Ethico-Legal Concepts in Critical Care Nursing

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pWEEK Two - ETHICO-LEGAL CONCEPTS IN CRITICAL CARE NURSING

One. ETHICS VERSUS MORALS

Ethics

. Study of morality or standards of conduct.

Involves critical reflection or evaluation of moral choices that are made.

Morals

. Commonly shared beliefs within a society about the "rightness" or "wrongness" of actions and behaviors.

. Includes "should" and "should nots."

. Usually learned through:

o Family systems

Religious traditions

Ethical Principles

. Serve as general guidelines in healthcare decision-making.

· Provide a basis for ethical reasoning.

. They are not absolute and may sometimes conflict with one another.

Two. AUTONOMY

Decisional Capacity / Competence

Three. FULL INFORMATION DISCLOSURE

Four. COMPREHENSION / UNDERSTANDING

Five. VOLUNTARINESS

Six. INFORMED CONSENT

Seven. ADVANCE DIRECTIVES

Eight. ORGAN DONATION

Nine. DECLARING BRAIN DEATH

Requirements

Ten. BENEFICENCE

Three obligations:

Eleven. AUTONOMY EXCEPTIONS / WHEN AUTONOMY MAY BE LIMITED

Lack of Internal Capacity

Harm to Others / Public Health

Twelve. USE OF RESTRAINTS

Physician or Licensed Independent Practitioner Order

Important:

Thirteen. RESTRAINT TIME LIMITS

Nonviolent or Non-self-destructive

Discontinuation

Training

Fourteen. ASSESSMENT AND MONITORING OF RESTRAINTS

Violent or Self-Destructive

Nonviolent or Non-Self-Destructive

Assessment Focus

Physical or Comfort Needs

Psychological Status

Fifteen. PRIMARY NURSING OBLIGATIONS FOR UNCONSCIOUS PATIENTS

Sixteen. NONMALEFICENCE

Seventeen. VERACITY

Eighteen. FIDELITY

Confidentiality

Nineteen. WHEN CONFIDENTIALITY CAN BE BROKEN

Twenty. JUSTICE equals fairness / that which is due to others.

Twenty-one. PRACTICAL PRINCIPLES FOR ETHICAL DECISION-MAKING

Twenty-two. END-OF-LIFE ETHICAL PRINCIPLES

Twenty-three. EUTHANASIA

Twenty-four. WITHHOLDING VS. WITHDRAWAL OF TREATMENT Withholding

Twenty-five. CPR DECISIONS

Twenty-six. REPUBLIC ACT nine thousand one hundred seventy-three

Twenty-seven. UNPROFESSIONAL AND UNETHICAL CONDUCT

Overview

The document outlines the key ethical and legal concepts that govern critical care nursing practices. It emphasizes the importance of patient autonomy and informed consent, alongside the ethical responsibilities of nurses and healthcare practitioners in advocating for patient well-being and safety.

Key Points

1Ethical principles guide healthcare decision-making
2Autonomy allows patients the right to self-determination
3Informed consent is crucial for patient safety and autonomy
4Advance directives empower patients to make future healthcare decisions
5Nurses have an obligation to advocate for vulnerable patients.

Details

Category: Health and Medicine

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