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Flown air ambulance the city and treated the burns unit

  • the unit number

  • unit title

  1. Structured short answers (remember the word count for this assignment is 800-1000 words, your answers will need to be informative but concise and structured with an introductory statement, a brief but informative discussion, and a concluding statement;

  • Include in-text citations using relevant, mostly peer reviewed literature published within five (5) years, or,

Unit Learning Outcome focus in this assignment:

2.Explore ethical dimensions of practice using multiple perspectives

  1. Comprehensively conducts assessments

  2. Develops a plan for nursing practice

Short Answer Questions 

Healthcare is a moral and collective endeavour. Ethical work in healthcare is broader in scope than care or treatment decisions. Managerial or political decisions, lifestyle choice, and sharing of risk also raise ethical issues. When alliances breakdown between patients and healthcare professionals or among disciplines in the team divisions can develop and distrust and feelings of betrayal may have damaging effects far beyond the immediate circle of people involved. Successful healthcare relies on many negotiations and compromises and the privacy of the conversations between individuals is protected by law. The impression of ethical practice is therefore often shaped by the ‘out of the ordinary’, complex and sometimes extreme cases, and these are often shared by the mainstream and social media (Wintrup, 2019).

QUESTION ONE (1): Identify and discuss the ethical issues in this case using the four principles approach’ That is; acting for the good of individuals and society (beneficence), refraining from harming others (non-maleficence), being fair (justice), and allowing others to make decisions and act according to their own wishes (autonomy). Give reasons for your answers.

TWO (Moral theory and Ethical Practice)

FOUR (End of life, 21st century challenges)

In 2005, in the aftermath of Hurricane Katrina, allegations were made that a number of ‘mercy killings’ had occurred at Memorial Medical Centre in the city of New Orleans. As inquiries progressed, it was revealed that four non-ambulatory patients had been euthanised apparently to prevent their needless suffering in the face of having ‘no realistic chances of surviving in a stranded, incapacitated hospital (Curiel, 2006, p 2067) that is, a hospital that had been evacuated and without power and so on. In the July of the following year, a New Orleans physician and two nurses were arrested and charged with murder in relation to the patients’ deaths, sparking public debate on whether the killings were ‘murder or mercy’. It was eventually revealed that none of the four patients in question were expected to die immediately from natural causes, were in pain or had consented to the lethal doses of drugs given. They did, however, have several characteristics in common: they were poor, black, old (61-90 years of age) and dependent on their professional caregivers. Another thing in common was they were all the subject of a consented DNR (Do Not Resuscitate) directive – although one observer noted, no one had warned them that in the case of natural disaster the hospital staff would interpret DNR to mean ‘Do Not (Johnstone, 2019) Rescue’ (Note: DNR is used interchangeably with NFR -Not For Resuscitation as part of Advanced Care Directives in Australian health facilities)

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