Ethical Case Study

DECIDE framework has been chosen to cover concerns regarding the case study, a discussion about the ethical and legal dilemmas specific to honoring the nurse/patient/family relationship, and a Lana of action to be taken nurse practitioner.

Application of ethical decision-making model details to the situation In utilizing the DECIDE Model the acronym stands for 1 . D = define the problem, 2. E = establish the criteria, 3. C = consider all the alternatives, 4.

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I = identify the best alternative, 5.

D = develop and implement a plan of action, 6. E = evaluate and monitor the solution and feedback when necessary (Quo, 2008). In the case study we have a patient that demands his dialysis be stopped and allowed to die. Advocacy, as defined by Guide (2006), involves the act of nurses ho champion the legal and ethical rights of the patient, assist patients in asserting their rights to autonomy, and strive to protect the health and safety of the patient (p. 9). Beneficence is action that is done for the benefit of others.

Guide (2006) described that beneficence should always be Involved as the preferred method of delivering care and that doing good must be inherent in the action Itself, have the end goal of doing only good, be void of an undesired effects that are associated with attainment of the good effect, and that there must be a favorable balance toward the ascribable effect over undesirable effects (up. 5-6). A person could argue that with dialysis, the overall good effects of preserving this patients’ life outweighed the undesirable effects of potentially allowing premature death.

The right for a person to be involved In the decision-making process and represent their autonomy should be upheld given that Informed consent Is the legal and ethical standard for patients. The decision to withhold dialysis would be supported by the nurses’ obligation to sustain a patient’s autonomous desires.

This Idea Is reflected by Guide (2006) who expressed that autonomy should be maintained even when a health care professional disagrees with treatment Interventions (p. 5).