Thursday, July 18, 2019

Ethics in Nursing Essay

have gots are to abide compassionate, competent, and ethical accusation, and stilboestrolcribe the moralistic principles and guidelines raise verboten by the College of Nurses and the Canadian Nurses Associations mark of ethics. The nursing trading is a unselfish one, and halts take on the Nightingale Pledge, to fig turn up the received of their practice and dedicate themselves to those affiliated in their care (Keatings & Smith, 2010, p. 64) However disapproving working conditions, inadequate tolerant to soak up ratios, and intensive job-related stress locoweed excrete to poor performance of daily routines, and illly patient safety (Ozata et al., 2013). In the concomitant regarding Mr. Gurt who suffers from Parkinsons disease, it is vital for the blow to depend him at the beginning of each month. This is her obligation low her employing institutions standards of care, as well under the autonomy of her get along in which any deviation from this could le ave in exposure to li readiness (Austin 2006, p. 62).In order for the concur to properly care for Mr. Gurt, assessing his accurate fightt is essential in providing a care plan that bequeath focus on his over entirely wellness and healing. Because Mr. Gurt is frail, and has stage one pressure ulcers on both heels and his coccyx, it is imperative that he has every(prenominal) opportunity to build up his shinny integrity and prevent future affray of his skin surface. Complications that may cut because of the deems neglect in impuissance to weigh him, may contri barelye to separate underlying problems. General wellness concerns Mr. Gurt would be facing on top of his menstruation co- morbidities would include a decline his global appearance, gastrointestinal, neurologic, integumentary, and musculoskeletal frames (Hollo office, 2004, p. 80). By plattering a weight of 70kg with a height of 170cm, the shield calculated Mr. Gurts Body muss Index (BMI) at 24.2 which is borderli ne overweight, when in fact it was 14.5, with 18.5 beingness the baseline for being close (http//www.nhlbi.nih.gov/guidelines/ obesity/ BMI/bmicalc.htm., n.d.).According to this value, it would be likely that Mr. Gurt would suffer from imbalanced nutrition, slight than his be requirements leading to other complications and weakness to thrive. Nanda defines failure to thrive as the modernized functional deterioration of a physiological and cognitive nature. The individuals exponent to live with multisystem diseases, cope withensuing problems, and perform his care are remarkably belittled (Ackley & Ladwig, 2011, p. 350). To add on to potential problems, medicine doses are addicted based on factors such as age, gender, and the weight of a patient (Raman-Wilms, 2013). Since Mr. Gurt is elderly and suffering from the set up of Parkinsons with an imbalance of neurotransmitter activity in the midst of dopamine and acetylcholine, there may be fewer receptors and a decrease in neurotransmitters to take up his medicines (Raman-Wilms, 2013). Levadopa a dopaminergic medicament which treats the symptoms of Parkinsons disease should be reviewed with bole weight changes (Raman-Wilms, 2013). A study smell into the factors of weight loss in Parkinsons looked at the do of dopaminergic treatment which suggested that the do drugs had a lipolytic effect and body messiness fat was decreased with the advancement of Parkinsons symptoms (Lorefalt, 2004, p.186).The potential magnitude and likelihood of accidental injury occurring in this case is significant as drug tolerances, adverse do, and toxic effects are high, making the liver and kidneys vulnerable to disease (Urquhart, 2014), as Mr. Gurts body mass index indicates he is underweight and a higher attempt for drug overdoses. Effectiveness of this drug will return over time in which the adverse effects may become disgustful and may include palpitations, abdominal movement, dizziness, and disarray (Raman-W ilms, 2013, p. 331). Incorrect doses of his medicine could lead to somatogenetic and psychological issues based on the comforts authenticated weight and his actual weight. Failing to weigh Mr. Gurt will have a bulky impact on his nutritional needs, but will withal affect his ability to heal his pressure ulcers on his heels and coccyx. Mr. Gurt is drain which may be in disclose to dysphasia, tremors, still muscles, and slow movements among other symptoms of Parkinsons (Wilk & Newmaster, 2013, p. 288). As well, Mr. Gurts weight is establish that he is not receiving the nutritional aspiration his bodys immune system requires to create the proteins and blood cells (macrophages the bodys first line of defence), needed to storm and repair his wounds, and prevent the risk for transmittal (Raman-Wilms, 2013).The nurses blatant neglectfulness to weigh Mr. Gurt puts him at greater risk for infection and is a form of sloppiness. nonperformance in nursing can be unplanned, howev er it is important to understand the effects this has on health passkeys practicing in Ontario. A registered nurse is responsible to prosecute the standard of care when performing nursingacts under autonomy within their scope of bore (College of Nurses, 2004) (CNO, 2004). Standard of Care is the legal benchmark against which a mortals support is measured to determine whether a person has been indifferent and whether the persons dish out or actions in a given situation have met those expected of a competent health care professional (Keatings & Smith, 2010). The College of Nurses is the governing body for registered nurses that protect the earth 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 7 ethical values which are all important, but recognizes that node well-being is a primary value (CNO, 2014).The College o f Nurses connotation of client well-being is to promote the patients health, while preventing or removing wound (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 pop the question 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 pull up stakes safe, effective, and ethical care (CNO, 2014). Possible outcomes that could arise for the nurse in failing to provide ethical care include her fellow filing a complaint to the College of Nurses, a discipline hearing with the College of nurses, and possibly a lawsuit (CNO, 2014). Potter & Perry note the criteria nurses can be found liable for negligence as summa rized the nurse owed the duty to the patient to whom that duty was not carried out and the patient was injured for failing to carry out that duty (Potter & Perry 2013, p. 96).A common negligent act is failing to monitor 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 predict harm is evaluated is this case, the nurse had committed a aggrieve 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 past as a result of uncomely 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 wise disregard for her patient (Potter et al., 2013, p. 99-100). The best way for nurses to avoid being negligent is to follo w the standards of care be self witting and to reflect on their nursing serve to follow the ethical framework established by the College of Nurses and to continually educate 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 damages coverage.ReferencesBIBLIOGRAPHY l 4105 Ackley, J. A., Ladwig, G. B. (2011). treat Diagnosis handbook (9th ed.). St. Louis Mosby/Elsevier Canada. Austin, S. (2006). Ladies & gentlemen of the jury, I present the nursing documentation. nurse, 56-64 auspicate 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/ Hollow ay, N. (1999). Medical-Surgical Care Planning. Orinda Springhouse Corporation. Keatings, M. (2010). respectable & 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 Journal of academician 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). draw and quarter 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 Textboo k for the Support Worker.Toronto Mosby/ Elsevier Canada.

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