Ethics in Nursing Essay Example for Free

morals in Nursing EssayNurses are to provide compassionate, competent, and reticuloendothelial systempectable conduct, and follow the moral principles and guidelines engraft step up by the College of Nurses and the Canadian Nurses Associations code of ethics. The nursing profession is a self-sacrificing one, and nurses take a leak on the Nightingale Pledge, to elevate the standard of their practice and dedicate themselves to those committed in their care (Keatings Smith, 2010, p. 64) However unfavourable working conditions, inadequate patient to nurse ratios, and intensive job-related stress throw out lead to poor performance of daily routines, and adversely patient safe(p)ty (Ozata et al. , 2013). In the situation regarding Mr. Gurt who suffers from Parkinsons disease, it is vital for the nurse to weigh him at the beginning of each month. This is her obligation under her employing institutions standards of care, as well under the autonomy of her practise in which any d eviation from this could result in exposure to liability (Austin 2006, p. 62).In order for the nurse to properly care for Mr. Gurt, assessing his accurate freight is meaty in providing a care plan that will focus on his overall wellness and healing. Because Mr. Gurt is frail, and has stagecoach one pressure ulcers on both heels and his coccyx, it is imperative that he has every opportunity to build up his skin integrity and prevent future disruption of his skin sur verbal expression. Complications that whitethorn arise because of the nurses neglect in helplessness to weigh him, may contri onlye to separate underlying problems. General wellness resides Mr. Gurt would be facing on top of his current co- morbidities would include a decline his general appearance, gastrointestinal, neurologic, integumentary, and musculoskeletal systems (Holloway, 2004, p. 80). By recording a lading of 70kg with a height of 170cm, the nurse calculated Mr. Gurts dead body Mass Index (BMI) at 24.2 which is borderline overweight, when in fact it was 14.5, with 18.5 being the baseline for being penny-pinching (http//www.nhlbi.nih.gov/guidelines/ obesity/ BMI/bmicalc.htm., n.d.). jibe to this value, it would be likely that Mr. Gurt would suffer from imbalanced nutrition, less than his body requirements leading to other complications and failing to thrive. Nanda defines failure to thrive as the progressive functional deterioration of a physical and cognitive nature. The individuals ability to live with multisystem diseases, cope withensuing problems, and manage his care are remarkably diminished (Ackley Ladwig, 2011, p. 350). To add on to potential problems, drug doses are given based on factors much(prenominal) as age, gender, and the weight of a patient (Raman-Wilms, 2013). Since Mr. Gurt is elderly and suffering from the effects of Parkinsons with an imbalance of neurotransmitter occupation between dopamine and acetylcholine, there may be fewer receptors and a decrease in neurotransmitters to take up his drugs (Raman-Wilms, 2013). Levadopa a dopaminergic medication which treats the symptoms of Parkinsons disease should be reviewed with body weight changes (Raman-Wilms, 2013). A analyse looking into the factors of weight loss in Parkinsons looked at the effects of dopaminergic treatment which adverted that the drug had a lipolytic effect and body mass fat was decreased with the advancement of Parkinsons symptoms (Lorefalt, 2004, p.186).The potential magnitude and likeliness of harm occurring in this miscue is significant as drug tolerances, adverse effects, and toxic effects are high, making the liver and kidneys susceptible to disease (Urquhart, 2014), as Mr. Gurts body mass index indicates he is underweight and a higher jeopardy for drug overdoses. Effectiveness of this drug will diminish over time in which the adverse effects may become severe and may include palpitations, abdominal movement, dizziness, and confusion (Raman-Wilms, 2013, p. 33 1). Incorrect doses of his medication could lead to physical and psychological issues based on the nurses documented weight and his actual weight. Failing to weigh Mr. Gurt will have a great impact on his nutritional needs, but will also affect his ability to heal his pressure ulcers on his heels and coccyx. Mr. Gurt is emaciated which may be in part to dysphasia, tremors, still muscles, and slow movements among other symptoms of Parkinsons (Wilk Newmaster, 2013, p. 288). As well, Mr. Gurts weight is evidence that he is not receiving the nutritional intake his bodys immune system requires to relieve oneself the proteins and blood cells (macrophages the bodys first line of defence), needed to attack and repair his wounds, and prevent the risk for infection (Raman-Wilms, 2013).The nurses blatant disregard to weigh Mr. Gurt puts him at greater risk for infection and is a form of negligence. Negligence in nursing can be unintentional, however it is important to translate the effects this has on health professionals practicing in Ontario. A registered nurse is responsible to follow the standard of care when performing nursingacts under autonomy within their scope of practise (College of Nurses, 2004) (CNO, 2004). Standard of Care is the licit benchmark against which a persons conduct is measured to determine whether a person has been delinquent and whether the persons conduct or actions in a given situation have met those evaluate of a competent health care professional (Keatings Smith, 2010). The College of Nurses is the governing body for registered nurses that protect the public through and through regulating the nursing profession (CNO, 2014). A practising nurse is obliged to follow the standards of care and ethical guidelines set out by this governing body (CNO, 2014). The College of Nurses lists seven ethical values which are all important, but recognizes that client well-being is a primary value (CNO, 2014).The College of Nurses connotation of client well-being is to promote the patients health, art object preventing or removing harm (CNO, 2014). In the case regarding Mr. Gurt, where the nurse is required to weigh him monthly and record the data, she is morally responsible for the patients well-being and for any adverse outcomes regarding his health for failing to provide safe care. The nurses complacency in failing to weigh Mr. Gurt, a simple act, would be of concern in investigating her moral responsibility in providing ethical care in her work environment. The nurses ethical duty is to advocate for her patients and provide safe, effective, and ethical care (CNO, 2014). Possible outcomes that could arise for the nurse in failing to provide ethical care include her co-worker filing a complaint to the College of Nurses, a bailiwick hearing with the College of nurses, and possibly a lawsuit (CNO, 2014). Potter Perry note the criteria nurses can be found nonimmune for negligence as summarized the nurse owed the duty to the p atient to whom that duty was not carried out and the patient was wound for failing to carry out that duty (Potter Perry 2013, p. 96).A common negligent act is failing to manage a patients condition adequately (Potter et al., 2013, p. 97). For a nurse to be sued, and in the case with Mr. Gurt, the nurse had carelessly not performed a duty which was vital to his ongoing care. While the ability to herald harm is evaluated is this case, the nurse had committed a wrong doing to Mr. Gurt and could be tried as an unintentional tort. (Potter et al., 2013, p. 97-98). According to the Criminal Code, 1985, if Mr. Gurt was to pass away as a result of improper care or toxic levels of medication being given dueto the nurse failing to weigh him, the nurse could also face criminal liability if the nurse was proven to have a reckless disregard for her patient (Potter et al., 2013, p. 99-100). The stovepipe way for nurses to avoid being negligent is to follow the standards of care be self aware and to job on their nursing practise to follow the ethical framework established by the College of Nurses and to continually meliorate themselves on best practices, assessments, and evaluations within their nursing abilities (Potter et al., 2013, p.98). With that in mind, one final thing I would suggest is to have professional liability and legal assistance protection insurance coverage.ReferencesBIBLIOGRAPHY l 4105 Ackley, J. A., Ladwig, G. B. (2011). Nursing diagnosis Handbook (9th ed.). St. Louis Mosby/Elsevier Canada. Austin, S. (2006). Ladies gentlemen of the jury, I present the nursing documentation. Nursing, 56-64 Calculate Your Body Mass Index. (n.d.).Calculate Your BMI. Retrieved June 4, 2014, from http//www.nhlbi.nih.gov/guidelines/obesity/BMI/bmicalc.htm.(n.d.). College of Nurses of Ontario/Ordre des Infirmires et Infirmiers de lOntario. (2014). College of Nurses of Ontario. Retrieved June 15, 2014, from http//www.cno.org/ Holloway, N. (1999). Medical-Surgical Care Pl anning. Orinda Springhouse Corporation. Keatings, M. (2010). Ethical Legal Issues in Canadian Nursing (3rd ed.). TorontoMosby/Elsevier Canada. Lorefalt, B., Ganowiak, W., Palhagen, S., Toss, G., Unosson, M., Granerus, A.K,.(2004). Factors of Importance for Weight Loss in Elderly Patients with Parkinsons disease. Acta Neurologica Scandinavica, 180-187. Ozata, O., Ozturk, Y.E., Cihangiroglu, N., Altunkan, H. (2013). The Development of a Scale of Malpractice Trend in Nursing and Validity and Reliabilty Analysis. International diary of Academic Research, 57-65. Potter, P. A., Perry, A. G., Kerr, J. C., Wood, M. J. (2009). Canadian Fundamentals of Nursing (4th ed.). Toronto Mosby/Elsevier Canada. Raman-Wilms, L. (2013). Guide to Drugs in Canada (4th ed.). Toronto Dorling Kindersley. Urquhart, B. (2014). Exploring how kidney failure impacts the bodys systems. Western News. Wilk, M. J., Newmaster, R. (2013). Canadian text for the Support Worker.Toronto Mosby/ Elsevier Canada.