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Book/movie review
22/08/2022
Question:
Learning Outcomes:
Explore the ethical, legal and professional frameworks that underpin professionalnursing in Australia.
Discuss the application of these frameworks in relation to scope of practice andprofessional nursing practice.
Identify the legal and ethical roles and responsibilities of professional nurses, includingresponses to critical incidents and vulnerable populations.
Critically analyse and demonstrate an understanding of legal and ethical issues for health care.
Explain the scope of practice and professional regulation of nursing.
Investigate methods of managing information effectively from a legal perspective, inmaintaining freedom of information and consumer rights as a health professional.
Analyse the outcomes of the application of professional frameworks for the nurse andindividuals, groups, communities and populations.
Differentiate between legal and ethical issues and apply principles of law and ethics thatinfluence nursing practice.
Demonstrate knowledge of common law and statute law pertinent to health professional practice.
Demonstrate knowledge of the requirements for professional regulation and nursing registration.
Maintain consumer rights and a person-centred focus that is legally and ethically soundin clinical decision-making.
Task description
Essay Topic
Critically identify and discuss the relevant legal and ethical considerations in relation to the case study.
Focus on the following areas:
The Australian Charter of Health Care Rights;
Consent, confidentiality and privacy;
Duty of care / breach of duty of care;
Elements required for an action of medical negligence;
The four (4) main bioethical principles, according to Beauchamp and Childress, Atkins et al (2017) and how each of these apply to this case study.
Introduction structure:
-Background information that introduces the topic. -Description of the issues related to this topic -Direct response to the essay topic
-Overview of main areas to be discussed in body paragraphs
Case Study:
Doris, a 79 year old female who lived with her 88 year old husband, Peter, was brought into hospital via ambulance following a fall at their home. Prior to the fall, she was active and mobile, caring for both herself and Peter at home independently.
Following assessment in the Emergency Department, x-rays revealed that Doris had fractured her right hip and required surgery to repair the fracture. Doris was confused and agitated, did not know where she was or what had happened to her. She was admitted to the orthopaedic ward and Peter was with Doris when the orthopaedic surgeon came to see Doris. The doctor did not explain the proposed procedure and Peter was asked to sign the blank consent form for Doris as her next of kin.
The nurse caring for Doris spent time talking with both Doris and Peter. During the conversation, Peter identified that he had problems with his memory too and sometimes got lost when driving home from the shops and couldnt find his way home. On one occasion a neighbour found him sitting in the car and drove him home. He also said he sometimes forgot how to turn on the washing machine and had forgotten to turn off the stove a couple of times. Peter said that he hadnt told his General Practitioner as he didnt want to bother him.
The nurse had concerns about Peters ability to understand the proposed operative procedure and to legally provide consent for Doris and contacted the surgeon. The surgeon replied that as the consent form had been signed that was sufficient and the surgery would proceed. The nurse discussed her concerns with her Nurse Unit Manager who told her to document them in Doriss medical chart.
Before Doris went to the operating theatre, Peter and Doriss neighbour, Bert, came to visit Doris. Bert stated to the nurse that he had lived next to Doris and Peter for over 25 years and for the past two years had dropped in every day to see how they were. He said that he regularly helped them with their shopping, paid their bills and that they considered him their unofficial son. Bert said that he would be happy to sign a consent form if needed. The nurse went off duty and did not take any further action regarding the consent form for Doris’s procedure.
The orthopaedic surgeon decided to take the afternoon off duty to play golf and delegated Doris’s operation to a junior doctor to perform alone. Due to his inexperience, the junior doctor significantly injured Doris’s hip and she suffered continual pain and decreased mobility following the procedure.
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