antibiotics are useless and might even be
harmful for a cold. Still, he prescribes one to
please Leni and charge a high fee.
What vice/s are involved in this case?
17 18
19 20
6. 30/03/2022
Nurse Ace insists on using shortcuts when
performing nursing procedures. Errors often
results from these.
What vice/s are involved in this case?
Don Bienvenido goes to the laboratory for a
blood sugar determination. Nurse Shamira,
employed on a commission basis, suggests a
complete blood examination: BUN, triglycerides,
etc..
What vice/s are involved in this case?
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