Ethical Dilemma Essay

The expression honest plight presents the formidable role and functions of a nurse and other wellness fright providers as it tries to preserve and uphold the dignity of action until its utter most(prenominal) breath. The authors Cynthia Kellam Stinson, MSN, RNC, CMS Jennie Godkin, MSN, RN and Rutchie Robinson,RN, MSN, alone consider and reputable professionals in their field, have illustrated a real life situation twin with an abridgment that ordain hopefully go by a well-grounded judgment and caution to e realbody working to perfect their roles in the disquiet of unhurrieds most especially those stricken with drain diseases.Ethical Dilemma show partd a issue where an ill-stricken unhurrieds supposed predication was granted, however, the decision to grant was eventually arrange lacking and wanting. The enduring named Mr. Antonio had been a spirited 60-year-old Associate Professor in the symphony Department of a university before he developed a type of Parkinsons disease. The disease advanced and had its toll on the well-being of the patient and brought tremendous advert on his family which eventually led to pursuance the aid of a long-term financial aid facility to ensure that the patient is utterly cared for.During his confinement in the long-term care facility, the patient went through personal b out(p)s of self-importance pity and despondency. All these feelings were manifested in his magnetic inclination and appetite. It was not clear if he intelligibly expressed that he no continuing wants to eat and drink but it was stated in the term that for several propagation he would not swallow the regimen once it entered his mouth and leave alone kind of spit it out. The question if it was a adapted case of VSED or voluntarily stop eating and drink then surfaced.The perplexity if the patient do an informed and capable decision came out and if the family and the health care providers made a well discerned decision when the feel for steps taken were based on the later behavior of the patient was too asked. To further define the case, the authors used germane(predicate) legal and social issues that arose from similar situations in the past. Another enlightening presentation of the article is the practical physiological issues of the Ethical Dilemma 2 patients situation.The authors analysis of the case came into full circle when it accommodate the realizations and resolutions to the practice of nursing care and the innate role of a multidisciplinary group comprised of the family, the healthcare experts such as physicians, nurses, dietitians, psychiatrist, and should be coupled too by lawyers, social workers, and a unearthly advisor to ensure a better health care for patients. This case surely taught important lessons to concerned healthcare practitioners although it took one life as an example.The article says that the patients autonomy essential(prenominal) be respected and healthcare providers must avoid inflicting more harm on the patient in the process of fondness for him, however, additional harm befell the patient in the article when the healthcare providers failed to thoroughly and adequately discuss the benefits and risks of VSED and even the pros and cons of inserting a transdermic endocopie gastrostomy (PEG) tube into the patients leap out and even allowing the patient to be supply with exclusive soda.The American College of Physicians and the American edict of Internal Medicines line Paper provided guidelines for VSED. It clearly stated that VSED was usurp for a terminally ill patient provided the patient was competent to stupefy decisions later a comprehensive psychological judging of the patient to rule out depression, spiritual suffering, and assessment of motives. These conditions were not observed in the case of Mr. Antonio.In the second to the last paragraph of the article, it was summonsed that in the last 21 days of the patient, in that locatio n were instances that he stared at the nurses with pleading eyes. Could this mean a contradiction in terms of how matters in his situation were interpreted? It is possible that there was a point that the patient wanted to stop eating and drinking because of depression, but a good facilitation to sterilise him further understand his situation and pull what can still be done, the patient might just decide to maintain his battle.It is a fact that Parkinsons disease, and any of its type, is a progressive, debilitating illness and all measures of treatment and Ethical Dilemma 3 dealings should have evolved on this human race with complete consideration of how the patient will respond to the situation. Nurses arent just slightly to merely nurse and purely calculate to ailing patients, their skills and most importantly their straw man can help patients bear the di tension of their illnesses.It is right to call them advocates and it may be an overwhelming job but theres so much fu lfillment involved when they swayen to the patients plight, help patients visualize the truth and share that faith and fortitude to face their situations. Nursing as a profession entails many things thus the mention of countless points to consider in carrying out the job. Mastery of each point most especially the ethical theories will make a better nurse and will increase the chances of saving more lives.Insights learned, realizations, and resolutions should be lived. The article made a very good point when it enumerated a list of possible improvements such as fire quality care in the intensive care unit through educational preparation of staff, patient, and family wound up preparation of practitioners, family, and patient flexible staffing readiness of privacy for patient and family maximum communication between family and staff spiritual keep back to the family ongoing evaluation of patient and stress debriefing program for the staff.All of these measures should be impleme nted for a better health care system. It should not wait for other(prenominal) patient to experience the same situation. wellness care providers should be proactive and must always be prepared should another patient will need their expertness and attention.