Autonomy: Decision-Making Competency

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Autonomy is the right to self-determination, independence, and freedom. Autonomy expresses the concept that professionals have a duty to treat the person according to the person's desires, within the bounds of accepted treatment, and to protect the individual's confidentiality.

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Justice is the obligation to be fair to all people.

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Beneficence requires that health care providers do good for individuals under their care by understanding the individual from a holistic perspective that includes the individual's beliefs, feelings, and wishes as well as those of the individual's family and significant others.

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Nonmaleficence is the requirement that health care providers do no harm to their patients and that they protect their patients from harm.

In making decisions …show more content…
Lynch defined decision-making capacity as the ability to understand the nature and consequences of different options, to make choices among those options, and to communicate that choice. Decision-making capacity is required in order to give informed consent. Such capacity may fluctuate over time, given the state of health of the individual as well as the particular issue.

Another issue related to brain function and health is the notion of competency. Competency is defined legally and determines if an individual is fit and qualified to give testimony or executive a legal document. In the United States, the law presumes all adults are competent and have decision-making capacities to make health decisions unless deemed otherwise in court. Lynch discussed ethical issues within the legal system about the capacity of a vulnerable adult to testify in an elder abuse case. She noted that a lack of competency could be used as a defense litigation strategy to preclude testimony from victims or witnesses of

Autonomy In Nursing

into consideration the patient’s autonomy, or right in making his or her own decisions (Tournier. 2015). The concept of autonomy does not pose any ethical issues when the patient involved is a mentally-fully functioning adult. An adult can provide or deny consent to treatment. An adult is legally allowed to make his or her own decision. An adult is deemed worthy of that right because he or she has lived for at least 18 years. What then happens to patient autonomy when the patient is a child, a legal…

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Geriatric Nurse Practitioner

Geriatric NP’s within the United States is very important, and is growing tremendously with the rapidly increasing age of the population. Due to the rising elderly population, there is a shortage of geriatric practitioners throughout the United States, making the NP’s role increasing important, and relevant (Golden, Silverman & Issenberg,…

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Autonomy In Medical Ethics

emphasis on respect for personal autonomy1. Autonomy is now regarded as one of the four guiding principals of medical ethics2. The principle of autonomy within medical law is a principle of the highest value. Autonomy equals the right to self-governance. If a person is directing their own actions they are acting autonomously. ‘Personal autonomy is, at minimum, self-rule that is free from both controlling interference by others and from limitations.3 Autonomy is a fundamental good on which individuals…

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Nazareth Senior Living Center Case Study

Throughout this semester I had the opportunity to shadow at two facilities: Ranken Jordan Pediatric Bridge Hospital and Nazareth Senior Living Center. Ranken Jordan serves children of all ages. They are a facility that offers care between the hospital and the transition home. Nazareth is a older adult care facility that offers short term and long term care. The facilities both offered a unique experience that allowed me to further understand and explore the constructs of interprofessional education…

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What Are Healthcare Disparities?

healthcare systems lessen disparities. Cultural Competency and Patient-Centered Care: Jones (2010) suggests that healthcare practitioners ought to strive for patient-centered treatment and engage in cultural competency training. This means working over language barriers, acknowledging and valuing cultural variances, and including patients in the decision-making…

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Essay Transfer Pricing

improvement * Motivate managers/increase managerial autonomy Overall direct management accounting benefits can be seen through the fact that overall organisational performance improves as performance in each division will be measured and evaluated much better. There will also be better cost control and quality improvement. Indirectly the management accounting benefits that are most evident is that of motivation and the increase in managerial autonomy. Two key factors to consider: Look at the market…

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Essay on The Professional Nurse

(American Nurses Association, Code of Ethics website, 2010) The same Telemetry nurse continues to pursue additional competencies in the form of certifications and completion of an accredited Baccalaureate program. Since licensure reflects minimal competency for duties at hand, while certifications reflect excellence, this distinguishes the abovementioned RN as adhering to maintaining competency, personal and professional growth as stated in Provision 5 of the code of ethics, “The nurse owes the same duties…

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Actual Touching: A Case Study

A useful elaboration has been provided by Kerridge, Lowe & Stewart (2009) that contain five general principles that can be applicable to the concept of Ethics. Ethics is widely related to the wellbeing and thriving of man and the making and preservation of a peaceful society for the advantage of everyone. It is more concerned with what one should do, rather than what one should do. It utilises a methodical approach to outline what ought or not ought to be done, in either an action or Process. It…

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Explain The Evidence-Based Practice Regarding Advance Directive DNR

Task 1 A. Discuss the evidenced-based practice regarding advance directive DNR. In 1991, the Patient Self-Determination Act (PSDA) mandated that all patients have to be given written information about their rights regarding decision making about their medical care. A do-not-resuscitate (DNR) order is an advance directive. It is a request for a healthcare provider to not provide cardiopulmonary resuscitation in an emergency; where the patient stops breathing or their heart stops. When a patient…

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Dnr Ethical Dilemmas

eliminate unwanted medical resuscitative measures for patients who frequently have an underlying fatal illness or disease, and wish to decline resuscitative emergency care (Sine, 2010). Every state has statutory requirements in place that recognize the autonomy…

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