Ethical Issues Paper

Ethical Issues Paper
Vivian Hill
October 10, 2011
Dr. Mark Cole

Ethical Issues Paper
Skilled health care workers are resolving ethical dilemmas every day in their line of duties. An ethical dilemma is a situation that will often involve an obvious conflict between moral essential, in which to obey one would result in disobey another. Using collective data in analyzing an ethical response to the dilemma, the subject matter will discuss an ethical dilemma in a health care setting. Competing loyalties between the organization and patient and providing an ethical response along with different ethical responses is a component of analyzing. Implications to risk management will be considered and an ethical decision-making model will identify a guide for future actions.
Ethical Dilemma
John Hill is a 65 year-old male who is in the hospital for rhino failure (all vital organs are shutting down/not functioning properly) because of a long battle of kidney malfunction. He has an early stage of dementia, but he is aware of his health condition and has expressed to his wife and doctor, he do not want dialysis. His wife of 45 years of marriage has power of attorney over him. A power of attorney is an, “instrument containing an authorization for one to act as the agent of the principal that terminates at some point in the future either by its terms or by operation of law such as death of the principal or agent” (US Legal, 2011). The ethical dilemma is, as a life or death situation and with the consent of his wife should Mr. Hill start dialysis at once? While debating the solution, the attending staff will give him medication intravenous (IV) to stabilize him. His wife then starts to cry and when the nurse came in to check on him, she ask, what should she do?

Competing Loyalties
“Nurses can get caught in the middle between patient and physician, patient and family, and the patient and organization policies. Nurses are recurrently put in circumstances of...