'Analysis of an Ethical Dilemma Essay\r'

' there ar times when support takes an unforeseen route, and unitary is faced with an obstructor or situation that was not expected. m whatsoever(prenominal) another(prenominal) hatful atomic number 18 diagnosed with terminal diseases, bring on accidents and ar left with severe impairments, and put forward horr end upous complications from checkup restorations. One has the cover, tally to law, to make aesculapian decisions about their aid and treatment options. But should one perk up the cover to end their aliment? Assisted, or voluntary mercy killing, is the direct administration of a lethal agent to end one’s biography at the postulation of the forbearing (Tamayo-Velazquez, Simon-Lorda, & antiophthalmic factor; Cruz-Piqueras, 2012, p. 678). Should a soul project to intolerably suffer for the continuance of their disease or disability, or should they have the right to choose to end their spiritedness?\r\nRelated good Implications and Obligat ions\r\nVoluntary euthanasia naturally sparks the debate between â€Å" morality and legality” (Young, 2010). Ethical implications come with existence faced with if support euthanasia is chastely justified, or if abide bying one’s right to make choices about their feeling, including end of life decisions, supersedes all other aspects of the subject. Nurses are an implicit in(p) parcel in end of life care of patient of ofs, and often times are witness to those expressing the liking to die. Ethical predicaments are currently high regarding end of life care in nurse, and would only leaven more perplex and severe if assist euthanasia became legal worldwide, as treats would not only provide comfort measures, still rather be a dowry of ending life. Currently, assisted euthanasia is legal in three countries; the Netherlands, Belgium, and Luxembourg. Euthanasia is considered eat up in every other arse in the world. (â€Å"Assisted Suicide & adenosine mo nophosphate; stopping point with Dignity,” 2013).\r\nIn the United States, in that location are currently three states, Oregon, Montana, and upper-case letter, where doctor Assisted Suicide, or PAS, is legal. PAS is referred to as the â€Å" finish with Dignity Act â€Å"and permits doctors to prescribe a lethal overdose to a patient who is expected to die within hexad months. This decision is totally dependent upon patient wishes, and physicians are not obligated to asseverate families, only to write the prescription (â€Å" abstract of Assisted Suicide Initiative,” 2013). In any other state, assisted felo-de-se is considered manslaughter and is penal by law. Assisted euthanasia form a hot topic worldwide, and aims to clog laws are constantly challenged. Ethical Theories Ethical decisions are always difficult for the nurse to make in a ambitious situation Confidentiality and privacy are part of good issues but can inflame confusion as to the best counsel lor of an exertion for a nurse to take.\r\nThere is a need for nurses to k right away that patient obligations and laws concerning privacy and confidentiality matters. Healthcare has the HIPAA law that guides patient’s privacy (HIPAA. ORG, 2008) which is essential for nurses to sympathise the pertinent guidelines or rules on confidentiality so as to carry out their practices establish on the law guidelines. The code of goodity states, â€Å"The nurse advocates for, promotes and strives towards safety, health and the patients’ rights (ANA, 2010). (ANA, 2010) stated that Deontology conjecture is helpful for the nurse to judges the moralisticity of an action based on the action’s adherence to rules. Whether an action is ethical depends on the intentions behind the decisions rather than the outcomes that result. kindliness represents compassion on the other hand, winning positive action to help others and desire to do good which is the core commandment of our patient advocacy. (Butts, J. B., & Rich, K. L, 2008). Autonomy hypothesis help nurses respect and honor a patients or clients right to make a course of action and support freelancer decision making.\r\nWhile the right to familiarity is not to hurt or negatively impact an outcome, it often gives the nurse a sense of freedom to choose a moral decision. Voluntary assisted euthanasia may be justified with the liberality theory but ethically harm for the nurse in assisting. Impact of societal valves, morals, and norms The Terry Schiavo case was perhaps the highest indite case to ever address the issue of straining one’s life when that soulfulness suffers a life-altering medical tragedy. With her conserve contend on one side for the right to not prolong her life and duplex parties, including her other family members, fighting for the right to prolong her life, this case took national media and however the courts by storm.\r\nThe case brought to light what has been called the â€Å"right-to-die” question. Because she lacked a living will, the courts were left to determine what her finals wishes would have been in a situation like this. legitimately speaking, the court in Florida found that people have the right to refuse medical treatment, and that right extends to them even when they are in a vegetative state. This case was perplex because there was no clear consensus on whether Schiavo would have liked to exercise that right. Ultimately, her husband was able to convince the court of this, and his forcefulness came largely because he was the closest someone to her and was thus in the best perspective to understand her wishes.\r\nThe case brought about complicated ethical issues, especially for the medical professionals involved. Nurses and doctors are under an oath to preserve life whenever possible, but they must in any case respect the wishes of patients. Because the decision involved removing a feeding tube rather than t aking any direct action to harm the patient, medical professionals were able to comply with court orders without violating their oath.\r\nIt is also worth noting that this case was complicated by social and political issues. Pro-life groups advocated on behalf of Schiavo’s family, and President George W. Bush even tried to intervene. Some argue that these things were knowing to make a political point. Implementing an ethical theory Implementing an ethical theory or principle to address an ethical dilemma should involve identifying the type of ethical problem. Doing this lays the pedestal for the trajectory in the care response. From here, an ethical theory can be apply and methodically followed to conclude with the best caring response. In the case of Terry Schiavo, there were ambiguities of who should make the decisions. With this, a locus of agency was established to this ethical problem and ultimately, the arbitrary motor inn would act as the moral agent. With the trajectory set, the Supreme Court was now going to be held responsible for the caring response outcome.\r\nFurthermore, the Courts would likely have to curse on a communicative get on to ethical decision making. Purtilo and Doherty (2011) define the narrative approach as information told with stories that, as a result, affect the human beings experience. With the barrage of coming from the Schiavo case, the Supreme Court must be sure to reach all the relevant detail in order to establish facts, relationships and values. Consequently, this is the first measure in many ethical theories as well as Purtilo and Doherty’s (2011, p. 103) hexad steps to ethical decision making. The end of an ethical decision in profoundly rooted in personal and societal values. The ethical theory provides the framework, but it is the value-laden details that guide the decision (Aulisio & Arnold, 2008). With this state an accurate prediction with regard to cases much(prenominal) as Terr y Schiavo would be the prompt intervention of ethics committees to mitigate lengthy legal processes and preserving a caring response.\r\n mop up\r\nIn this case all of the moral and social valves that were implicated involved nursing ethics. Nurses play an important role in caring for patients that are at the end of life. Nurses must understand the issues that involve assisted euthanasia because of the legal and ethical implications that are involved. Nurses must have adequate familiarity and understanding of assisted death to counter themselves from violating their personal and professional ethics.\r\nReferences\r\nAnalysis of Washington Assisted Suicide Initiative {I-1000}. (2013). Retrieved from www.patientsrightcouncil.org/ station/analysis-washington-state/ Assisted Suicide & Death with Dignity: Past, Present & emerging †Part III. (2013). Retrieved from http://www.patientsrightcouncil.org/site/rpt2005-part3/ Aulisio, M. & Arnold, M. (2008). single-valued function of the Ethics Committee: Helping To maneuver Value Conflicts or Uncertainties. Retrieved from\r\nhttp://journal.publications.chestnet.org/article.aspx?articleid=1086034\r\nBeauchamp, T. L., & Childress, J. F. (2009). Principles of biomedical ethics (6th ed., pp. 38- 39).New York, NY: Oxford University Press. Butts, J. B., & Rich, K. L. (2008). Nursing ethics across the curriculum and into practice\r\n(2nd ed., pp. 21-22). Sunbury, MA: Jones and Bartlett. Purtilo, Doherty. (2011). Ethical Dimensions in the Health Professions (5th ed). W.B. Saunders Company. Retrieved from http://pageburstls.elsevier.com/books/978-1-4377-0896-7/id/B9781437708967000138_p0300\r\nTamayo-Velazquez, M., Simon-Lorda, P., & Cruz-Piqueras, M. (2012). Euthanasia and physician assisted suicide: Knowledge, attitudes and experiences of nurses in Andalusia {Spain}. Nursing Ethics, 19{5}, 677-691. http://dx.doi.org/10.1177/0969733011436203 Young, R. (2010). Voluntary Euthanasia. Retrieved from http://plato.standford.edu/entries/euthanasia-voluntary/\r\n'