Mrs. Lutz is a 78-year-old woman who has undergone radiation therapy and three surgeries for cancer. She is not progressing well, cannot eat, and is losing weight. The physician has decided to place a subclavian catheter in order to administer total parenteral nutrition. The nurse takes the informed consent for to Mrs. Lutz for her signature and explains to her that “the doctor will place a small tube in your vein, about here, so we can give you more nutrients and help you regain your strength and heal.” Mrs. Lutz says, “I’m so tired of all of this pain. I’m not sure, I want anything else done, and I surely do not want to be hurt again.” The nurse replies to Mrs. Lutz: “Now, now, your doctor has ordered this to make you well. Don’t worry, we’ll make sure you don’t feel a thing. Your doctor will be here soon and he will expect this permit to be signed. Won’t you please sign it now?” 1. Identifies the Ethical Dilemma Describe the dilemma in detail evidencing the gathering of the pertinent facts and information and ascertaining exactly what must be decided 2. Identifies Stakeholders Determines who should be involved in the decision making process for this case and accurately identifies all of the interested stakeholders evidencing the learner began to reflect on the viewpoints of these key players as well as their value systems and discussed what each of these stakeholders would like the learner to decide as a plan of action
Mrs. Lutz is a 78-year-old woman who has undergone radiation therapy and three surgeries for cancer. She is not progressing well, cannot eat, and is losing weight. The physician has decided to place a subclavian catheter in order to administer total parenteral nutrition. The nurse takes the informed consent for to Mrs. Lutz for her signature and explains to her that “the doctor will place a small tube in your vein, about here, so we can give you more nutrients and help you regain your strength and heal.” Mrs. Lutz says, “I’m so tired of all of this pain. I’m not sure, I want anything else done, and I surely do not want to be hurt again.” The nurse replies to Mrs. Lutz: “Now, now, your doctor has ordered this to make you well. Don’t worry, we’ll make sure you don’t feel a thing. Your doctor will be here soon and he will expect this permit to be signed. Won’t you please sign it now?”
1. Identifies the Ethical Dilemma
Describe the dilemma in detail evidencing the gathering of the pertinent facts and information and ascertaining exactly what must be decided
2. Identifies Stakeholders
Determines who should be involved in the decision making process for this case and accurately identifies all of the interested stakeholders evidencing the learner began to reflect on the viewpoints of these key players as well as their value systems and discussed what each of these stakeholders would like the learner to decide as a plan of action
2. Compares and evaluates the alternative arguments
Appraises the relevant facts and assumptions, noting the evaluation of any ambiguous information.
Rates the ethical reasoning and arguments for most of the alternatives
Provides evidence of systematic reflection on the alternative through evaluating each alternative’s impact on key players. Refers to the professional codes of ethical conduct
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