Ethical Decision Making Medical Indications, Patient...

Health care providers are often confronted by various ethical dilemmas in their course of practice. When a person’s values and beliefs conflicts with another person’s values and beliefs, an ethical dilemma occurs. An example of an ethical dilemma in a healthcare setting is when a nurse interacts with an elderly woman who is diagnosed with terminal breast cancer and hears that she is in a lot of pain and wishes to end her sufferings. When confronting this issue, it is beneficial to follow Jonsen’s Model of case-based approach to ethical decision-making. The model consists of four paradigms that provide a framework for analyzing a clinical ethical situation and propose a potential solution. The four paradigms are medical indications, patient preferences, quality of life, and contextual features. Medical Indications The first paradigm in Jonsen’s Model of case-based approach to ethical decision-making is medical indications comprising of all clinical encounters such as diagnosis, prognosis, treatment options, and an assessment of goals of care. This section incorporates the principles of beneficence and nonmaleficence. Beneficence means placing the best interests of the patient ahead of self-interest and nonmaleficence means to do no harm or hurt (Edelman, Kudzma, Mandle, 2014, p. 293). Per the ethical dilemma provided above, the elderly woman is suffering from terminal breast cancer, which is a chronic condition and nearly impossible to reverse. According to the MerriamShow MoreRelatedNursing Ethics4846 Words   |  20 Pages issue debated among healthcare professionals who routinely face lifethreatening situations. 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