Ethical Problem

Read the article below. Identify at least THREE ethical issues found in this case. Research, explore, and present them addressing related ethical, legal, psychological, financial, societal, and financial concerns. Address any pros and cons, benefits and potential detriments aligned with facts in the article. Have there been similar cases? Be specific.

Avoid the first-person use. Follow the rules for written papers.

Don't use plagiarized sources. Get Your Custom Essay on
Ethical Problem
Just from $13/Page
Order Essay

Nurse Refuses To Give CPR, Senior Dies: Ethical Problem Or Legal Issue?

Carolyn Rosenblatt, RN

A licensed nurse refuses to give CPR to an 87-year-old woman who collapses in the senior residence where she works because of “company policy.”  It shocks us because nurses not only know what to do in emergencies like this, they are supposed to care enough to do it.  We don’t expect to see them on the phone with the 911 dispatcher refusing to even hand the phone to a passerby so the dispatcher can instruct anyone else to administer CPR.

As a nurse and attorney, it just felt awful to read about this.

I was not surprised to learn that there was “company policy” about a nurse in an independent seniors’ residence not giving nursing care. The law does not actually allow what we think of as hands-on nursing to be given to residents who are not in a skilled nursing facility (nursing home).  Neither the state nor federal departments of health license or regulate independent living or assisted living homes.  However, the horrible image of a nurse standing by refusing to permit anyone else there to get emergency instructions from the 911 dispatcher is most disturbing, no matter what kind of a home this was.

I believe there should be exceptions in non-health care residences for emergencies like the one involving this senior, Lorraine Bayless.  A nurse who is on scene should be able to do what any trained lay person can do:  administer CPR when someone stops breathing.  If the nurse was precluded from giving CPR, what was she doing there in the first place?

The press reports that there was no Do Not Resuscitate (DNR) direction in place.  It’s a good thing for the facility’s owner Brookdale Senior Living that Ms. Bayliss’s family believed that she wanted “to die naturally and without any kind of life prolonging intervention” as they told the Associated Press.  Brookdale’s policy about what the nurse should do in an emergency was sufficiently unclear that Brookdale’s public statement was to the effect that the nurse had “misinterpreted the company’s guidelines.”  That sounds like “CYA” in case a family member later changes his or her mind and wants to blame Brookdale for not doing CPR.

We have legal documents that allow anyone to make quite clear what they want in an emergency such as stopping breathing.  There is a DNR statement or order. There is an advance health care directive to guide others if the person in no longer conscious or competent.  There is a newer document called Physician’s Orders for Life Sustaining Treatment (POLST) in some states, also called Medical Orders for Life Sustaining Treatment (MOLST).  A doctor signs it and it’s posted appropriately. It allows others to be comfortable following the person’s wishes, even if the wishes say don’t keep me alive.

This uncomfortable, ethically questionable, confusing scene over Ms. Bayliss’ end of life did not have to happen the way it did.  If you don’t want to be in that kind of situation, you need to be responsible for deciding what you want and communicating it to those who will have to act on your behalf.

Either you want emergency intervention or you don’t. If you are very clear that you do not want to be resuscitated when you stop breathing, let the people where you live know what you want and put it in writing. Post it in a prominent place and give it to the administrator of any seniors residence you choose as your home. If you have clear statement that you don’t want resuscitation and you stop breathing, no one should call 911.  Paramedics will attempt CPR every time. CPR is definitely life prolonging intervention.  The legal documents mentioned above allow you to spell out under what circumstances you want to be kept alive. It is not always so straightforward as stopping breathing, or a sudden event.

Why doesn’t everyone have a Do Not Resuscitate order or statement?  Why don’t more people fill out an advance healthcare directive or get the doctor to sign off on a POLST or MOLST form? We’re in a society that is generally rather phobic about death, much more than many other cultures in the world. Death in many other places is accepted as the natural end of life and people don’t spend as much time avoiding the very idea.  In our culture, we seem to think it’s optional.  We don’t like the idea of planning for the end.

Perhaps Lorraine Bayless has left us all with an important wake up call.  Independent and assisted living senior residences need clear written policies about resuscitation of residents. If nurses happen to be working there, they should not be frozen in place when a resident collapses and CPR can be administered by someone, including themselves.  Residents should be required to spell out their end of life wishes and emergency instructions and these should be available to those in charge.  And each of us needs to face the reality that no one gets out of here alive.  We need to think it out, write it out, and do our loved ones and those who help us the decency of making our wishes clear to them.  If a person wants no resuscitation, we have to accept the idea that we don’t have to “do something” if they stop breathing.

As I’m in the elder and family consulting business, I made sure my husband and kids know about my own wishes.  I’m pretty sure that when it’s my time to kick the bucket, they’ll let me kick it and get out of the way.  It’s not so bad to exit the way Lorraine did, fast, and probably without pain.  Her family says she had it her way.  What would your way look like?

Submit written papers that clearly and concisely answers the question(s) in the assignment.

You should include:

A cover page
A purpose statement
Introduction
Section headers
Conclusion
A minimum of four external references
Include a Works Cited/References Page
Your work should:

Be written professionally, be grammatically correct, and cited appropriately.
Reflect a logical process, flow, transitions, structure, and appropriate content.
Cohesively, clearly, and comprehensively explain ethical issues relating to healthcare today.
Have proper paragraph development, transitions, and academic tone.
General Guidelines:

Avoid use of I, you, we
12-point Times New Roman
1-in margins
Left aligned
Double spaced
Spell words out first time used, then abbreviations are acceptable
Use complete sentences in the active voice
Do not use contractions
Cite appropriately

For more information on Ethical Problem read this:https://en.wikipedia.org/wiki/Ethical_dilemma#:~:text=From%20Wikipedia%2C%20the%20free%20encyclopedia,of%20which%20overrides%20the%20other.

 Ethical Problem

Calculate your paper price
Pages (550 words)
Approximate price: -

Why Choose Us

Quality Papers

At Acme Writers, we always aim at 100% customer satisfaction. As such, we never compromise o the quality of our homework services. Our homework helpers ensure that they craft each paper carefully to match the requirements of the instruction form.

Professional Academic Writers

With Acme Writers, every student is guaranteed high-quality, professionally written papers. We ensure that we hire individuals with high academic qualifications who can maintain our quality policy. These writers undergo further training to sharpen their writing skills, making them more competent in writing academic papers.

Affordable Prices

Our company maintains a fair pricing system for all academic writing services to ensure affordability. Our pricing system generates quotations based on the properties of individual papers.

On-Time delivery

Acme Writers guarantees all students of swift delivery of papers. We understand that time is an essential factor in the academic world. Therefore, we ensure that we deliver the paper on or before the agreed date to give students ample time for reviewing.

100% Originality

Acme Writers maintains a zero-plagiarism policy in all papers. As such, Acme Writers professional academic writers ensure that they use the students’ instructions to deliver plagiarism-free papers. We are very keen on avoiding any chance of similarities with previous papers.

Customer Support 24/7

Our customer support works around the clock to provide students with assistance or guidance at any time of the day. Students can always communicate with us through our live chat system or our email and receive instant responses. Feel free to contact us via the Chat window or support email: support@Acme Writers.

Try it now!

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Samples

Our writers complete papers strictly according to your instructions and needs, no matter what university, college, or high school you study in.

Categories
All samples
Analysis (any type)
Argumentative essays
Dissertation/Dissertation chapter
Analysis (any type)
Advantages and disadvantages of lowering the voting age to thirteen
Undergrad. (yrs 1-2)
Political science
4
View this sample
Argumentative essays
Is euthanasia ethical or not?
Undergrad. (yrs 3-4)
Nursing
3
View this sample
Dissertation/Dissertation chapter
Videoconferencing as a teaching tool
Undergrad. (yrs 3-4)
Education
10
View this sample

Our Homework Writing Services

Acme Writers holds a reputation for being a platform that provides high-quality homework writing services. All you need to do is provide us with all the necessary requirements of the paper and wait for quality results.

Essays

Essay Writing Services

At Acme Writers, we have highly qualified academic gurus who will offer great assistance towards completing your essays. Our homework writing service providers are well-versed with all the aspects of developing high-quality and relevant essays.

Admissions

Admission and Business Papers

With Acme Writers, we will help you secure a position at your desired institution. Our essay writing services include the crafting of admissions papers. We will still help you climb your career ladder by helping you write the official papers that will help you secure a job. We will guide you on how to write an outstanding portfolio or resume.

Editing

Editing and Proofreading

Acme Writers has a professional editorial team that will help you organize your paper, paraphrase it, and eliminate any possible mistakes. Also, we will help you check on plagiarism to ensure that your final paper posses quality and originality.

Coursework

Technical papers

Acme Writers harbors professional academic writers from diverse academic disciplines. As such, we can develop homework writing services in all academic areas. The simplicity or complexity of the paper does not affect the quality of homework writing services.