The Ethical issues in Paediatric Wards Essay - 990 Words

Smith, a 5 years old boy, experienced a decrease in oxygen saturation and abdominal distension. Abdominal radiograph indicated free air in abdomen. When obtaining the consent for surgery, the parents refuse the use of blood or blood products, because both of them were Jehovah’s Witness. However, it is impossible for the baby to survive without blood transfusion during the surgery (Meadow et al., 2010). There are no absolute rights or wrongs to this case, which is based on a synthesis of other actual clinical scenarios. The aim of this essay is to explore the dilemmas between the ethical issues, the law and the wishes of the family and the effect of it. Ethics is a branch of philosophy concerned with the study of rational processes for†¦show more content†¦Health practitioners should respect of the individuals competence. Competence implies the parents level of understanding that allows them to weigh up the ethical issues posed by a clinical situation, assimilate these and reach a rational decision. Second, if the conflict cannot be solved by communication or discussion, the care provider need to seek solutions in law. Brody and Aronson (cited in Tabak Zvi 2008) argue that the patient has the fundamental right to quality medical care and the best treatment. A basic principle in law is that a minor cannot consent to medical treatment until he or she was of or above the age of 14 years old in New South Wales, 16 years old in South Australia or 18 years old in other states. As a result, the parents, or the legally pointed guardians of the child have the rights to make the decision for treatment (Janine William 2010). Australia Nursing and Midwifery Council (2008a) states that nurses should respect the culture, values, beliefs, personal wishes, and decisions of the patients and their families. Nevertheless, Zohar and Langham (cited in Tabak Zvi 2008) claim that parental consent to medical treatment negates patient autonomy. There has, sometimes, the conflict between parental auth ority and the child’s best interests. Where a parent or guardian refuses consent to use blood products in the emergency treatment of a child (less than 16 yearsShow MoreRelatedArticle Critique 11374 Words   |  6 PagesIntroduction This is critique of the article Supporting Families through Discharge from PICU to the Ward: the Development and Evaluation of a Discharge Information Brochure for Families by Sophie Linton, Chelsea Grant, and Juliet Pellegrini, published in Intensive and Critical Care Nursing (2008, vol. 24). The critiquing framework used is the Qualitative Appraisal Tool in Critical Appraisal Skills Programme because it has several questions relating to assumptions or principles which characterizeRead MoreContextual Factors8375 Words   |  34 Pagesstudy was to examine Chinese mothers’ experience of caring for their hospitalized sick child. Background. Engaging the mother in providing care for a hospitalized sick child is considered one of the key elements for high-quality care in advanced paediatric nursing. There is evidence that a mother’s belief in her capacity to manage stressful situations could improve the nurse–parent relationship because they might play an important role in protecting mothers against heightened stress during crisisRead MoreThe Effects Of Drug Utilization On The Medical Care Of Infants, Children And Adolescents Essay946 Words   |  4 Pagesin suitable dosage forms, leading to a lack of attention to pediatric medicines. Most of the drugs prescribed for children have not been tested in the pediatric population due to the difficulties in carrying out clinical studies in children and ethical issues due to children not being able to make their own decisions to participate in a clinical trial. Therefore, many medications have not been approved by the Food and Drug Administration for children.2 There is enough evidence to demonstrate that theRead MoreCommunication Skills For Patients With Cancer4432 Words   |  18 Pagesbehaviour’ in clinical encounters which includes active listening, open questioning, providing patients with opportunities to ask questions, actively involving patients in management decisions, showing empathy, initiating psychosocial discussion, ethical and professional behaviour, and should be a core element in medical education. Inadequate focus on the softer skills like communication during the training scheme and during the assessments, may lead to the trainee being inadequately equippedRead MoreCommunication Skills For Patients With Cancer4604 Words   |  19 Pagesbehaviour’ in clinical encounters which includes active listening, open questioning, providing patients with opportunities to ask questions, actively involving patients in management decisions, showing empathy, initiating psychosocial discussion, ethical and profe ssional behaviour, and should be a core element in medical education. Inadequate focus on the softer skills like communication during the training scheme and during the assessments, may lead to the trainee being inadequately equippedRead MorePersonal Development Plan7544 Words   |  31 Pagesconfidentiality (Nursing and Midwifery Council, 200). For this reason the service user will be referred to as â€Å"Lucy†. Description – What Happened? Lucy is a 22 year old who has a diagnosis of Bi-Polar Disorder (ICD-10, 1992). She had been admitted to the ward where I was undertaking my clinical practice placement. Lucy had been non-compliant with her medication Lithium Carbonate which is recommended by BNF to treat Bi-Polar effectively (BNF: 64, 2012). A MDT meeting was arranged the following week afterRead MoreCorporate Social Responsibility Activities at Infosys Technologies Ltd.3535 Words   |  15 Pagesapart from this CSR activities carried out by a company project a very human side to large corporations which helps brand building and increases the value of the company in society. What is CSR? Corporate Social Responsibility (CSR) defined as â€Å"the ethical behavior of a company towards the society,† manifests itself in the form of such noble programs initiated by for-profit organizations. CSR has become increasingly prominent in the Indian corporate scenario because organizations have realized thatRead MoreNeonatal Respiratory distress syndrome reflective practice Essay5076 Words   |  21 Pagescaring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment, I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous positive airways pressure (NCPAP) and surfactant therapy and possibleRead MoreCritical Incident3681 Words   |  15 Pagesor surgical a rea where they are first given care and stabilized to CCU, (NHS Careers). The management of the critically ill patient ranges from eye care(Appendix 1), oral care(Appendix 2), infection control, health and safety issues, tissue viability among other vital issues like care bundles for this high risk group of patients who are dependent these care to maintain integrity and dignity according to trust policy. Suction pumps are also vital in the critical care setting as airway hygiene isRead MoreExamination of the Newborn Essay5924 Words   |  24 PagesThe purpose of this assignment is to explore the issue surrounding screening and examination of the new born from birth. The article will look at why we perform this examination following birth and will pay particular attention to the examination of the eye. It is documented that the purpose of the first examination of the new born is to confirm normality and to provide reassurance to the parents (MacKeith, 1995, Hall, 1999) and also to identify any apparent physical abnormality (Buston and Durward