Saturday, May 23, 2020

Ethical Dilema - 2954 Words

Case study Nursing Ethics 19(4) 581–589  ª The Author(s) 2012 Reprints and permission: sagepub.co.uk/journalsPermissions.nav 10.1177/0969733012448348 nej.sagepub.com Pediatric consent: Case study analysis using a principles approach Adaorah NU Azotam Villanova University, USA Abstract This article will explore pediatric consent through the analysis of a clinical case study using the principles of biomedical ethics approach. Application of the principles of autonomy, nonmaleficence, beneficence, and justice will be dissected in order to attempt to establish resolution of the ethical dilemma. The main conflict in this case study deals with whether the wishes of an adolescent for end-of-life care should be followed or should the†¦show more content†¦The interest of the team is to holistically support Max and his family in their health care decision-making without coercion. Their goal is to achieve consensus within the family and to prevent Max from further suffering if possible. The medical institution has interests to ensure that standards and policies are followed, negative attention is avoided with prompt conflict resolution, and all clients are satisfied with the care they receive. There are multiple dilemmas in this particular case such as futi le care, pediatric advance directives, consent/ dissent to treatment by a competent minor, and decision-making capacity. Theoretical analysis of the case The four principles approach is based on the premise that there are a set of basic principles that provide the structure to support basic moral norms and actions in society.1 It also surmises that the powers of reason and the guiding concepts of autonomy, nonmaleficence, beneficence, and justice establish duties we have toward others and ourselves. These moral principles can be adapted as guidelines to analyze ethical dilemmas. In this case, they will be applied to support the argument for or against pediatric consent and provide an objective framework for determining a resolution to the conflict. Analysis of position 1 The first position rests with the parents’ opposition to Max’s choice to discontinue medical treatment andShow MoreRelatedEthical Dilemas1230 Words   |  5 PagesEthical Dilemmas Choose only one of the ethical dilemmas below to address in your essay. The questions at the end of each dilemma are intended for you to reflect on. For your paper you must organize your writing using the sections and underlined titles listed on the assignment page. Do not copy the case study into your essay. 1. Pornography Joe secretly enjoys pornography. 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