The ethical principles of beneficence and non-maleficence derive from the paternalistic type of doctor-patient relationship that only started to … The paper will also provide a compare and contrast of the application of these ethical principles in the given situation followed by the best possible solution. It can be referred as actions which mainly focus on benefiting other people [6]. Respiratory therapy services aim to provide appropriate support during the dying process. Nevertheless, in any such situation, pros and cons and risks and benefits should be weighed against to get to the get best possible solution which would be in favor of the patient. Conn, Gillam and Conway (2005) mentions about different forms of justice such as distributive justice and the rights based justice. Such a situation may continue for a longer period of time and may override the ethical principle of autonomy. The principles of non-maleficence and beneficence in relation to duty of care are also inextricably linked to the principle of justice, that is, that a fair, unbiased and appropriate treatment in light of what is appropriate or owed to a person must be undertaken. The Principle of Beneficence in Applied Ethics. The second thing I would choose to do would make sure that she is complete, competent. The two principles of beneficence and non- maleficence often go simultaneously hand in hand. Applying beneficen… Thus making a judgment as to which ethical principle applies best in the given situation would be difficult. Hazardous duty by health care providers Hazardous duty by health care providers legal issues The ethical concepts of beneficence and nonmaleficence may not generally be thought of as connected with legal theories involving health care. Along with all these factors, Edwards (2011) believes that "all actions by healthcare professionals have a moral dimension to them" (p.108) therefore in any such situation where an ethical decision has to be made, it has to be kept in mind that these situations are not only medical but has a moral dimension to it as well which if not considered, the chances of error or wrong decision may go high. In healthcare industry, justice refers to equitable distribution of resources. As part of the nursing curriculum, nurses are inculcated a habit of truth telling and honesty. Another angle to this situation is the breaking apart of the therapeutic relationship between the nurse and the patient that could occur as a result of withholding the information. In this situation, intentionally or unintentionally, healthcare professionals use paternalistic approach while caring for their patients as they consider that approach as useful for their patient. proceedings maybe brought against individuals and licenses taken away. DNR orders, ethics, and the law will be discussed in the following cases. The principle of autonomy focuses on rights and obligations. Legal Issues The legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and a public expectation that nurses practice at a high professional standard. The Concepts of Beneficence and Benevolence. The framework that guides nursing practice for example the America Nurses Association code of ethics and the patient bill of rights should also be taken into consideration while deciding for the best choice in situations which give rise to an ethical dilemma. Acute humanitarian crises pose complex ethical dilemmas for policy-makers, particularly in settings with inadequate health-care services, which often become dependent on external agencies for urgently needed care.1 These ethical dilemmas are inherent in many spheres of the response activity, including measures to mitigate infectious disease transmission, which often cause outbreaks during humanitarian crises. Nonmaleficence is the obligation “to do no harm” and requires that the health care provider not intentionally harm or injure a client. Perhaps one of the biggest challenges in implementing a futility policy is recognition by physicians and health care institutions that adopting such a policy carries with it the threat of litigation. However, these concepts—the doing of good and avoidance of harm—are incorporated into the duty of a health professional to do no harm and provide reasonable care to the patient. It is equally important to access the family condition and ties. Legal implications – Beneficence If Bashir’s decision for comfort care and DNR stands there maybe a a breach of duty of care. Is Beneficent Action Obligatory or Merely a Moral Ideal? follow on how to test competency of patience, and those should be followed first. Topics: Nursing Jurisprudence, Ethical Considerations, Legal Considerations. Act in the best interest of the patient and advocate for the patient. Five (of many more) issues. The patients have the right to decide for themselves in regard to the treatment plan, provided that they receive complete, accurate and comprehensive information. Firstly, the description of the situation is very brief. The term beneficence actually connotes acts of merciness, charity and kindness which are suggestive of love, humanity, altruism and promotion of good to others (Stanford Encyclopedia of Philosophy, 2008). In the given situation where the nurse is asked to keep away the news of poor prognosis, the decision to do so may be in favor of the patient and the intention of the family members to do so may be to protect the psychological wellbeing of the patient through beneficence. While autonomy is taken in terms of rights and obligations, this takes us to the next two principles; the principles of beneficence and non-maleficence which are considered in terms of the consequences or outcome. Beneficence involves balancing the benefits of treatment against the risks and costs involved, whereas non-maleficence means avoiding the causation of harm. W… ... medical legal aspects, practical administrative aspects, legislative, licensure, and reimbursement issues. Beneficence is defined by the ANA as “actions guided by compassion.” We utilize beneficence daily as we administer pain medication or hold the hand of a grieving family member. Beneficence is the obligation to act in the best interest of the client regardless of the self-interest of the health care provider. Looking at the scenario, the question that arises is whether the harm in not telling the patient about poor prognosis of the disease greater than the harm from telling the patient about the poor prognosis. maleficence, beneficence and justice), rules (fidelity, confidentiality, privacy and veracity) and virtues (compassion, kindness, respect, etc). It also emphasizes compassionate care and advocates for continual striving toward excellence. Relating this with the scenario above, the nurse who is asked by the family not to disclose the news of poor prognosis violates the ethical principle of autonomy by not giving the patient the complete information and therefore a chance to decide for herself the future treatment plans. Treat patients fairly and equitably. Yet the ethical decision making process provides a guide to take a step ahead and apply the best possible principle. This is true even if the choices are not in the best interest of the person (Pozgar, 2016).When an individual of sound mind chooses to neglect their personal health and/or safety, it […] Alicia Ouellette Albany Law School. Beneficence is valuable because it encourages a superior standard of nursing performance. Beneficence is acting for the good and welfare of others and including such attributes as kindness and charity. Another aspect of the situation i.e. It is imperative they have a sound understanding of various ethical, legal and professional issues they will face during their careers. The ethical principle of beneficence requires healthcare professionals to treat their patient in a way that provides maximum benefit to that patient and the principle of non-malificence assures the duty of healthcare staff to avoid causing any harm to the patient (Conn, Gillam, & Conway, 2005). Self-Neglect is complicated because of two ethical issues: Autonomy, and Beneficence. The four principles of healthcare ethics namely (Autonomy, Beneficence, non-maleficence, and justice) presented by (Beauchamp and Childress, 2001) provide us a direction to estimate the significance of the ethical decision in clinical setting. Other than licensure issues, which are discussed later, several issues are noted in the ATA gap analysis. This goes along with the ethical theory of utilitarianism which believes in the actions that provide the greatest good for the greatest number of people. evilness, evil - the quality of being morally wrong in principle or practice; "attempts to explain the origin of evil in the world" The principal of autonomy often comes into conflict with the principle of beneficence. 32 Stasicratous Street In contrast to this statement, the nurse in this situation clearly violates the right of the patient to know about the poor prognosis. In this situation, patient’s rights are being disrespected and disregarded in the presence of laws that guide towards holding back the news of poor prognosis from the patient. The ideology and core values of nursing include trustworthiness and honesty but are not limited to these two. You are given one minute per question. In the health care area, one of the most important obligations of nursing staff is take the positive action to promote health and wellbeing of patients [7]. This would clarify her statement of I wish, to live because it says she only understands basic english and may have gotten mixed, up with the translation. Moreover the competency and threshold of the patient needs to be accessed before comming to a conclusion. Equity is not the same as equality. Course Hero is not sponsored or endorsed by any college or university. In the given situation, this is to be noted that there is a collective decision made by the family for the patient but the patient herself is not the part of this decision. This is supported by Edwards (2011) who believes that "the obligations to respect autonomy include the obligation to be truthful to the patient" (p.107). Ethical and Professional Issues in Addiction Counseling Section One: Definitions, Principles I-III, and Cases ... •Beneficence •Autonomy •Obedience •Conscientious Refusal •Gratitude •Competence ... • Privileged communication is the legal recognition of a private, protected It is important to note that while situations like these require healthcare professionals to critically analyze the risks and benefits associated with the choices that they make, in the process of choosing the best option, the entire situation along with its consequences should be taken into account, well discussed and planned so that the decision made should promote maximum beneficence and minimum or no harm with respect to autonomy. Consequently, while hiding the news the nurse at some point in time in future may provide false reassurance to the patient or give the wrong information so as to fulfill the family’s expectation of avoiding to tell the truth to the patient. Doing good is thought of as doing what is best for … This means that it is the responsibility of the healthcare professionals to protect their patients. If Bashir’s decision for comfort care and DNR stands there maybe a a breach of duty of. Secondly, proper assessment of patient’s own support systems and coping mechanisms need to be assessed before coming to a conclusion. The term non-maleficence means "to do no harm" and is an ethical principle that often opposes beneficence, which involves considering the benefits of a certain treatment and balancing them against any possible side effects that may occur. I would choose to have some individual conversations to question her to see, if she can even make a reasonable decision. However, in doing so, the nurse may lose the trustworthy relationship built with the patient. Beneficence is the obligation of health professionals to act to benefit those who receive care. Nicosia 1065 2. Address: Cyprus Headquarters We will also review barriers to the growth and expansion of telemedicine: known, potential, and future. While on the other hand, the nurse has to respect the decision of the family of withholding the information which is thought to be in favor of the patient as revealing the truth might deteriorate patient’s condition. It means that the nursing staff has to consider which actions will be better for patient. The healthcare providers are obliged to be truthful (veracity) to their patients and to respect the choices that their patients make. In the paper to follow, I will discuss the implications of these four ethical principles in regard to the scenario in which a nurse is asked by the family members to withhold the information about the poor prognosis of the disease from a patient who is diagnosed with an inoperable tumor. In terms of moral ethics, the nurse should speak the truth and convey the news to the patient. One cannot analyze or evaluate all the aspects of the situation with this brief explanation. This preview shows page 2 - 4 out of 5 pages. Nurses must be wary, however, of the downside of this principle, as it can lead to paternalism when executed improperly. Since, the end result would be her death, it could be proven that not properly treating her lead. In healthcare ethics, utilitarianism supports the idea of maximum benefits and minimized costs and risks (Mack, 2004). Ethics regards standards of moral judgement and professional conduct. Nevertheless, the consequences of such a decision to hold the news of poor prognosis could cause a delay in further treatment plan, and later on some paternalistic approach as directed by the family members in terms of care. ii These are professional duties which become legal Conflict between Autonomy and Beneficence. A physician may be sanctioned if he breaches the principles and rules of medical ethics, but he may not necessarily be liable or compelled to uphold the virtues entailed in his line of practice and duty. Beneficence. The nurse’s education, license and nursing standard provide the framework by which nurses are expected to practice. The paper has discussed the application of the ethical principles in the given situation. iThese d… 1. Avoid causing injury or suffering to patients; May conflict with beneficence; Justice. ... an integral part of ethical and legal issues in modern medicine. The NCLEX Exam: Legal and Ethical Considerations includes 65 multiple choice questions in 2 sections. Beneficence and Nonmaleficence. Nursing Jurisprudence, ethical Considerations includes 65 multiple choice questions in 2 sections by delaying a,. Violates the right a person of sound mind to make decisions about medical... 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