Do not use ____ as an analgesic in older adults or any age because of it's toxic
metabolite which causes seizures
~ meperdine (demerol)
adjuvants
~ drugs originally developed to treat conditions other than pain but also have
analgesic properties
(ex. antidepressants, corticosteroids)
a...
✓~ proposes that the value of something is determined by its usefulness
Feminist Ethics
✓~ focuses on the inequality between people
Ethics of Care
✓~ Emphasizes the importance of understanding relationships, especially as they are
revealed in personal narratives
Professional Nursing Code of Ethics
, ✓~ A set of guiding principles that all members of a profession accept
Autonomy
✓~ commitment to include patients in their decisions
Beneficence
✓~ taking positive actions to help others
Nonmaleficence
✓~ avoidance of harm or hurt
Justice
✓~ being fair
Fidelity
✓~ agreement to keep promises
How to process an ethical dilemma (7 steps)
, ✓~ Step 1: Ask if this is an ethical dilemma.
Step 2: Gather all relevant information.
Step 3: Clarify your own values/opinons.
Step 4: Verbalize the problem.
Step 5: Identify possible courses of action.
Step 6: Negotiate a plan.
Step 7: Evaluate the plan.
Who can request access to an ethical committee?
✓~ Any person involved in an ethical dilemma
(including nurses, physicians, health care providers, patients, and family
members)
Issues in healthcare ethics
✓~ quality of care
genetic screening
care at the end of life
, access to care
4 basic principles in the Code of Ethics
✓~ 1. advocacy
2. confidentiality
3. responsibility
4. accountability
an ethical problem has at least one of the following.. (3)
✓~ 1. unable to resolve solely on scientific data
2. perplexing- cannot easily make decision
3. answer will have a profound relevance for areas of human concern
purposes of the ethical committee
✓~ provide education, recommendations, and case consultation
issue: quality of life
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