The assignment outcome is:
- Demonstrate accurate application and synthesis of knowledge of the leadership concepts particularly related to ethics learned in this course in response to clinical scenarios.
- View the documentary Consider the Conversation Part 1, on Vimeo, https://vimeo.com/208316884
- Read the case study scenario below. NOTE, the case study you are addressing is below (not in the video).
Taking the role of an Ethics Committee member, write a three page paper identifying your recommendation(s) to the family in the situation. While answering the questions, synthesize ethical principles and the legal implications to defend your position, using the documentary, your textbook chapters, and foundational documents of:
- American Nurses Association’s Code of Ethics for Nurses with Interpretive Statements, American Nurses Association’s Nursing: Scope & Standards of Practice and
- American Nurses Association’s Nursing’s Social Policy Statement
- Two other credible sources.
In a three to six-page paper, answer the questions below. You do not have to write in an essay style; however, accurate use of APA Format and Level 4 Writing Criteria are expected.
- Clearly articulate your recommendation(s) while synthesizing the ethical principles and the legal implications as they relate to this case. Are they congruent with each other? If so, explain why. If not, explain why not.
- Think about Marjorie’s family’s potential responses. What could be the impact of the recommendation(s) you made to the family?
- Reflect on the documentary. What stood out to you? Why? Did the views expressed in the documentary influence your recommendation(s) regarding Marjorie? Why or why not?
- How can you integrate what you’ve learned in this assessment into your practice?
Keep in mind the ambiguity reflected in the scenario is intentional and indicative of a “real life” situation. Upload your completed assessment to the Moodle course site as a word document.
The criteria for this assessment are:
- Clearly articulates a specific recommendation(s) in response to the scenario and takes a position about actions to be taken in response to the recommendation.
- Using appropriate sources, explains ethical principles and legal consequences that support recommendation(s).
- Discusses implications of recommendations in some detail.
- Uses specific examples from the documentary to thoughtfully reflect on and discuss recommendations about scenario.
- Meets level 4 writing criteria, including accurate use of APA format.
Bernhagen, M., Kaldhusdal, T. (2011). Consider the conversation: A documentary of a taboo subject. United States: Burning Hay Wagon Productions.
You are a member of Alverno Hospital’s ethics committee. As a member you meet with the team to discuss ethical concerns that occur in the hospital. The family of Marjorie has requested that the ethics committee meet to review their mother’s case and offer a recommendation to the family and the healthcare team.
All members of the ethics committee are present along with Marjorie’s family and the ICU attending physician overseeing her current care. The family has requested a staff nurse, Felicia, present the case.
Marjorie was a spry and independent 87-year-old woman recently diagnosed with pancreatic cancer. At the time of her diagnosis, she was very practical and strong minded. She was offered a Whipple procedure as a possible cure. As Marjorie understood the situation, she would either die a lingering death from cancer, be cured by the surgery, or die “under the knife.” Informed consent was obtained by the surgeon and Marjorie appointed a financial power of attorney.
Marjorie did not die on the table, but she has lingered for seven months in and out of the ICU as a result of successive complications. She is conscious but unable to communicate. As each complication arises it is treated individually. All of Marjorie’s complications are considered “potentially treatable” since her cancer is gone.
Most of the nursing staff are disturbed by Marjorie’s long suffering, as are her friends. However, some of her family doesn’t agree. Most feel that Marjorie wouldn’t want to continue with aggressive treatment stating how active Marjorie was prior to surgery noting her fortitude and desire to live life to the fullest, but Marjorie’s sister disagrees and feels strongly that they should continue to do everything to treat her. After all, Marjorie did elect to have the surgery done so she could live. Marjorie did not have a Healthcare Power of Attorney. The family is anxious to hear what the committee recommends as it wants to use this recommendation as a guide in their future decision making.