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Copy of Group 6-HA Lec Final Requirement

The document summarizes 3 ethical scenarios nurses may encounter and ways to resolve dilemmas between patient autonomy and beneficence. Scenario 1 involves a patient declining additional treatment after a motorcycle accident. Scenario 2 involves a cancer patient seeking euthanasia against doctor and family wishes. Scenario 3 involves a diabetic patient hesitating to undergo a recommended foot ulcer treatment due to fear of pain. The document advises nurses to ensure informed consent, understand patient perspectives, provide treatment options and education, and support patients and families through the decision-making process.

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JAYNE FELINE GRIBADOR
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© © All Rights Reserved
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47 views

Copy of Group 6-HA Lec Final Requirement

The document summarizes 3 ethical scenarios nurses may encounter and ways to resolve dilemmas between patient autonomy and beneficence. Scenario 1 involves a patient declining additional treatment after a motorcycle accident. Scenario 2 involves a cancer patient seeking euthanasia against doctor and family wishes. Scenario 3 involves a diabetic patient hesitating to undergo a recommended foot ulcer treatment due to fear of pain. The document advises nurses to ensure informed consent, understand patient perspectives, provide treatment options and education, and support patients and families through the decision-making process.

Uploaded by

JAYNE FELINE GRIBADOR
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Health Assessment Lecture

FINAL REQUIREMENT:

GROUP NO. 6

Group Members:

Cunanan, Stephen Josh J.

Fernando, Nashleen Ysabel M.

Goda, Jamella Charmaine C.

Gribador, Jayne Feline J.

Hernandez, Nicole Jasmiel D.

Jalandoni, Mica Alfonzo A.

Lazo, Arrianne Ashley J.

Lubos, Ella Marie C.

Osmil, Shiney Jane E.

Submitted to:

Clinical Instructor: Mary Grace Araullo

Date:

May 2023
Beneficence vs Autonomy

Scenario 1:

A 22-year-old male patient was taken into the emergency room after being injured in a motorcycle

accident. Because the patient was not wearing a helmet, he sustained a neck injury (whiplash, or

stretching and tearing of muscle tissues). He is still alert and responding, having not lost consciousness.

He has provided wound treatment as well as a cervical brace. In order to further determine whether there

is any brain damage, the doctor advised the patient to undergo a CT scan in addition to receiving other

treatments. The patient, however, informed the nurse that he was fine and simply wanted to go home,

declining further care.

Ethical dilemma

A patient has the ability to make choices on whether to accept or reject referrals to specific

experts and home treatment plans. This is in the patient's best interests since it permits the patient to make

decisions about his own care. The ethical dilemma here is that the patient declines additional treatment,

despite the fact that it will improve his condition.

In other circumstances, despite the physician’s good intentions, the patient's right to autonomy

must be weighed against what the healthcare provider considers appropriate. When a patient's wishes

conflict with medical professionals' advice, nurses and other health care personnel should make every

attempt to educate him about the consequences of their actions, but ultimately accept what the person

wants.

Ways Nurses can resolve them:

In such cases, if the patient declines further treatment, the nurse can ask the reasons why he is

opposed to receiving additional medical treatments. The first responsibility of a nurse is to ensure that the
patient understands the benefits and drawbacks of the recommended treatment. The nurse would also

know the reasons behind the refusal, patients may refuse treatments for a number of reasons, such as

financial concerns, fear, misinformation, or personal values and beliefs. Assessing these reasons with the

patient may yield a solution or a new approach. The nurse would also document the actions since this is

essential for clinical communication, nurses should have patients fill out an informed refusal form. The

nurse should inform the patient and the family of the patient about the consequences of his decision in

terms he or they can understand. Also, it is important to give patients the time to change their mind, let the

patient know that they also have the right to continue the discussion later on. If the patient really insists

that he is okay and refuses to take treatments, the nurse should provide a consent signed by the patient and

the guardian/family of the patient.


Scenario 2:

a 54-year-old patient with stage 3 endometrial cancer was admitted to the hospital three months ago. She

has sought euthanasia and mercy killing in an effort to stop her suffering, but the doctor has declared that

she has a good chance of survival, and the patient's family does not want to lose her.

Ethical dilemma

Every patient has the right to decide on their own treatment plan. The ethical dilemma

here is that the patient had sought euthanasia and mercy killing because she wants to end her

suffering. The patient’s family is trying to persuade her not to do it because they do not want to

lose her. Since there is a conflict, the doctor has declared that the patient has a good chance of

survival.

Ways Nurses can resolve them:

Professional healthcare workers can discuss many treatment options with patients. By

doing so, you can alleviate the suffering of the patient and the worries of the family and by

discussing different treatment options, nurses and other healthcare professionals can ensure that

the patient's pain is adequately managed. This may involve working closely with the health care

team to develop pain management strategies, seeking the advice of pain specialists as needed,

and providing emotional support to patients during this difficult time.


Scenario 3:

Mr. S, a 53-year-old patient with diabetes, is admitted to the hospital with a foot ulcer that

requires debridement. In order to stop the ulcer from becoming worse and possibly requiring an

amputation, the nurse assisting the patient advises that the patient undergo debridement.

However, the patient shows hesitation to go through the procedure due to fear of pain.

Ethical Dilemma:

A patient has a right to make their own choices. The ethical dilemma in this scenario is

Mr. S's refusal of the treatment his nurse recommended despite that it will benefit him. Since

informed consent is important ethically, Mr. S has the right to decline the recommended

treatment. However, it is important to ensure that he is fully aware of his decision and the

potential consequences of not undergoing the procedure. If Mr. S's foot ulcer is not treated

immediately, it could worsen and potentially require an amputation, which would be harmful to

his health and quality of life.

Ways Nurses can resolve them:

In this case, the patient who are recently diagnosed with diabetes often go through various

stages of the grieving process. Provide reassurance to the patient and family that these feelings

are normal. Encourage the patient to discuss feelings and fears related to complications of

diabetes. Providing simple and direct information can help clear out any misconceptions about

diabetes that may contribute to their anxiety.

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