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Administering Hydromorphone to A Patient Discussion Board

Administering Hydromorphone to A Patient Discussion Board

ANSWER

  1. a. Working in a clinic that performs abortions
    • (1) Ethical but illegal: In some places, abortion might be considered ethical from a woman’s autonomy perspective, but it might be illegal due to local laws.
  2. b. Respecting the wishes of a client suffering from ALS
    • (4) Legal and ethical: Allowing a patient to die with dignity and respect for their wishes is both legal and considered ethical, especially in cases where there’s a documented advanced directive.
  3. c. Respecting the health surrogate’s wishes regarding termination of life support
    • (3) Illegal and unethical: If the health surrogate’s wishes aren’t legally documented or the legal requirements aren’t met, then following their wishes could be illegal and potentially unethical.
  4. d. Observing a coworker taking out oxycodone for personal use
    • (3) Illegal and unethical: This situation involves theft and dishonesty, making it both illegal and unethical.
  5. Deontological theories, utilitarianism, and principlism:
    • Deontological theories: These ethical theories focus on the morality of actions themselves, regardless of their consequences. They emphasize following moral rules or principles.
    • Utilitarianism: This ethical theory emphasizes maximizing overall happiness or well-being. Decisions are made based on the outcome that produces the greatest good for the greatest number.
    • Principlism: This approach involves considering a set of ethical principles, such as autonomy, beneficence, non-maleficence, and justice, to guide decision-making in complex medical situations.
  6. Disclosing poor prognosis causing severe distress:
    • Health-care professionals generally have an ethical duty to provide truthful and accurate information to patients. While disclosing a poor prognosis might cause distress, withholding information could harm the patient’s autonomy and hinder their ability to make informed decisions about their care.
  7. Disclosing information against family wishes:
    • Health-care professionals must prioritize their duty to the patient’s well-being and autonomy. If the patient’s wishes conflict with the family’s wishes, the professional should follow the patient’s directives as long as they are competent to make decisions.
  8. Witnessing colleague’s unauthorized access to narcotics:
    • You should report this incident to the appropriate authorities or supervisor within the healthcare facility. Unauthorized access to medications is illegal and compromises patient safety.
  9. Colleague using patient’s identification for personal supplies:
    • This action is unethical and could potentially be illegal. You should address the situation by discussing it with your colleague and reporting the incident to your supervisor or the appropriate department within the facility.
  10. Patient asking about their terminal illness:
    • It’s generally considered ethical to provide honest information to patients about their condition. You should approach the conversation with empathy and sensitivity, allowing the patient to guide the depth of information they want to know.
  11. Patient asking about administered medication:
    • Health-care professionals should provide accurate information about medications they administer to patients. You can explain the purpose and potential effects of the medication to the patient if they inquire.

Administering Hydromorphone to A Patient Discussion Board

Question Description

I need help with a Health & Medical question. All explanations and answers will be used to help me learn.

 

1-. which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

A. Working in a clinic that performs abortions

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2-. differentiate among the following: deontological theories, utilitarianism, and principlism.

3-. what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4– What do they think about health-care professionals disclosing information to clients against family wishes?

5.- You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6.- Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7.- You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

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