Thursday, January 30, 2020

Applying Ethical Frameworks in Practice Essay Example for Free

Applying Ethical Frameworks in Practice Essay Patient confidentiality is essential in developing a trusting relationship between a healthcare worker and the patient. Confidentiality means that the patients personal and medical information that is given to a health care provider will not be disclosed to others unless the patient has given permission for the information to be released (Confidentiality, 2014). There are situations where a breach of confidentiality may occur and is acceptable. These situations include information when an individual has been diagnosed with a specific disease, such as Tuberculosis or an injury, such as a gunshot wound. Other situations may be when there is evidence that the patient may cause harm to himself or others. The nursing profession is one that promises to abide by the laws of patient confidentiality. Protecting the patients’ rights is guaranteed by both common law-which is the decisions of the courts, and statute law-which is passed by Parliament (O’Dowd, 2014). This commitment to the patient helps preserve high quality care for that patient, as disclosing important information between the patient and nurse, is essential for the patient to receive the appropriate medical care. Patients put their trust into the nurse, as they expect the nurse to respect their privacy, when that trust is broken, the relationship between the nurse and patient declines. Losing the trust is one of the ethical implications that may occur when a breach of confidentiality occurs. Other ethical implications that can occur are disciplinary action by the employer, disciplinary proceedings under the health professionals regulatory statute, and a fine may be imposed (Patient Confidentiality, n. d. ). Pamela G. Nathanson wrote an article in reference to an episode of NBC’s ER which reveals an ER nurse who faces an ethical dilemma in regards to patient confidentiality. The ER nurse has made a promise to two fourteen year old girls that she will not disclose any medical information to their parents. The girls trust the nurse that she will keep her promise; therefore, they disclose their personal concerns. One of the girls test positive for a serious medical condition, at this point, the ER nurse has reached an ethical dilemma. She needs to make an ethical decision as to whether or not she should disclose the information to the young girls’ parents. In this situation, the ER nurse has made the appropriate decision to have a breach of confidentiality and inform the young girls’ parents of their daughters’ medical condition. In understanding ethical theories and/or ethical principles, this has assisted the ER nurse in making the correct decision. Ethical theories and principles guide individuals in making decisions. When using ethical theories to determine an appropriate decision, the theory must be directed towards a common set of goals, which are ethical principles (Rainbow, 2002). The ER nurses’ goal is to ensure that the young girl receives the appropriate medical treatment for her condition. Ethical principles that can relate to this situation are beneficence, which is to do what is good and least harm, which is to do the least harm to an individual. In looking at ethical theories, using Deontology and Utilitarianism is useful in that Deontology relates to the nurses obligations and duties to disclose the information and Utilitarianism relates to being able to foresee the consequences of actions if the information is not disclosed. A utilitarian looks at what is the greatest benefit for that individual (Rainbow, 2002). When an individual is confronted with an ethical dilemma, using an ethical-decision making model is useful. This type of model assists in breaking down all the facts and individuals’ involved in the dilemma and helps to develop possible alternatives to address the dilemma. It guides ones’ decision making from an objective, cognitive perspective, rather than an emotional perspective (GCU, 2014). In the article discussed, the ER nurse can incorporate an ethical-decision making model to make the most appropriate decision. First is to address who is involved and what the actual dilemma entails and identify the ethical dilemma. Next, she can look at the situation at hand and determine how her own personal values see this issue and determine what alternatives can be used to help resolve the dilemma. Once the alternative actions are decided upon, the ER nurse can look at each one and decide if they conflict with her own personal values. If so, she may need to get another health care provider involved to eliminate any biases. In the article, the nurse is advised by the physician that the girls’ parents need to be informed; therefore, guiding her into making the appropriate decision. The next step is to prioritize the acceptable alternatives from most acceptable to least acceptable. The alternatives in the articles dilemma can be 1). The young girl informing her parents herself. The implication with this alternative is that most likely she will not inform her parents. 2). The nurse informing the parents of their daughters medical condition. The implication here is that the patient will not feel she can trust the nurse; however, by choosing this alternative, the decision is in the best interest of the child and 3). Not disclosing information at all. The implications here is that the minor child will not receive the appropriate care needed which will cause further harm. The significance in using this model is to ensure that the appropriate ethical decision is made. Ethics committees are available as well to assist and guide when ethical dilemmas occur. In regards to the article, an ethical committee can discuss the alternatives and make recommendations, still keeping in line with the patients’ rights. These committees focus on issues of morality, patient autonomy, legislation, and states’ interest. They have a significant influence on decision making and the power to influence a judge or jury (GCU, 2014). Ethical dilemmas will always be in a health care professionals’ daily work. Using ethical theories and principles will guide health care professionals in making the most appropriate ethical decision. Following these theories and principles will ensure that the patient is receiving the best quality care that they deserve. References

Wednesday, January 22, 2020

Huckleberry Finn: A Trip :: essays research papers

A Trip Within’ The Heart Of A Colorless Boy   Ã‚  Ã‚  Ã‚  Ã‚  In Mark Twain’s Adventures of Huckleberry Finn, the main characters take a trip within the heart, not just a trip down the Mississippi River. Throughout the trip down the Mississippi River, Huckleberry Finn’s, a homeless waif, thoughts about racism change from a racist unwanted boy to a true human being with a sense of his own destiny. Throughout the novel, Huck narrates his adventure and thoughts upon racism and inequality between “niggers'; and whites. Huck and “nigger'; Jim, runaway slave, float down the Mississippi River as unequal individuals, but towards the end of the novel Huck distinguishes that even African-Americans are as equal as white human beings.   Ã‚  Ã‚  Ã‚  Ã‚  Huck never respects the “niggers,'; especially Jim since Huck and Tom Sawyer, a romanticized friend, continuously play tricks on Jim so they can feel superior to the “black'; race. Even though Huck escapes society and his abusive father, Pap Finn, he continues to play tricks on Jim, since Jim ran away from slavery. For example, when Jim explains that he ran off Huck disapproves but promises not to turn him in even though “people would call [him] a low-down Abolitionist'; (50). This demonstrates that Huck is a kind trustworthy racist boy; however, Huck’s superstitious character “curled [a rattlesnake] up on the foot of Jim’s blanket'; as a joke, although in the night the rattlesnake’s mate bit Jim (59). In addition, Huck “warn’t going to let Jim find out it was [his] fault'; nor apologize because he did not want to feel low to a “nigger'; (59). This incident demonstrates that Huck still views himself as su perior to Jim because of his skin color. At this point of the novel, Huck is helping Jim escape which makes him feel low down to civilization; however, he continues to trick Jim so he can be better quality. Huck maintains to treat Jim with little respect and even though he suffers for the trick, he never apologizes to Jim.   Ã‚  Ã‚  Ã‚  Ã‚  As they progress down the river, Huck begins to realize the true character of Jim as an equal man with greatness and kindness in his heart. During their ride down the river Huck decides to play another trick on the so-called unintelligent Jim. The final trick Huck plays on Jim while they are in the fog is making Jim believe that everything that has happened in the storm after they broke-off from each other only occurred in Jim’s mind.

Tuesday, January 14, 2020

Once Bitten Twice Shy

Once bitten twice shy is a great, and fairly common saying. It is an idiom that means if somebody is said to be once bitten twice shy, it means that a person who has been hurt, or who has had something happen to them that was life changing in a not so desirable way then they will be far more careful the next time around. I think everyone has experienced situations such as this. Whether it be a deal you made where you ended up getting cheated out of some money, or a time when you got your heart broken by someone you thought would never hurt you.Either way it happens and makes a person leery of trusting others for a long while, if ever again. As a small business owner I have experienced many situations in which I was the target of somebody trying to pull the wool over my eyes, and/or screw me out of some money. At one point in time a few years ago, I had a small crew of people working on a job for me in Rolla Mo. while myself and another crew member were working on a different job in S t. Robert.I trusted the crew members that I left alone without supervision because they were all hard and honest workers, at least I thought they were. I had been leaving this crew on the Rolla job for about two weeks with very little supervision from myself. The only time I really stopped by there was to drop off more material, and take a quick look around at the work they were doing and all was well. That is until I got a call one afternoon from the contractor that I was doing this job for.The call started with me getting an ass chewing like I had never had before, and caught me totally off guard. After some time on the phone with this man I kind of figured out what was going on. It seems one of my crew members that I had been leaving alone on the job for a while was planning to screw me over. They had been sabotaging my job in hopes that they would be able to show the contractor the shoddy work that was going on behind his back so that he would fire me and hopefully hire them to replace me.Well, luckily I had known the contractor for years and after some smooth talking I convinced him that I would finish the job personally and fire the member of my crew that caused these problems. So, the plan backfired for the sneaky crew member. Not only did they not get hired by the contractor, but they lost the steady job they already had. Even though this situation didn’t turn out all that badly for me, it still caused me some friction with the contractor, and caused me to never have the same level of trust in my employees ever again.

Sunday, January 5, 2020

Bird Characteristics - Animals and Wildlife - About.com

Birds are unmatched in their command of the skies. Albatrosses glide long distances over the open sea, hummingbirds hover motionless in mid-air, and eagles swoop down to capture prey with pinpoint accuracy. But not all birds are aerobatic experts. Some species such as kiwis and penguins, lost their ability to fly long ago in favor of lifestyles suited more for land or water. Birds are vertebrates, which means that they are among those animals that possess a backbone. They range in size from the minute Cuban Bee Hummingbird (Calypte helena) to the grand Ostrich (Struthio camelus). Birds are endothermic and on average, maintain body temperatures in the range of 40Â °C-44Â °C (104Â °F-111Â °F), though this varies among species and depends on the activity level of the individual bird. Birds are the only group of animals to possess feathers. Feathers are used in flight but also provide birds with other benefits such as temperature regulation and coloration (for display and camouflage purposes). Feathers are made of a protein called keratin, a protein that is also found in mammalian hair and reptilian scales. The digestive system in birds is simple but efficient (enabling them to pass food through their system quickly to minimize the extra weight of undigested food and the time it takes to extract energy from their food). Food travels through the parts of a birds digestive system in the following order before it is excreted: esophagus - narrow tube that carries food to the crop crop - a sack-like widening of the digestive tract where food can be stored temporarily proventriculus - the first chamber of a birds stomach where food is broken down by digestive enzymes gizzard - the second chamber of a birds stomach where food is ground up by muscular action and small stones or grit (ingested by the birds) intestines - tubes that continue to extract nutrients from food after it has passed through the gizzard Refs: Attenborough, David. 1998. The Life of Birds. London: BBC Books.Sibley, David Allen. 2001. The Sibley Guide to Bird Life Behavior. New York: Alfred A. Knopf.The University of California, Berkely. 2006 (Accessed Online). Museum of Paleontology.