Ethics And Law For Health Professionals - Nursing Assignment Help

Assignment Task

Assignment Case Narrative    
Healthcare is a moral and collective endeavor shaped by legislation and common law that  shape practice. Ethical work in healthcare is broader in scope than care or treatment  decisions. Managerial or political decisions, lifestyle choice, and sharing of risk also raise  ethical issues. When alliances breakdown between patients and healthcare professionals or  among disciplines in the team, divisions can develop and distrust and feelings of betrayal  may have damaging effects far beyond the immediate circle of people involved (Wintrup,  Biggs, Brannelly, Fenwick & Ingham, 201?). Successful healthcare relies on many  negotiations and compromises and the privacy of the conversations between individuals is  protected by law. The impression of ethical practice can be shaped by the ‘out of the  ordinary’, complex and sometimes extreme cases, and these are often shared by the  mainstream and social media.  
The goal of this assessment is to recognise and become attuned to the legal requirements  and moral/ethical aspects of everyday care and to consider your role as a healthcare  student and future healthcare professional. The focus is on the application of legal  principles, moral/ethical theory and ethical healthcare practice. Moral justification is  important in moral decision making. Apply legal principles, ethical principles, moral theory,  virtue ethics, and an ethic of care to frame your answers.  
After you have read the above passage, choose three (3) of the case narratives from the  five (?) below and answer the corresponding questions for the narratives you have  chosen. Each answer should be ?00-?00 (includes intext references) words in length and  the usual guidelines for academic writing and referencing apply. There is a scenario  provided for each question and your task is evaluate and discuss your answer in relation  to the related scenario, relevant legal and ethical concepts.  
The choice of which three narratives is up to you. You can see that the narratives are from  the health receiver perspective and are all focused on ethical and legal practice. These  narratives may apply to a multitude of professional health disciplines including  physiotherapy, nursing, medicine, pharmacy, psychology and counselling, to accommodate your ability to consider the legal and ethical principles related to your own  discipline.  
You are required to submit this assessment via the assignment box on the units Canvas  page. It is encouraged that you submit to the draft submission section first to receive and  URKUND report for text matching. This may take 24-4? hours for a report so it is best to  be well prepared. 
ONE  
A young man living in a remote community receives burns to his lower leg. He is flown by air  ambulance to the city and is treated in the burns unit. Following a period of rehabilitation,  he returns to the community with two pressure garments, the standard allocation per client,  to be worn for scar management. The visiting health team conducted a follow up  assessment four (?) weeks after his return. He had stopped wearing the pressure garments  after two (2) weeks as the elasticity had deteriorated because he does not wear shoes. The  pressure garments are not wearable.  
QUESTION ONE (1): Identify and discuss the ethical issues in this case using the ‘four  principles approach’ that is; acting for the good of individuals and society (beneficence),  refraining from harming others (non-maleficence), being fair (justice), and allowing others  to make decisions and act according to their own wishes (autonomy). Give reasons for  your answers. 
TWO  
Tara, a 1? year old girl approaches a health professional and seeks assurance from the  health professional that her conversation will be kept confidential. The health professional  assures her that unless there are compelling reasons ie. that the public will be at risk of  harm, that the conversation would be confidential. Tara proceeds with her request for the  ‘morning after’ pill as she is concerned that after having unprotected sex with her boyfriend  that she may be pregnant. Tara is not taking regular oral contraceptives. She reveals that  she has tried to discuss her sexual health with the family GP however, the GP was not  supportive of her interest in being sexually active with her boyfriend. Tara shares that her  parents (who access the same health service) are ‘very religious’ and ‘don’t believe in  premarital sex’, hence her seeking reassurance about confidentiality. Tara further states  that her parents would be ‘disgusted’ if they found out she was seeking the morning after  pill and would disown her. Tara has researched social media and online materials and has  determined that there are no negative short (apart from a potential headache) or long term  health consequences for her if she takes the pill. She tells the health professional that ‘one  of her friends has had the morning after pill and she was fine’, and she wants to have it too,  just in case.  
QUESTION TWO (2): It is within the health professional’s scope of practice to supply the  ‘morning after’ pill. What are the legal and ethical principles raised in this case? Are there  multiple perspectives to consider? Give reasons for your answers. 
THREE  
The manager of the midwifery-led Continuity of Care Program (Continuity) at the local  public hospital has capacity for one more woman in the current case load. Continuity  supports women throughout their pregnancy and birth journey with a focus on achieving  normal birth. Each woman in Continuity is supported by one dedicated midwife to provide a  continuity of service and support. Research suggests that continuity midwifery is the  preferable model of care resulting in better outcomes for women and babies when  compared to other models (Sandall, Soltani, Gates, Shennan & Devane, 201?). The manager  has one position in the Continuity of Care Program to offer and three eligible women (all 1?  weeks pregnant) on the waiting list; the other two women will be referred to the public  antenatal program.  
Ashle? is ?? ?ears old and has a ? ?ear old son? her first pregnanc? and birth ?ere  uncomplicated? She currentl? does not ha?e a partner? but her elderl? grandparents are ?er?  supporti?e? She li?es ?ith her grandparents as she does not ha?e stable housing or  emplo?ment? Ashle? is moderatel? o?er?eight? other?ise she is ph?sicall? ?ell? she is a  social smoker and suffers from an?iet? and depression for ?hich she takes regular  medications? Ashle? takes casual hospitalit? shifts ?hen she is able to get her grandparents  to care for her toddler? she also recei?es go?ernment financial support?  
Mirka is ??? she immigrated to Australia ? ?ears ago ?ith her famil?? Mirka is multilingual?  ?ith English being her third language? her English is still de?eloping? She and her partner  Catherine are e?pecting their first bab? after successful artificial insemination using  anon?mous donor sperm? Both e?pectant parents ?ork full time? ?ith Catherine in an  e?ecuti?e role? Catherine plans to be a sta? at home parent ?hile Mirka returns to ?ork after  her maternit? lea?e? Mirka?s famil? are not supporti?e of her ?lifest?le? choice ie? being in a  lesbian relationship? and the? are certainl? not planning to ha?e an? in?ol?ement ?ith the  bab?? the couple ha?e no local famil? support? Mirka has been e?periencing significant  morning sickness? she also has diabetes ?diagnosed at ??rs of age? ?hich requires insulin? but  she is other?ise ?ell?  
Deb is a ?? ?r old Ngunna?al ?oman? Deb had one pregnanc? terminated in her earl? ???s?  and since being married has had multiple miscarriages in the last ? ?ears? this is the first  pregnanc? that has reached the second trimester? Deb has a supporti?e husband? and ? older  step children? Deb is ner?ous about her pregnanc? gi?en her obstetric histor?? but she is  hopeful that this pregnanc? ?ill progress to full term? Deb is follo?ing all of the  recommendations regarding prenatal preparation? supplements? diet restrictions and  prenatal ?oga? Deb is an e?smoker? she has had a knee reconstruction from a sporting injur?  and has a histor? of endometriosis but other?ise is fit and ?ell? Deb ?orks full time in public  administration? her husband is a small business o?ner? 
QUESTION THREE (3): Which one (1) of the women should the manager invite onto the  CMP? Consider your answer with regard to doing the ‘greatest good’ using ethical theory  (not just principles) to craft your response. 
Four  
Two critically ill patients present to hospital, both suffering with COVID – 1?. There is only  one ventilator, and both patients are likely to die if they don’t receive support from the  ventilator. Justin is a 3? year old painter who is single and lives alone, he has a history of  mild asthma and epilepsy for which he takes medication. Justin has been unwell for nearly a  week, his condition is poor, doctors are predicting that he has a less than ?0? chance of  surviving and will need at least 3 weeks on the ventilator. Mara is ?0 and is a part time  primary school teacher, she also cares for her 2 preschool aged grandchildren two days per  week, so that their mother can work. Mara has osteoarthritis and mild depression, she has  been unwell for ? days, but has deteriorated significantly today. Doctors predict that Mara  has a more than ?0? chance of survival and will require up to a week on the ventilator.  
QUESTION FOUR (4): Use ethical/moral reasoning to guide your decision making on who  should receive the ventilator.   
Five  
Harry is a ?? year old man who has been diagnosed 12 months ago with Motor Neurone  Disease. After discussions with his family, neurologist and GP Harry completed a Health  Direction ? months ago which clearly states that if his health deteriorates that he does not  want specific treatments such as physiotherapy, antibiotic therapy and admission to  intensive care that prolongs his life. Over the last couple of days Harry has developed a  chesty cough, rattily breathing indicating a chest infection, this morning his wife finds Harry  is confused and disorientated with a high fever, and he is transferred via ambulance to the  emergency department along with a copy of his Health Directive.  
In the emergency department, Harry cannot communicate effectively due to his current  acute illness. Harry’s wife explains to the health professionals that Harry had in recent times  come to terms with his diagnosis, and that he was looking forward to the upcoming birth of  their first grandchild in approximately ? months time and an interstate family holiday after  that. Harry’s wife expressed that she thought Harry would want to be treated for his severe  chest infection if it was anticipated that the treatment would be effective.  
QUESTION FIVE: In light of Harry’s advanced refusal (within the Health Direction),  analyse the most relevant ethical and legal considerations that the team of health  professionals must assess to determine their next steps.  

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