In case that explicit consent is not available, implied consent or authorisation by primary care givers can be utilised. Legal stipulations require that nurses need to acquire consent before any major medical procedures are carried out. Legally, a person should be in senses, of the legal age of consent and able to form decisions if they are to provide consent. However, it may not be possible for the patient to make decisions if they are not of the legal age of consent, are out of senses or are affected enough not to make sane decision. In such cases, the next of kin are responsible for providing explicit consent for medical procedures. In any of these scenarios, it is the nurse’s responsibility to ensure total confidentiality as a part of essential ethical practice. Confidential information available to nurses may be used against the subject individual who was gained consent from. A breach of confidentiality may occur if the nurse provides information on the patient willingly or unwillingly to any unconcerned party without the patient’s consent. Nursing entails a number of different ethical and moral responsibilities much like other professions. One of the key ethical responsibilities of nurses is to ensure that consent is obtained prior to performing any routines on a patient as described by Gallagher and Hodge (2012, p38). Carvalho et al. (2011, p12) detail that it is the responsibility of nurses involved to ensure that all stakeholders including the patient and his care givers are on board in terms of consent to avoid problematic situations later. In addition to the conventional roles of nurses as carers of patients, the roles of nurses and their ethical responsibilities have been on the increase. Parahoo (2006, p469) outlines how consent is also involved in nursing research, where it is essential to obtain the patient’s or their care giver’s consent after being properly informed on how the obtained information will be utilised. The Royal College of Nursing (2011, p5) mandates that it must also be taken to note that the ethical dimensions of informed consent in nursing have given way in certain areas to legal principles and codes. Healthcare has required extensive ethical involvement since various procedures are risky, invasive as well as needless at times. Informed consent has been an increasing part of the healthcare sector given the need to protect the interests of the patients. The initial development as ethical guidelines has given way over time to legal practices. This has ensured that patients get to choose what kind of treatment they want to undertake for any medical condition. However, informed consent is not without its complications. Bosek and Savage (2006) relate instances where the patient is unable to express himself or herself such as in the state of a coma or in an emergency where the patient is unconscious. In such cases, legal guidelines and practices exist to ensure that the patient’s rights are not encroached upon in the name of necessary and indispensable action. Dimond (2009, p140) provides that this ensures that patients who are unable to speak for themselves still have their rights looked after in the realm of healthcare. Essentially informed consent and its legal and professional aspects tend to protect the interests and rights of both the nurse and the patient alike. The patient is provided with rights to choose treatment and following the applicable laws allows the nurses to avoid professional as well as legal ramifications. It is the primary responsibility of the nurse under the law to ensure that the patient is fully informed before any medical procedures begin. Wood and Wainright (2007, p35) explain that the nurse is under
The patient must provide consent in written form such as through a living will to allow for organ removal after death. This stands in contrast to living patients donating organs such as kidneys since the patient’s consent can be obtained and used with immediate effect…
Nurses work in different specialties namely; pediatrics, cardiac, neonatal, orthopedic, and adult- gerontology among others. This discussion will focus on cardiac nursing, my current practice; it will discuss two ethical and legal issues in my current practice.
Out of these multiple pathologies, left ventricular failure (LVF) deserves special attention. The underlying pathophysiology of LVF, management and nursing interventions have been discussed. Chosen aspect of care Admission of an elderly patient with multiple comorbidities to the hospital necessitates a thorough evaluation of all the systems, disease optimisation, discharge, follow up, and rehabilitation.
They can achieve this when they employ varies communication approaches. Some of the strategies entail acknowledging the legal, professional, and ethical aspects in the health care settings. It also involves working within the framework arising from these aspects.
Consent could either be expressed or implied and depending upon the situation at hand, either one of them is applicable and mandatory. Expressed consent is the most widely used and most applicable form of consent used in clinical practice. The patient willingly and verbally gives his consent regarding a medical or health procedure, etc.
It is here that nursing ethics normally comes into play. Nursing ethics concerns the moral judgment and standards of conduct expected of them in their nursing practice, according to the American Nurses Association (2006). There are major ethical principles that nurses are expected to uphold in all situations.
Florence Nightingale is the first person to start modern nursing practices and New Zealand was the first country to regulate nurses nationally.
The American Nurses Association defines the practice of nursing as "the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations."
This paper shall discuss the legal aspect and issues with remedies concerning current transsexual arguments that are popularly litigated or otherwise decided in court.
The rebirth of the feminist movement some 30 years ago gave birth to the process of definite homosexual assertion that has divided several society groups and created arguments.
In case that explicit consent is not available, implied consent or authorisation by primary care givers can be utilised. Legal stipulations require that nurses need to acquire consent before any major medical procedures are carried out. Legally, a person
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