Analysis of an Ethical Dilemma Essay

in that location are times when livelihood takes an unanticipated route, and virtuoso is faced with an obstacle or situation that was not expected. galore(postnominal) people are diagnosed with terminal diseases, dupe accidents and are left wing with spartan impairments, and induce horr hold backous complications from medical examination issues. One has the proper(a), according to law, to make medical decisions about their pull off and treatment options. But should one have the right to end their life? help, or voluntary mercy killing, is the direct administration of a lethal agent to end ones life at the request of the patient (Tamayo-Velazquez, Simon-Lorda, & Cruz-Piqueras, 2012, p. 678). Should a person have to intolerably suffer for the duration of their disease or disability, or should they have the right to get to end their life?Related Ethical Implications and ObligationsVoluntary euthanasia of course sparks the debate between morality and profoundity (Young, 2010). Ethical implications come with world faced with if help euthanasia is morally justified, or if respecting ones right to make choices about their life, including end of life decisions, supersedes all new(prenominal) aspects of the subject. Nurses are an integral part in end of life care of patients, and often times are witness to those expressing the desire to die. Ethical dilemmas are currently high regarding end of life care in nursing, and would precisely grow more complicated and severe if assisted euthanasia became effectual worldwide, as nurses would not only provide comfort measures, precisely quite a be a part of ending life. Currently, assisted euthanasia is legal in three countries the Netherlands, Belgium, and Luxembourg. Euthanasia is considered murder in every early(a) place in the world. (Assisted self-destruction & Death with haughtiness, 2013).In the unify States, there are currently three states, Oregon, Montana, and Washington, where Physician Assi sted Suicide, or PAS, is legal. PAS is referred to as the Death with Dignity Act and permits doctors to prescribe a lethaloverdose to a patient who is expected to die within six months. This decision is totally dependent upon patient wishes, and physicians are not obligate to inform families, only to write the prescription (Analysis of Assisted Suicide Initiative, 2013). In any other state, assisted suicide is considered manslaughter and is punishable by law. Assisted euthanasia remains a hot topic worldwide, and aims to withdraw laws are constantly challenged. Ethical Theories Ethical decisions are always gruelling for the nurse to make in a challenging situation Confidentiality and cover are part of honourable issues but can raise bewilderment as to the topper direction of an fermention for a nurse to take.There is a need for nurses to know that patient obligations and laws concerning privacy and confidentiality matters. Healthcare has the HIPAA law that guides patients pri vacy (HIPAA. ORG, 2008) which is essential for nurses to understand the pertinent guidelines or rules on confidentiality so as to carry out their practices based on the law guidelines. The code of ethics states, The nurse advocates for, promotes and strives towards safety, health and the patients rights (ANA, 2010). (ANA, 2010) stated that Deontology guess is helpful for the nurse to judges the morality of an action based on the actions adherence to rules. Whether an action is honourable depends on the intentions goat the decisions rather than the outcomes that result. Beneficence represents compassion on the other hand, taking positive action to help others and desire to do good which is the core pattern of our patient advocacy. (Butts, J. B., & Rich, K. L, 2008). Autonomy speculation help nurses respect and honor a patients or clients right to make a course of action and deem independent decision making.While the right to autonomy is not to abide or negatively impact an out come, it often gives the nurse a ace of freedom to choose a moral decision. Voluntary assisted euthanasia may be justified with the Beneficence hypothesis but ethically wrong for the nurse in assisting. Impact of social valves, morals, and norms The Terry Schiavo moorage was perhaps the highest profile suit to ever address the issue of prolonging ones life when that person suffers a life-altering medical tragedy. With her husband scrap on one side for the right to not prolong her life and multiple parties, including her other family members, fighting for the right to prolong her life, this caseful took interior(a) media and even the courts bystorm.The case brought to light what has been called the right-to-die question. Because she lacked a living will, the courts were left to determine what her finals wishes would have been in a situation like this. legally speaking, the court in Florida found that people have the right to jib medical treatment, and that right extends to them even when they are in a vegetational state. This case was complicated because there was no clear consensus on whether Schiavo would have liked to exercise that right. Ultimately, her husband was able to convince the court of this, and his intensity level came largely because he was the closest person to her and was thus in the best position to understand her wishes.The case brought about complicated ethical issues, peculiarly for the medical professionals involved. Nurses and doctors are under an oath to preserve life whenever possible, but they must(prenominal) also respect the wishes of patients. Because the decision involved removing a cater tube rather than taking any direct action to reproach the patient, medical professionals were able to comply with court orders without violating their oath.It is also worth noting that this case was complicated by social and political issues. Pro-life groups advocated on behalf of Schiavos family, and President George W. Bush even tried to intervene. Some argue that these things were intentional to make a political point. Implementing an ethical theory Implementing an ethical theory or principle to address an ethical dilemma should involve identifying the symbol of ethical problem. Doing this lays the groundwork for the trajectory in the condole with response. From here, an ethical theory can be implemented and methodically followed to conclude with the best caring response. In the case of Terry Schiavo, there were ambiguities of who should make the decisions. With this, a locale of authority was established to this ethical problem and ultimately, the Supreme Court would act as the moral agent. With the trajectory set, the Supreme Court was now release to be held responsible for the caring response outcome.Furthermore, the Courts would likely have to avow on a narrative approach to ethical decision making. Purtilo and Doherty(2011) trammel the narrative approach as information told through stories that , as a result, affect the human experience. With the barrage of coming from the Schiavo case, the Supreme Court must be sure to gather all the relevant inside information in order to establish facts, relationships and values. Consequently, this is the first step in many ethical theories as well as Purtilo and Dohertys (2011, p. 103) six steps to ethical decision making. The determination of an ethical decision in deeply grow in personal and societal values. The ethical theory provides the framework, but it is the value-laden details that guide the decision (Aulisio & Arnold, 2008). With this said an accurate prediction with regard to cases such as Terry Schiavo would be the immediate intervention of ethics committees to excuse lengthy legal processes and preserving a caring response.ConclusionIn this case all of the moral and social valves that were implicated involved nursing ethics. Nurses assume an important role in caring for patients that are at the end of life. Nurses must understand the issues that involve assisted euthanasia because of the legal and ethical implications that are involved. Nurses must have adequate knowledge and understanding of assisted death to prevent themselves from violating their personal and professional ethics.ReferencesAnalysis of Washington Assisted Suicide Initiative I-1000. (2013). Retrieved from www.patientsrightcouncil.org/site/analysis-washington-state/ Assisted Suicide & Death with Dignity Past, Present & Future Part III. (2013). Retrieved from http//www.patientsrightcouncil.org/site/rpt2005-part3/ Aulisio, M. & Arnold, M. (2008). Role of the Ethics perpetration Helping To Address Value Conflicts or Uncertainties. Retrieved fromhttp//journal.publications.chestnet.org/article.aspx?articleid=1086034Beauchamp, T. L., & Childress, J. F. (2009). Principles of biomedical ethics (6th ed., pp. 38- 39).New York, NY Oxford University Press. Butts, J. B., & Rich, K. L. (2008). breast feeding ethics across the curriculum and i nto practice(2nd ed., pp. 21-22). Sunbury, MA Jones and Bartlett. Purtilo, Doherty. (2011). Ethical Dimensions in the Health Professions (5th ed). W.B. Saunders Company. Retrieved from http//pageburstls.elsevier.com/books/978-1-4377-0896-7/id/B9781437708967000138_p0300Tamayo-Velazquez, M., Simon-Lorda, P., & Cruz-Piqueras, M. (2012). Euthanasia and physician assisted suicide Knowledge, attitudes and experiences of nurses in Andalusia Spain. nursing Ethics, 195, 677-691. http//dx.doi.org/10.1177/0969733011436203 Young, R. (2010). Voluntary Euthanasia. Retrieved from http//plato.standford.edu/entries/euthanasia-voluntary/