NURS1006 Law And Ethics For Professional Practice


Post  1:

  1.    Abortion can be lawful if performed on order to protect health of a woman from danger, this health can extend to mental health before and after the baby is born.
  2.    Individual autonomy plays a major role over both euthanasia and abortion, trying to impower a person to their own rights (details of time and place deter this).
  3.     By law it is the Nurses role to support the patient despite personal morals and opinions and to first do no harm as the nurse’s priority is the safety and wellbeing of their patient only.

The chapter of abortion and euthanasia appealed to me as I work in aged care where there are many palliative patients. It is seeing these patients go through their own personal turmoil both mentally and physically losing all forms of dignity that leads me to question the ethics of life and their families. I question whether how soon is too soon to prepare an advance care directive? To ensure right of the patient are respected before they are lost in illness and feelings of pain. I also question whether morphine may be considered a form of involuntary euthanasia? As I have experienced doctors hold off morphine treatment for this reason though that person is not going to get any better therefore hastening their death.

My resource to support and amplify the theme of this chapter was originally found after reading about ‘Aktion T4’ which was a notion made by the Nazis in World war two where they gathered all disabled, retarded and mentally ill patients from all asylums and euthanized them involuntarily to them or their families. The article also amplifies feelings of abortions in the case of assisting in pregnancy and avoiding giving birth to more disabled or deformed babies.

The article provides an informative view of two films displaying the ethical problems of the sterilisation of the race in Nazi Germany and the view of abortion of a medically damaged foetus and voluntary euthanasia.

Post 2:

Power can be employed in a nurse-patient relationship by the nurse giving and withholding information – the lack of knowledge of a patient creates a dependency on the nurse.

A nurse’s trustworthiness does not mean simply being friendly – being trustworthy can also result in arguing against a patient’s requests if they are not in the patient’s interests.

Nurses are not obliged to partake in an activity that may result in harm to the patient, but in order to build trust should explain in detail why they can’t and won’t do it.

I would like to reflect on an experience I had in hospital recently for an operation where I had a number of what I would call good nurses, and one great nurse. This one nurse basically told me about everything that was happening, not just with what she was doing (which she also did quite well), but also outside of my room. There was one patient who was extremely irritable and screaming at the nurses all through the night, and this nurse came around to every patient, explained what was happening and apologised for the noise and keeping us awake. When I complained about the pain I was experiencing, she not only listened and empathised but took the time to explain what was happening and why I was feeling it. When she left, she would give a roundabout time of when she would return and she stuck to it.

All of this developed trust that I appreciated as a patient, and while I didn’t necessarily feel bad with the other nurses, I felt better and safer in her care when she was on shift.

I found an interesting article, Trust in nurse-patient relationships: A literature review, that goes further in-depth about the importance and value of trust in the nurse-patient relationship and influencing factors.

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