Legal and ethical Decision Making in Person Centred Care

The nurses are needed to consult the family for a collaborative decision-making; therefore, her strong point is her competence in nursing care and engagement of the family in the decision making. However, lack of agreement with the husband to the patient is lagging her behind. In this case, the patient is admitted to a hospital to receive the end-of-life care but her condition is not changing. Despite how much the nurses work on making the patient comfortable, she still sustains some severe pain. The patient has been unconsciousfor three weeks. ” Dawn is in a critical condition because of the massive stroke. However, based on her daughter’s statement, she wishes to have her treatment withdrawn and be allowed to diefor the fact that her condition was not changing.

Ultimately, the nurses should provide the possible care to reduce her pain, although not to assisther to die due to the failure in the provision of end-of-life care. Misconduct in the provision of health care; The nurseoffering care to the patient needs to be aware of the end-of-life law and not perform with unawareness or transgression(Giles, & Townsend, 2006, 5). Dawnis not supposed to be harmed during the delivery of health care amenities. Autonomy: The principle means respecting patient’s self-rule or self-dignity. The patient’s will, regarding the end-of-life care, should be respected(Page, 2012, 10). The nursehas the responsibility to consider the patient’ssovereignty when providing palliative care. In addition, the nurse offering health care to Dawn has the obligation of valuing herchoices and needs to recognize the essence of additional care(Hebert, Moore, & Rooney, 2011, 237).

According to the daughter, the patient’s wish was the withdrawal of treatment and thisneed to be esteemedaccordingly. When offering the medications and other kinds of care to the patient, the nurses should express no harm to her(Curtis, & Vincent, 2010, 1349). The nurses should convince the Dawn’s family of the importance of respecting the patient’s will in the conduct of the end-of-life care. However, the husband’s vulnerability regarding this issue and his abusive behavior to the nurse makes the family’s involvement in the process difficult for the nurse. Legal and Ethical Decision Making Dawn’s condition is critical and despite the nature of care offered, she does not show any sign of improvement but her condition deteriorates. Therefore, the nurses are faced with tuff decisions to make whether to continue offering treatment to the patient or to apply the ideas of ‘Not for Resuscitation’(Hebert, Moore, & Rooney, 2011, 237).

The disagreement between the daughter and the husband in the decision-making makes the nurse to offer the advice of the family choosing to utilize the facility of their choice as they seem not comfortable with the nature of care offered in the particular hospital. The family is also advised to look for an independent doctor to provide care to Dawn if they feel the care offered in the hospital is not enough. The nurse also allows the family to seek for consultation from her colleague to see if the workmate will be able to give them a different report. In such situations, the nurses are supposed to offer quality care to the patient(Brinkman-Stoppelenburg, et al. There is the provision of spiritual, physical, and emotional care to Dawn in order to make her comfortable despite the felt pain, therefore the reduced suffering of the patient.

Conclusion In the end-of-life moment, the provision of nursing care is faced with different legal and ethical issues. The nurses should understand their care-based roles during the end-of-life period in order to offer quality services to the patient and the family. Summary of the problem Down has been unconscious for three weeks as she had been suffering from massive stroke. The nurse engages in a meeting with the family to discussion the way forward in relation to her care. The husband who is abusive fails to agree with the daughter. References Atkins, K. , Lacey, S. , Britton, B. Ethics and Law for Australian Nurses. (2nd ed. 3 Barry, M. J. , &Edgman-Levitan, S. Shared decision making—the pinnacle of patient-centered care. New England Journal of Medicine, 366(9), 780-781.