Ethical Standard

(Part A) A 54-year-old female is admitted to the hospital with septic shock. She has a history of stage IV colon cancer and is receiving in-home hospice services. The patient is currently in the ICU on a ventilator and not able to make decisions for herself. The small bowel and the bladder have developed a fistula between them leading to profound sepsis (blood cultures are positive). A friend of the patient is listed as the emergency contact and the healthcare power of attorney. A copy of the healthcare power of attorney is on the chart. This friend, however, declines to participate in the patient’s healthcare decisions, citing difficulties with the patient’s family. The patient’s sister becomes involved and insists on full medical intervention. (Dewey & Holecek, 2018, p. 117) This scenario plays out frequently in hospitals across the United States and elsewhere. Imagine being part of the healthcare team involved in this case. How would you feel? The nurses caring for this patient may feel a variety of negative emotions, including frustration, anxiety, and anger. How should the healthcare team move forward with this difficult situation? Discuss use of ethics committees and what the next steps should be. You should use your textbook, the article listed below in hyperlink and one other reference support your initial post. https://www.reflectionsonnursingleadership.org/features/more-features/physician-led-ethics-committees-there-is-an-alternative (3 pages) (Part B) #1 How do you think differently about your ability to apply ethical standards within your clinical practice? #2 Share something new you have learned in this course and how you see it benefiting you or your patients in the future. (3 pages) (Part C) #1 How will you think differently about the disease processes you encounter within your community? #2 Share something new you have learned from this course and how you see it benefiting you or your patients in the future. (3 Pages)

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