Running Head: APPLYING ETHICAL PRINCIPLES 1

Assessment 1- Applying Ethical Principles

Name

Date
APPLYING ETHICAL PRINCIPLES 2
Applying Ethical Principles

Introduction

Healthcare services and decision-making processes are faced with ethical dilemma issues.

Thus, while working on different services in the healthcare field, it's possible to fall into an

ethical dilemma. Regardless of the professional role such as a doctor, a nurse a lab professional,

or a social laborer, patient care must be offered with a high level of regard with a good

understanding of their wellbeing and security. This needs to reflect in morals codes of ethics that

include beneficence, autonomy, justice, and nonmaleficence. With the utilization of these ethical

principles, that includes one can settle on issues hence promoting ethical decision making.

Summation of the Case Study

The case study considers an ethical dilemma that happened at Crosby Community

Hospital. Dr. Lacey is a doctor assigned to the Emergency Department. He is highly cherished by

numerous patients. Nevertheless, this affection doesn't stretch out to his colleagues in the

medical department. The nurses have raised alarm for fear that their patients' security and

disturbance with the proceeded with the need to screen the requests set for them (Capella

University, 2018). Concerns developed to the point it was committed to reporting their worries,

particularly following one end of the week.

A patient was admitted to the Emergency-Department for having an altered-mental status

as well as dyspnea. In the wake of evaluating the patient, the medical caretaker felt they may

have sepsis due to having a weight sore and was concerned when Dr. Lacey requested the

organization of Lasix (Capella University, 2018). As per Crosby’s clinic's rules, one is to

postpone administration of Lasix until confirmation of heart failure. This rule is utilized to

forestall any damage because of the way that Lasix is contraindicated in specific patients,
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including septic patients. Sepsis may cause low blood pressures and if Lasix is controlled, there

is potential to lower blood pressure hence the act is considered harmful. Fortunately, the nurse

had the option to debilitate the utilization of Lasix for this situation. Nonetheless, the worry of

Dr. Lacey conceivably hurting a future patient remains.

Margaret Truman who is the current Director of Nursing felt its important to inform

Corey Davidson, Emergency-Department's chief. Margaret helps Corey highlight the rules,

clarified the circumstance with the patient, and verbalized the staff's interests (Capella

University, 2018). Alongside Dr. Lacey's reluctance to follow legitimate convention, he likewise

remains resistant even after nurses' concerns and ignores the use of EHR hence endangering

patient safety. During the gathering, Corey rapidly understands that a moral choice must be

made, for the patients.

Present Ethical Dilemmas

Reflecting on the case study, the principles of nonmaleficence and beneficence are

violated. Beneficence significance comes in to enable the patient to build up an improved

condition of wellbeing and health and to settle decisions that lead to benefiting them (De-

Roubaix, 2016). From a deontological point of view, doctors must give the best treatment to

patients (Lazar, 2017). Nonmaleficence considers that actions taken by the professionals should

ensure safety and not harm the subject. Thus, decisions should be made with the aim of creating

the best advantage for patients and gives personalized care. In any case, identified issues leave

the patients at a risk.

On account of Dr. Lacey, as opposed to finding a way to guaranteeing a legitimate

determination by requesting the right aspects, he directs the administration of Lasix first. This

abuses the demonstration of both beneficence and nonmaleficence principles as it is neither a

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choice that gives the best consideration to the patient no does it consider the harmful effects that

may turn out. According to the article "Ethical Aspects of Pharmacogenetics: A Need for

Creativity," it is noticed that doctors must work in accordance with ways that will help in risk

elimination:

“Rapidly assess the clinical indications and propose thoughts regarding the adjustments

in patient's body, change his conclusion about the treatment of a particular patient, think

outside about the case, and above all he should have the option to understand the center

of the issue and assess the hereditary qualities of the patients and not recommend the

medications, which may harm them."

Reflecting on Dr. Lacey's actions ordering medication that can lead to harm before finishing a

full appraisal and adjusting treatment, he is disregarding the Hippocratic Oath.

Utilizing the Ethical Decision-Making Model

When an ethical issue dilemma occurs, there are three segments to consider in

comprehension and resolution of current issues; moral mindfulness, moral judgment, and moral

conduct. Moral awareness is connected with the option of recognizing an ethical issue presence

(Capella University, 2018). When the issue is recognized, at that point it must be resolved which

potential moves to make and whether they might be right or wrong. Recognize that the needs one

to make a comparison with regard to internal organization's ethical code of conduct for moral

judgment to be made. Generally, after the establishment of moral judgments and moral

awareness to determine a difficulty by acting with the expectation of making the best choice

hence confirming the ethical behavior.

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For Dr. Lacey's case, Corey can recognize the moral situation within reach. He

comprehends he has a doctor working in his area of expertise that can possibly harm patients.

Corey accepts that he may need to confine Dr. Lacey's benefits so as to forestall any ethical

infringement (Capella University, 2018). Note that his decision procedure might be influenced

by Crosby's guidelines rules and his genuine beliefs. It is apparent that Corey has second

thoughts about this situation when he is, morosely mindful that he removed Dr. Santa Clause's

ER privileges. His own ethical judgment might be influenced by the way that Corey is a recently

selected Director and may have hesitated on denying the privilege to a respected doctor. At the

same time, he is mindful to improve the work environment and guarantee wellbeing.

Effectiveness of Communication

Clear communication is incredibly essential and comprises two significant aspects;

listening and verbalizing the other person's concerns. It was extremely important that the nursing

staff initially had the option to verbalize worries to Margaret; she tuned in to their interests and

acted rapidly by talking with Corey. Margaret had the option to plainly recognize the moral

predicament by expressing there are set rules inside their office in regards to patients giving

windedness. Dr. Lacey was not following the rules properly. She portrayed in detail to Corey

what had happened with a particular patient throughout the end of the week and had the option to

precisely verbalize her interests about this specific doctor. Before the finish of the discussion,

Corey seems to have tuned in and comprehended the worries because of the way that he

intellectually notes there should be a change with doctor's privileges.

Potential Resolution to Ethical Dilemma

As mentioned, the principles of nonmaleficence and beneficence are violated. Patients

under the consideration of Dr. Lacey are not receiving safe and best care hence remains in
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danger. For the doctor to give the best degree of care one must have the option to act in a

familiar, adaptable and unique way so that treatment plans can be accomplished (Filosofija et al.,

2015). Dr. Lacey doesn't follow set rules or give the best care on a personalized basis but opts to

administer Lasix to all patients that forestall with dyspnea symptoms.

Corey faces an ethical dilemma such that he needs to determine an approach to protect

patients care in regard to the ER. Corey might resolve this dilemma by making a particular

arrangement of requests that the doctor may enact for all patients facing breath shortness. This

may involve STAT orders for EKG, indispensable signs, and chest-x-rays necessary reviewed by

a doctor. This could fundamentally eliminate the harm, guarantee patient safety, and improve

care. In this regard, empowering doctors to be completely aware of their patients offering any

admiration will be necessary. Additionally, it permits nurses to have enjoyed a sense of

autonomy, lower stress levels and permits Dr. Lacey to keep working securely.

Conclusion

With the utilization of these ethical principles, that include beneficence, autonomy,

justice, and nonmaleficence one can settle on issues hence promoting ethical decision making.

Generally, the ethical decision-making model is also supportive in seeking solutions during an

ethical dilemma. It's vital that healthcare professionals act in the best interest of the patients to

ensure that their decisions don't lead to harm causation. Generally, the decisions taken during an

ethical dilemma must be in line with the ethical codes in addition to meeting the requirement of

the ethical principles.

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References

Capella University (2018). NHS-FP4000 Ethical Decision-Making Model. Retrieved from

Capella Website:

http://media.capella.edu/CourseMedia/HRM5030/EthicalDecisionMaking/

model_wrapper.asp

Capella University (2018). NHS-FP4000 Exemplar Sample Ethical Case Study. Retrieved from

Capella Website: http://media.capella.edu/CourseMedia/NHS

FP4000/ethicalCaseStudies/wrapper.asp

De Roubaix, J. A. M. (2016). Beneficence, non-maleficence, distributive justice, and respect for

patient autonomy–reconcilable ends in aesthetic surgery?. Journal of Plastic,

Reconstructive & Aesthetic Surgery, 64(1), 11-16.

Filosofija, S., Grinceviciene, V., Valatka, V., Grincevicius, J., & Grinceviciene, S. (2015).

Ethical Aspects of Pharmacogenetics: A Need for Creativity. Vilnius, 26(3), 230-238.

Lazar, S. (2017). Deontological decision theory and agent-centered options. Ethics, 127(3), 579-

609.