University of Guam Nursing Legal and Ethical Presentation

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Ryyr671

Health Medical

University of Guam

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Assignment Description:

For this week assignment, create a PowerPoint presentation based on the following case studies.

Read the case studies and answer the following questions:

Apply Guido's MORAL model to resolve the dilemma presented in the case study described in Ethical Scenario 4-3 on p. 48 which is titled, “When Care Appears Medically Inappropriate,” (Guido textbook 7th edition).

How might the nurses in this scenario respond to the physician's request?

How would this scenario begin to cause moral distress among the nursing staff, and what are the positive actions that the nurses might begin to take to prevent moral distress?

  • Read the following case study and answer the following questions: “You be the Ethicist”, presented at the end of Chapter 3, p. 41, which starts, “Helga Wanglie…” (Guido textbook).
  • What are the compelling rights that this case addresses? Whose rights should take precedence?

Whose rights should take precedence?

How might the institutions' organizational ethics policies have impacted the outcome of this case?

  • Leaving any legal issues aside, how would you have used ethical principles to decide the outcome of this case, if Helga Wanglie had continued to survive relying on life-sustaining measure? 
  • Now, examine the same Helga Wanglie scenario from the perspective of health care policy.
  • How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy?
  • Do the 10 framework questions outlined by Malone in chapter 4 (Guido textbook, p. 50) assist in this process?

Create a process proposal for the organization with possible guidelines, procedures, and policies to address the issues you have identified. The following specifications are required for this assignment:

Length: 10 slides minimum; answers must thoroughly address the questions in a clear, concise manner.

  • Structure:
  • Title: 1 slide
  • Objectives: 1 slide

Guido's MORAL model: at least 2 slides

You be the Ethicist: at least 2 slides

Perspective of health care policy: at least 2 slides

  • Conclusion: 1 slide
  • References: 1 slide

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Explanation & Answer

View attached explanation and answer. Let me know if you have any questions.

Nursing, Legal, and
Ethical
Student’s Name
Professor’s Name
Course
Date

Objectives
 The objective of this presentation is to analyze two case
studies in the Guido textbook, which are, Ethical
Scenario 4-3 n p. 48, and “You be the Ethicist”,
presented at the end of Chapter 3, p. 41.

Guido's MORAL model
 Q1

 The nurses might react to the physician’s request by
agreeing with him. They might then follow his advice
and talk to the patient’s family regarding the
importance of moving her to a bigger medical center
where she can receive advanced medical services that
will help improve her health including physical therapy
and intense rehabilitation (Guido & Guido, 2001).

Guido's MORAL model
 Q2
 This scenario might cause moral distress among the
nursing staff if the family refuses to take the advice they
deliver to them on the physician’s behalf and insist on
removing the ventilator while the physician is still insistent
on finding a better treatment method for the patient
before resulting to euthanasia.

You be the Ethicist
 Q3
 The three compelling rights that his case addresses are
the rights of autonomy, the right of consent, and the
rights of beneficence and non-maleficence (Guido &
Guido, 2001).

Cont..
 When Helga’s husband failed to make what seemed to
be the right decision, the hospital took the matter to
court to defend the patient’s right of beneficence and
non-maleficence, which discusses the balance between
the risks and benefits of treatment that does not put the
patient in any risk.

You be the Ethicist
 Q1
 The institution believes it is improper for a surrogate or
guardian of the patient, who is making a health decision
on th...

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