NURSING ARTS & SCIENCES

NURSING ARTS & SCIENCES

Competency 725.1.8: Introduction to Bioethics – The graduate applies the basic ethical theories in bioethics and engages in basic analysis key bioethics issues surrounding the beginning of life, the end of life, procreative decisions, and informed consent; applies ethical principles to selected bioethical case studies; and recognizes the difference between ethical and bioethical dilemmas and between ethical and legal issues.
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Introduction:

Nurses are confronted with ethical decisions every day, ranging from decisions about routine vaccination to issues of death and dying. It is important, therefore, that nurses know how to analyze a bioethical issue based on nursing ethical values, principles, and facts in order not only to make ethical decisions about their practice, but also to help support patients and families as they struggle with ethical decisions.

You will use the following scenario to complete this task:
Matt, a 20-year-old white male, was brought into the emergency department unconscious with a needle protruding from a vein in his left forearm. It was determined from his lab work that he had been taking opiates, and a heroin overdose was suspected. After Matt was intubated and placed on mechanical ventilation, he was stabilized and transferred to the intensive care unit. Matt’s family was notified, and they rushed to his bedside within a half hour. After speaking with the physician, the family told the healthcare team that they wanted to do everything possible to save their son’s life.
An hour later, Matt’s heart stopped, and after a full code, Matt was stabilized but was still not breathing on his own. Matt’s heart stopped two more times over a span of three hours. Dark blood was becoming visible in the suctioning canister, but Matt remained in a full code status, and the family refused to assign him a “Do Not Resuscitate” (DNR) status after five codes.
Currently, the physician does not want the patient to have any further resuscitation. EEG shows no brain activity. The nurse is torn between supporting the family and following through with the physician’s desires. The nurse manager informs the nurse that she should do as the physician says. The nurse also dislikes caring for drug abuse patients. The patient did not have a DNR order on file. If he had a DNR, there would have been an agency policy to follow it. The hospital also has an ethics committee.
Task:

A. Analyze (suggested length of 1–2 pages) the moral aspects/issues found within the scenario.
1. Provide relevant facts that relate to the aspects/issues.
2. Discuss the ownership of the situation.
3. Discuss how the five essential nursing values might play into the scenario.
B. Analyze (suggested length of 1–2 pages) two bioethical issues in the given scenario in terms of a specific ethical theory of your choice.
1. Discuss the theory.
2. Explain how the chosen theory relates to the given scenario.
3. Discuss an applicable law or agency policy.

C. Discuss (suggested length of 1–2 pages) how alternative actions might affect the patient outcome.
1. Apply the ANA Nursing Code of Ethics to guide these actions.

D. If you use sources, include all in-text citations and references in APA format.
Note: Please save word-processing documents as *.rtf (Rich Text Format) or *.pdf (Portable Document Format) files.

Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points.
Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section

 
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