Ethics
State Regulations and Nursing Standards
There's a clear nursing standard of practice that needs to be upheld in this case which is the act of following federal laws, largely the Patient Self-Determination Act (PSDA). Passed by Congress in 1990, "the law mandates that in healthcare institutions that receive Medicare or Medicaid funding, patients must be informed in writing upon the admission of 1) their right to accept or refuse treatment, (2) their rights under existing state laws regarding advance directives, and (3) any policies the institution has regarding the with-holding or withdrawing of life sustaining treatments (Ulrich, 1999, p.9).
Thus, the implications as a result of the Patient Self-Determination Act are clear: Patients have the autonomy and independence to steer the direction their care takes if any at all. Medical professionals have an ethical, though more importantly a legal responsibility and requirement to obey the wishes of the patient. Mr. E's advanced directive should have been addressed immediately and been honored from the start. Much of the drama and unnecessary speculation of the subject could have been rightfully addressed from the start.
3. Code of Ethics
Self-determination and autonomy apply directly to this case, as elements of the code of ethics that directly connect to this case. Self-determination and autonomy refer to the right of the patient to decide precisely how his map and protocol of care will unfold. An advanced directive authorizes people to state precisely the directions and exactions of the type of medical care they want if their mental and physical health reaches a state where they can't make decisions...
Security Breach Case Scenario 1: Security Breach Hospitals have the opportunity and responsibility to integrate sound policies and procedures in relation to the protection of the confidential client information (Rodwin, 2010). St. John's Hospital in no different to this notion has the organization seeks to enhance the security and confidentiality of the information of its clients. The organization is a role model to other institutions within the geographical area on the essential
Training is part of this process, so that people explicitly understand the ethical culture of the company. Ethical cultures tend to be self-perpetuating because the people within the organization will hold themselves and their co-workers accountable. When you look at a company like Enron, large parts of that company were devoid of ethical standards, so it was much easier for the frauds to occur. Enron also highlights the need
She has two strong motivating reasons to not report the bribery. She could lose her work status in the United States and she would jeopardize her ability to receive her education. She owes herself and her partner a duty of care as well, to place value on her education and her ability to live in Chicago and therefore maintain the relationship. For Valerie, these considerations are powerful, since Waters'
Ethics Review Committee -- Crisis Management Ethics Review Committee Relative Values of Proactive and Reactive Thinking in Determining an Action Plan The first consideration is to limit immediate and future damages to the firm. Two courses of action must be undertaken: Crisis communications and client relationship management. Both action plans will require consultation with the Legal Department and the Compliance Department. Crisis Communications A position of managing the company's reputation and ensuring it survival must
Ethics of Legalizing Marijuana In recent years, there has been a significant amount of debate as to whether or not the possession and usage of marijuana should be legalized. Several issues revolve around this topic, not the least of which are the perceived and actual effects of this particular narcotic in a psychological, physical, economic, and even social sense. Perhaps one of the best methods for determining a prudent choice of
According to this second view, contemporaneous autonomy trumps precedent autonomy because honoring precedent autonomy imposes preferences and values of a different person, the formerly competent self (Buccafumi, p. 14). The role that patient's families, doctors, health aides, pastors, chaplains and administrators, health educators and others play is crucial. Few people have executed an advanced directive, much less appointed a healthcare power of attorney by the time they enter a hospital
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