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Analysis of an Ethical Issue

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Analysis of an Ethical Topic
Bincy Mathew
Grand Canyon University NRS-437V Ethical Decision Making in HC November 5, 2011

Introduction

Nurses make decisions every day that must take into account laws and ethical standards. In order to make appropriate decisions, nurses require an understanding of how laws, ethics, and nursing interface. Nursing is a profession that deals with the most personal and private aspects of people’s lives. It is through the intimacy and trust inherent in the nurse-patient relationship that nurses become critical participants in the process of ethical decision making. Determining the existence of an ethical dilemma is the beginning step in the process that includes defining the problem, identifying desired objectives, listing and evaluating alternatives, choosing the best course of action based on one’s knowledge and the current circumstances, and evaluating the outcomes of the action taken. Analysis of the ethical topic April 01, 2011- A 38 year’s old patient, John Doe, is evaluated in the ER for increased fatigue, low grade fever, abdominal distention, nausea, and electrolyte imbalance. Upon completing her assessment the patient asks nurse Chacko to promise will not divulge to his wife that he also has a male lover, and ask nurse Chacko not to divulge neither to his wife nor to his lover any information regarding a possible diagnosis of Hepatitis C or HIV diagnosis. Nurse Chacko finds out that the patient is indeed infected with HIV. Patient does not have Hepatitis C virus. The nurse faces a serious dilemma of breaking her promise of confidentiality to her patient. The patient is an auto mechanic who grew up in a family with strict morale standards, his father and grandfather both being priests. From his marriage resulted two gifted girls who were now in grammar school. They were dreaming of...

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