Legal and Moral issues in nursing
Ethical and Legal Issues in nursing
The breastfeeding regulatory body, the Medical and Midwifery Council requires all authorized nurses with an understanding of the ethical and legal guidelines which underpin all aspects of nursing practice(NMC, 2010). A thorough understanding of current legal and ethical frameworks facilitates the delivery of appropriate skilled nursing jobs care. The objective of this assignment will be to critically discuss a great episode of care experienced whilst in clinical position. The instance of care involves the covert administration of medicine to an aged patient. The decision to covertly administer the medication will be critically examined in this assignment. The Gibbs(1988) reflection unit will be used to steer the discussion. The discussion will also consider the legal, ethical and professional problems surrounding covert medication. В
In the mental health sector, medication non-adherence remains a critical health-care problem with far-reaching ramifications for people, their family and health-care professionals. Harris et approach. (2008) located that between 40 and 60% of mental well being patients do not adhere to their very own medication treatment plan. This quantity increased to 50 and 70% to get elderly sufferers with dementia, and among 75 to 85% among patients with schizophrenia and bi-polar disorders. In such cases, in which the patient's health is at risk and the treatment is essential, health-care professionals may well resort to disguising medications in food and drink. The medication is crushed or liquefied and combined with foodstuff. This practice of concealment is named covert medication(NMC, 2008). Simply by covertly giving medication , the individual consumes a drug with no required informed consent. В The Gibbs(1988) reflection model has been chosen for the purpose of this assignment mainly because it allows mcdougal to reflect and think systematically regarding the instance of proper care. The initial stage of Gibbs' reflective circuit is 'Description'; in which the writer is required to describe the events which occurred. To be able to comply with the NMC(2010) code of carry out and suggestions on affected person confidentiality, the sufferer will be known as Mr Walker. В Mr Walker, an 80-year-old service customer was momentary placed in the respite attention home. Mr Walker acquired severe dementia, and was unable to speak effectively. This individual frequently ignored all important nursing attention. Mr Walker's medical history included as well hypertension and angina. Having been prescribed stress medication (enapril tablets) to stabilise his blood pressure and reduce the likelihood of stroke and heart episodes. He was also prescribed diuretics and medication to prevent further anginas attacks. Mister Walker regularly refused to consider his medication; spitting your tablets and refusing to swallow. The nurse in control, concerned about the deterioration of Mr Walker's health, considered as the option to covertly administer his medication. The MDT organised a meeting and reached your decision to discreetly administer Mister Walker's medication. В The 2nd stage of the Gibbs' reflective cycle is 'Feelings', necessitating the author to briefly talk about her reactions and feelings. The author sensed the decision to covertly administer medication was morally correct and ethically permissible. The writer refers to the deontology honest theory to support her feelings and thoughts. The NMC code of conduct regarded by Beckwith and Franklin(2011) as a type of rule deontology states that all health-care specialists should " safeguard and promote the interests and well-being of patients". The act of covertly administering medication may therefore become deemed morally correct. The practitioners planned on performing in the best interest of Mr Walker irrespective of the consequences of their actions (breaching individual autonomy). Their very own actions promoted and secured Mr Walker's health and well-being. Husted (2008) argues that from a deontological perspective, violating could be autonomy can be...
Bibliography: The National Company for Medical Excellence, (2014). В Managing medicines in treatment homes. В[online] NICE. Offered at: http://www.nice.org.uk/media/B5F/28/ManagingMedicinesInCareHomesFullGuideline.pdf [Accessed 18 Apr. 2014].
Beckwith, S i9000. and Franklin, P. (2011). В Oxford handbook of prescribing for nurses and allied health professionals. very first ed. Oxford: Oxford College or university Press.
Breden, T. and Vollmann, M. (2004). The cognitive based approach of capacity assessment in psychiatry: A philosophical critique with the MacCAT-T. В Health Care Analysis, 12(4), pp. 273--283.
Bretl, A. (2008). В Patient security rounds. В 1st ed. Maple Brook, Sick.: Joint Commission on Certification of Health-related Organizations.
Medical and Midwifery Council, (2010). В The Code. В[online] NMC. Available at: http://www.nmc-uk.org/Documents/Standards/nmcTheCodeStandardsofConductPerformanceAndEthicsForNursesAnd-
Midwives_LargePrintVersion. PDF FORMAT [Accessed 16 April
Gibbs, G. (1988). В Learning by doing. В 1st ed. [London]: IGNITION.
Hughes, J. and Baldwin, C. (2006). В Ethical problems in dementia care. В 1st ed. Birmingham: Jessica Kingsley Publishers.
Husted, J. and Husted, G. (2008). В Ethical decision making in nursing and health care. В 1st ed. New York: Springer Bar. Co. Koch, S., Gloth, F. and Nay, L. (2010). В Medication management in older adults. В 1st impotence. Totowa, And. J.: Humana.
Latha, E. (2010). The noncompliant patient in psychiatry: The case pertaining to and against covert/surreptitious medication. В Mens saludable monographs, В 8(1), p. 96.
Lawson, L. and Peate, I. (2009). В Essential medical care. В 1st ed. Chichester, West Sussex, UK: Wiley-Blackwell.
Leino-Kilpi, H. (2000). В Patient 's autonomy, privacy, and informed permission. В 1st impotence. Amsterdam: IOS Press.
Macdonald, A., Roberts, A. and Carpenter, I. (2004). Sobre facto imprisonment and covert medication utilization in general assisted living facilities for seniors in Southern East Britain. В AgeingВ clinical and experimental analysis, 16(4), pp. 326-330.
Professionals, K. (2005). В Role creation in specialist nursing practice. В 1st ed. Sudbury, Mass.: Jones and Bartlett.
Nixon, V. (2013). В Professional practice in paramedic, emergency and urgent care. В 1st ed. Chichester, Western Sussex: Wiley-Blackwell.
NMC, (2008). В Standards to get medicines management. В[online] Sold at: http://www.nmc-uk.org/Documents/NMC-Publications/NMC-Standards-for-medicines-management.pdf [Accessed 16 Apr. 2014].
Pritchard, T. (2009). В Good practice inside the law and safeguarding adults. В 1st ed. London: Jessica Kingsley Web publishers.
Rothschild, A. (2009). В Clinical manual for diagnosis and treatment of psychotic depression. В 1st ed. Buenos aires, DC: American Psychiatric Bar.
Stoppe, G. (2008). В Competence assessment in dementia. В 1st ed. Wien: Springer.
Sturman, E. (2005). The capacity to consent to treatment and research: an assessment standardized examination tools. В Clinical psychology review, 25(7), pp. 954-974.
Treloar, A., Surpasses, B. and Philpot, M. (2000). A pill inside the sandwich: covert medication in food and drink. Record of the Noble Society of Medicine, В 93(8), pp. 408-411.
Treloar, A., Surpasses, B. and Philpot, Meters. (2000). A pill inside the sandwich: covert medication in food and drink. Log of the Royal Society of drugs, 93(8), pp. 408-411.
Wheeler, K. (2008). В Psychotherapy for the advanced practice psychiatric nurse. first ed. St Louis, Mo.: Mosby Elsevier.
Wong, L., Poon, Y. and Hui, E. (2005). I can put the medicine in the soup, Doctor!. В Journal of medical integrity, 31(5), pp. 262-265.