Consider the “Four Topics Approach” (or Four Box method) to ethical decision making , Table 2.1 in Butts (below). Apply this model to a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. Specifically apply and address the questions within each topic area as they pertain to your situation.In your conclusion, discuss the impact of the Four Topics process. Did applying these principles shape your decision making in any way? Does this seem like a valid process for you to apply in your practice?
Your paper should be 1-2 pages. Adhere to APA formatting throughout, and cite any outside sources you may use.
Four Topics Method for Analysis of Clinical Ethics Cases
| Medical Indications: The Principles of Beneficence and Nonmaleficence |
| 1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?2. What are the goals of treatment?3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options? 5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided? |
| Patient Preferences: The Principle of Respect for Autonomy |
| 1. Has the patient been informed of benefits and risks, understood this information, and given consent?2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences? 5. Who is the appropriate surrogate to make decisions for the incapacitated patient? 6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why? |
| Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy |
| 1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life? 5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment? 6. What are plans and rationale to forgo life-sustaining treatment?
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