Ethical Decision Making In Nursing

Nurses perform systematic assessment with evidence based planning, and delegate ethical goal associated action for obtaining agreed outcomes. They provide safe quality practice to meet the nursing need of people and attain the agreed goals and outcomes. In clinical settings, the nurses confront ethical situations regularly, where they should make ethical decision, which result in facing ethical dilemmas. These ethical decision is associated with delivering care and patient advocacy in organizing and delivering safe patient care. The ethical principles which nurses usually faces include the autonomy and self-determination, beneficence that is doing good, non-maleficence that is avoiding harm, justice, truthfulness, veracity that is telling truth, …show more content…
MND affect the identity, individual independence, allowing to rely on individual care provider for their daily living, and leading poor cognitive function. The various ethical problems arise in MND because this disease make patient to drop their autonomy, and ability to make their decision for self. The dilemmas which develop at the end stage of life in MND, is associated with withholding or withdrawing treatment. Patients choices and desire is considered unless it is out of limits, and the other decision maker assist in practice of making decision. In MND, patients have persistent neurological decline and reach certain states where they become unable to move or communicate. The cognitive function of patient is also poorly diminished and leading and make them unable to make …show more content…
The selection of instituting NIV is complex as patient can withdraw it if desire, and they find it difficult to decide as it is an important aspect before commencing treatment. In case study, Michael and his wife decide to commence non-invasive assisted ventilation as his respiratory muscle was deteriorating and to enhance his quality of life. Assisted ventilation through tracheostomy (TV) is initiate spontaneously, when patient appear in crisis or in respiratory failure. It also creates ethical and legal issues at clinical settings as neither the patient nor the family get chance to have informed choice regarding end of life concerns. Patient wish to withdraw assisted ventilation through tracheostomy because of diminish quality of life from progressive disease, and their gradual loss in maintaining communication. Michael’s GP Dr Clegg mention in his advanced care planning about Michaels’s wishes for his future healthcare management including his wish to remain at home. Therefore, the patient’s withdrawal of treatment creates ethical and legal issues as patient demand for withdrawing ventilation support in MND because they assume breathing support as not at all helpful, and it has develop a burden. Health care professionals or the interprofessional team members, and patient with MND find it difficult to deal with withdrawing ventilation support, as

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