Ethical and legal issues order 3
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Transcript of Ethical and legal issues order 3
Key Terms
Ethics Bioethics-term given to right vs wrong decisions or
actions as they relate to the scope of the medical fieldMorals
Reflects the way a person interprets respect for other individuals
Values Understanding a patient’s values allows for the nurse
to understand the decisions and actions of the patientRights
A legally recognized entitlement (freedom)
Ethical Dilemma
This is a situation that requires an individual to make a choice between two equally unfavorable alternatives.
How do you make these choices? By utilizing ethical principles, or guidelines to help you
examine the issue and decide on what action (or if an action) should be taken.
Ethical Principles
Autonomy Right to determine your own destiny
Beneficence Duty to promote the good of others
Nonmaleficence Do no harm to others
Justice Fairness, equal treatment regardless of race, sex etc.
Veracity One’s duty to be truthful
Model for Making Decisions vs. Nursing Process
Decision Making Model
Assess situation Identify problem Make a plan Implement plan Evaluate
Nursing Process
Assessment Diagnosis Identify outcome
wanted Planning Implementation Evaluation
Ethical Issues for Psychiatric Nursing
The Right to Refuse Medicine Established in 1992 The patient has the
right to refuse medication “to the extent permitted by law” and to be “informed of the medical consequences of his actions”
Least Restrictive Doctrine Health care providers
must attempt to provide treatment in the manner that least restricts the freedom of clients. Including seclusion Chemical intervention Mechanical Restraints
Legal Issues
ConfidentialityPrivacyPHI (protected health information)Informed Consent- this may be challengedRestraints and SeclusionCommitment IssuesNursing Liability
Malpractice/ Negligence/ Defamation of character/ assault/battery