Nursing
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Scenario #1
Being a mental patient whose problem started at about 30 days, it would be easy for the local county social manager to solve the case. The reason behind is that the patient is not pronounced to be mentally sick and the problem is temporal. The facility is the hospital to where the patient has been admitted, and the treatment is ongoing. The staff, in this case, is the local county social manager and the staff in the hospital where the 30-year-old individual was taken for treatment.
For this case, there are ethical as well as legal measures to be taken to avoid compromising with the law. As the individual has regained his consciousness, the social manager should get permission from the staff to whom already has the patient. By talking to them and telling them his intention, it will be more ethical as the case will already be known to a third party taking into consideration that the patient has no known relative. Also, since the patient can speak the social manager should seek consent from the victim such that he should not get sued for doing things without informing the victim.
To begin with, the story in the newspaper was a hint to the social manger on an effective method of the treatment of mental conditions through psychotherapy that involves the use of psychological means rather than using medic methods. According to the paper, the method has been approved, and so it’s not the first time that it will be put on trial. Ethically, the use of psychological methods of mental treatment may be emphasized rather than the use of medicine. The reason is due to the side effects that are caused by the drugs. The patient may have suffered such conditions such as depression and therefore word of mouth could be more touching rather than subjecting the person to more medicine. The plan here would be to secure a private room between the two and a place to which both the patient and the social manager are convenient, creating a conducive environment for discussions. Then counseling should not be done for long hours as the patient might get bored and unwilling to provide the details that are required. Furthermore, so much personal questions should not be asked so that the patient is not pissed off and refuse to cooperate.
The cultural issues present in the scenario are also seen as being the ethical considerations. The local social manager should follow the required steps before taking full control of the patient, and that is talking with the staffs so that treatment is done on both sides alongside the psychotherapy. There are no budgetary concerns in this case, as the service being provided is counseling and the social manager can as well do it effectively as long as he is capable of doing the outselling. If the social manager is unable to provide the counseling as well as the staff in the hospital, a professional counselor may be hired.
Scenario #3
In this scenario, three main factors are calling for action, and they include patient safety, use of unqualified personnel and the third problem is erroneous lab reports. Having been provided with a budget worth $ 25,000 and 4 weeks to address the situation, a quick decision has to be reached and implemented as fast as possible.
There are so many ethical issues that are arising out of the three problems highlighted, and some of the ethical issues include professionalism, as well as patient safety. Using restraints undermines the patient’s safety due to the limitation in the number of resources to which a specific patient is using. In the event in which the patients happen to share the same bed, the safety of the patient’s health wise is not guaranteed as the patients do not suffer the same type of diseases and also the issue of contracting your neighbor’s disease arises.
The use of the unqualified personnel in the treatment of the patients arises another big question on the effectiveness of the treatment carried out and as to whether the patients are under another risk of having their diseases become worse. To make it worse, the reports from the laboratory are also full of errors, and this adds more problem the unqualified personnel, and the whole process is questionable as in how could a patient be treated if the diagnostic results are not right.
In the plan, the priorities would be directed much on the laboratory and the staffs and then increase the number of instruments being used in the hospital. In my budget, half of the money would be directed to the hiring of new professionals as well as training them for the necessary skills that are needed in the facility. The rest of the money would be divided again into two, such that one of the halves will be directed to the purchase of new laboratory items such as modern microscopes and other essentials so that good results are produced.
It will be noticeable if the bad results were being produced due to the incompetent staff, then the issue has been solved by the recruitment of new professionals and topping up with new machines to boost diagnosis. The rest of the money will be directed to the purchase of other essentials that are shared such as the beds to reduce constraints on the available resources. All these changes will be effected before the fourth week, with the hiring of the professionals and lab equipment being completed by the second week.
Scenario #7
1. In this case, Randal should replace patient A, the 59-year-old female, comatose, stroke victim who has been in the ICU for 33 days, having an uncertain prognosis, is retired and has no family.
The reason as to why I could consider my answer as the best is because the woman is past menopause. And she cannot get a child of her own and the worst of all she has no family, and this means that even after making all the efforts to save her life she will be of no value to the community to which she will go back. Furthermore, the woman is retired, is in a coma, a victim of stroke and to make it worse she has an uncertain prognosis, and this makes it difficult for her to survive.
On the other side, the new patient is just 24 years old, has just completed college and won a scholarship, and furthermore, she is pregnant. The new patient is a girl with a promising future as she is still young and again she is pregnant which brings the issue of saving two lives in one. In my own opinion and regarding the ethical issues as well as the acceptable norms, I would sacrifice the life of the old woman in favor of the new patient. The reason is due to: one is that the new patient is a beginner in life while the old woman has accomplished her dreams already and she has retired. The old woman is past menopause and therefore she can’t have any baby and to sum it all, she might not even come out alive as even the prognosis is uncertain. It would be thus advisable to put the old woman into a merciful death and assist the new patient who can easily be treated, and two lives get saved.
2. The steps that could be followed to reach the conclusions is to analyze the probability of getting out of the ICU alive, the importance of the person to the society, age as well as the fertility status of the individual. According to age, all the other patients are young and therefore have a higher probability of reproduction. The importance of the person in the society also can contribute to the conclusions. With the old woman having no relative to claim and no children to comfort her, the new patient is engaged and expectant as well, the 13-year-old has her family in the city, the 35-year-old has an aged mother and the two weeks premature male has his family while the old woman has none.
3. To efficiently deal with such cases, it is mandatory that all the ICU facilities have extra life-supporting equipment’s that are essential to the maintenance of a person’s life. For this case, if the facility had more of the ICU equipment, then the doctors and nurses could not be having a hectic time in trying to eliminate one life while the ultimate goal is to save lives.
