Applying Ethical Principles in Nursing - Case Study Analysis - Medical Science Assignment Help

Assignment Task

Relevant SILOs:
1 Apply the clinical reasoning cycle to plan nursing care across the lifespan and in different contexts
2 Demonstrate academic study and writing skills for transition to university studies including identifying authoritative sources to inform evidence-based scholarly practice in nursing.
3 Outline principles of law and ethics for professional nursing practice

Rationale:
Nurses face many challenging situations in their workplace, and sometimes, this may challenge a person’s ethical boundaries. Understanding these boundaries can be complex, however is imperative. In Australia, the Nursing and Midwifery Board of Australia (NMBA) provides guidelines for practice, and the International Council of Nurses (ICN) provides the code of ethics for nurses. These principles and guidelines are an effective tool to be used in decision making and clinical reasoning.

Case Scenario
Arnold Perera is an 87-year-old male who was admitted to hospital 2 weeks ago due to a syncopal episode. He fell down a flight of stairs and sustained a fractured neck of femur and multiple fractured ribs. He has a past medical history of hypertension, diabetes. In the last 6 months leading to his fall, Arnold has experienced a functional decline. In the last month, he has needed to call on additional support from his daughter, Kim. This was difficult for Arnold as he was a previously very independent person. Kim requested his father start thinking about assigning a power of attorney. In his current hospital admission, Arnold assigned his daughter, Kim, as his medical enduring power of Attorney.
One week into Arnold’s hospital admission, the medical team coincidentally found a stage 4 cancer that had spread to his lungs, bowels, and brain. The medical team first disclosed this information to Kim, Arnold’s daughter. They predicted Arnold would have 3 months to live and recommended palliative care for him.
Kim wished for the medical team to continue doing everything in their power to treat her father. She begged the medical team to not tell her father as it would lead to him living in fear and she was scared this news would send his health spirally downwards further.

Task Details
This assessment requires you to consider the case study above and discuss the situation in relation to the four ethical principles: autonomy, justice, beneficence, and non-maleficence. Students will write an academic essay, discussing three out of the four ethical principles. Students must use the case study provided as a reference point. Students should not write out the scenario as it will be assumed the marker knows the scenario. Students must refer to the ICN code of ethics and the NMBA code of conduct or standards for practice.

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