Identify ethical elements in situation by clarifying values

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Assignment

The nurse of a psychiatric patient who is isolative to himself, pacing up and down the hallway, responding to internal stimuli, and sounding irritable. He has not had any physical altercations that you are aware of. The patient glares at the staff at times and continues walking. Another patient has told you that he is scared of this patient. Your Mental Health Tech and your other coworker tell you, "He needs a shot. He needs to sleep. He's triggering the other patients." would you handle the situation as guided by the key steps in the resolution of an ethical dilemma (Box 22.3) (p. 300) Do you believe this issue is more of an advocacy issue or one of moral distress

Key Steps in the Resolution of an Ethical Dilemma

I. Step I: Ask: Is this an ethical problem?

II. Step II: Gather information relevant to the case. Patient, family, health care agency, and social perspectives are important sources of relevant information.

III. Step III: Identify the ethical elements in the situation by clarifying values and recognizing the principals involved. Distinguish among fact, opinion, and values.

IV. Step IV: Name the problem. A clear, simple statement of the problem is not always easy, but it helps to ensure effectiveness in the final plan and facilitates discussion.

V. Step V: Identify possible courses of action. Access others for their input and be creative in identifying different options.

VI. Step VI: Create and implement an action plan. Gather support from others and identify an alternative action if the chosen one does not achieve resolution.

VII. Step VII: Evaluate the action plan to determine whether further action is needed or if lessons learned in this experience can be applied forward.

Reference no: EM133633949

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