Tuesday, April 2, 2019
Ethical And Legal Principles In Nursing | Reflective Essay
Ethical And Legal Principles In treat Reflective EssayThis following piece of reflection ordain be written by using the what model of structured reflection (Driscoll, 2007). The experiment testament focus on a practice based scenario and will include cardinal ethical principles, these being, Non-Maleficence and Beneficence. It will also cover two level-headed principles The Mental Capacity Act and Consent. In order to confine longanimouss confidentiality (Nursing and Midwifery Council 2008) a pseudonym name will be utilise through appear this reflective account and the forbearing will be referred to as Jean.As a trainee assistant practitioner I am accountable in my practice to identify and minimise risk to the patient when slabbering out parcel out. It is also my handicraft to control my knowledge and skills are maintained, thus providing have-to doe with care to all patients. Furthermore consent must be obtained from the patient prior to carrying out any care.I was looked by the community regularise nursing team to obtain a broth sample from an 88 year old lady who needed a diabetic freshen .This investigation will identify any potential problems associated with diabetes (Diabetes UK). Having this test is native for the well being of the patient. Jean has type 2 diabetes and her condition is controlled by insulin therapy. Having this test is important for the well being of the patient.The nursing midwifery council conjure up that obtaining patients consent is necessary before you can give treatment or care (2002). It is important to obtain consent and failure to do so could be viewed as physical assault on a patient (Lavery 2005). Consent should not be taken for granted and an explanation should be given to the patient prior to the result. This ensures that Patients are competent to make an certified decision and have the effective right to decline treatment at any time during their treatment.Jean also has a form of aberration and due to this she experiences memory loss and confusion. According to Frude the general onset of derangement is one of progressive deterioration in the forgetfulness stages the person experiences difficulty in recalling events (2000.p.285). Within my role as a trainee assistant practitioner I have the responsibility to understand the Mental Capacity Act 2005 and to extol people rights and provide care within the realms of the law.A patient who lacks psychical capacity is a person whose brain has been affected from an illness, in this subject area dementia. The Mental capacity act 2005 is to protect people who are uneffective to make decision for themselves. The Code of Practice states that last power of attorney can be used to appoint attorney to make decisions well-nigh personal offbeat (2005 .p120)A person with a personal welfare of lasting power attorney can make a medical checkup or treatment decision for an some other person. The office of the public defender has a register for lasting power of attorney this is a legal document which people must be registered (Alzheimers society 2010).It is my responsibility to ensure that patients who lack capacity have the mark support in specify so that they can assert their rights. In this case Jean had put forward her young lady to be her lasting power of attorney. Jean now move in with her young woman and her family. I asked Jeans daughter for permission to take a blood sample from her mother and she gave her consent. However when I approached Jean to let off what I was going to do she seemed very confused and became aggressive towards me. I was told in report that Jean can get confused, but no mention of her being aggressive. I felt very uneasy and do the decision with the support of Jeans daughter, not to take the blood sample.Hendick states the principle of non-maleficence imposes duty to do no harm or to minimize harm (2001 p 22). As Jean was obviously distressed and I did not hope to cause her any discomfort I decided not to carry out the procedure. My intention was also not to put Jean or myself at any risk from taking the blood sample as it could lead to either one of us being harmed from a goad stick injury.Hendick states beneficence means that you must act in the federal agency that benefits others, and have both moral and legal duty to do well-behaved (2004 p72). Obviously having the test done is in Jeans outgo interests as her come to needs to have recent blood values to ensure she is receiving the correct treatment. I believe however, that I acted in Jeans best interests by postponing her blood test to another day finding out from her daughter what the best time of day for Jean, when she would be likely to be more relaxed and approachable. Her daughter had agreed with this decision, another date was arrangedAs a trainee supporter Practitioner, I ensure that I abide by ethical and legal principles in all aspects of my role. I feel that it is something that is inco rporated into my job practically without me even realising. For example, I would never carry out any procedure without gaining the patients consent. This could be verbal or non verbal.I will inform the sr. member of staff about the situation I was in and fulfill in an incident form. I will also insure other team members are aware of Jeans aggression and to ensure that we call her daughter before we visit in the future. Hopefully my next visit will be more successful with better communication skills by prep the visit with her daughterI feel that I learnt a coarse deal about the Mental Capacity Act through my care of Jean and will move on to increase my skills and knowledge. I will continue to give Jean the care and support she needs. I will ask my Primary Care Trust for any future study eld on the Equality Act that has come into force from October 2010, and then I will be able to understand how the act could be germane(predicate) within my practice..
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