NUR222 : Legal and Ethical Principles - Victoria Case Study - Nursing Assignment Help

Assignment Task :

Goal:  

Health professionals are required to communicate through a wide range of mediums to a  diverse audience. The goal of this task is to apply your knowledge and understanding of  legal and ethical principles in assessing and presenting a case study to an audience. 

Product:  

Oral and Written Piece. A 10-minute audio presentation with a 3-page written summary,  both to be uploaded to Blackboard by participating students. 

Case study for Nursing students 

Victoria is a 67-year-old woman of Polish descent. She moved to Australia approximately 25 years ago  with her family. Her husband died 10 years ago, and she has regular contact with her 4 children who  are now adults raising their families. 

Approximately 3 weeks ago Victoria began to behave in an unusual manner, wandering through her  house at night, refusing to eat and convinced that there were cameras inside the television that were  monitoring her movements. Following a referral from the GP, the community mental health services team assessed her at home and deemed it necessary to admit her for further assessment within an  acute mental health inpatient hospital setting. 

She has been in the ward for approximately 4 days and is receiving care as a voluntary consumer.  During this time she has been isolated, withdrawn and appears frightened of events and interactions  around her. Although she has been generally cooperative with staff, this morning she appears to be  non-compliant with staff requests to take her medication that consists of a small dose of an  antipsychotic and her regular antihypertensive medication. When staff gently request that she take her  tablets she begins to lash out, thrashing and physically hitting the nurses; yelling that they are trying to  hurt her and take her money. 

Due to the risk of Victoria’s behaviour on her physical safety and the safety of others, it is decided that  her legal status should be reviewed under the Mental Health Act and that she should receive  intramuscular sedation. 

Before Victoria is reviewed, a phone order of medication is given to administer a sedative. The team  leader directs that the sedation be given without Victoria’s consent due to the possible risk of her  hurting herself and others. This directive is completed. During this time the process is noisy and  disruptive to the ward and one nurse sustains a laceration to her arm while trying to restrain Victoria.  Other patients are visibly upset by this action and one mentions that it is barbaric and they are going to  report the nursing staff to the NMBA. 

Task 

Your focus should be on the ethical and legal requirements discussed throughout this course.  Pay attention to workplace health and safety, legal and ethical requirements, law  surrounding decision making and consent. Using the legal and ethical decision-making  framework identify and justify the care that will be provided to Victoria. What are your legal and ethical responsibilities and what professional standards and codes need to be  considered?

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Case study for Midwifery students 

Lisa Jones is a 17-year-old primigravida living in Western Queensland. She is an only child  and is 37 weeks pregnant. She lives at home with her mother, Ruth, and her stepfather, John. Lisa and her boyfriend, Sam (18), are still in a relationship but they do not live  together. Sam is still at school and Lisa has been studying during her pregnancy. Lisa has  been receiving antenatal care through the local country hospital. 

Presenting case 

24 hours ago, Lisa complained of feeling unwell and having a headache. She stayed at home  and took some Paracetamol. This morning Ruth brought Lisa a cup of tea and found her  restless and confused. She did not appear to understand what Ruth was saying and was  becoming agitated. Ruth called an ambulance and Lisa was brought into the emergency  department (ED) at the local hospital then transferred to the maternity unit for obstetric  assessment. Sam was called to come into the hospital by Ruth. Initial clinical observations  indicate that Lisa may have developed severe pre-eclampsia. Her blood pressure is 170/105,  she is agitated and has epigastric pain. Bloods have been sent for analysis. Lisa is stating that  she wants to go home and does not want to be in hospital and is becoming aggressive  towards the maternity staff. Sam asks why the midwives cannot provide care at home and  her mother wants her to stay in hospital. 

Task 

Your focus should be on the ethical and legal requirements discussed throughout this  course. Pay attention to workplace health and safety, legal and ethical requirements, law  surrounding decision making and consent. Using the legal and ethical decision-making  framework identify and justify the care that will be provided to Lisa. What are your legal and  ethical responsibilities and what professional standards and codes need to be considered?

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