Case Study Involving Ethical Dilemmas In Nursing Discussion
Case Study Involving Ethical Dilemmas In Nursing Discussion
Summary The patient, Gloria Smart is 55 years of age. She and her fiancé are interested in having a child. The patient has undergone coronary angioplasty and suffers from hypertension. She is currently on medication to lower her blood pressure, cholesterol levels and to prevent heart attacks.
Differential diagnosis
While the patient’s medical history shows no contraindications of IVF, her medical history suggest that the pregnancy process may put her at risk (Silversides et al., 2018)Case Study Involving Ethical Dilemmas In Nursing Discussion.
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Justification for the diagnosis decision
Pregnancy will require the patient’s heart to worker harder. This is not ideal for the patient’s heath considering she has received a received a cardiac stent. The pregnancy may therefore worsen her heart disorder and hypertension. The risk of death to either the patient or the fetus increases when the heart condition was severe before the onset of pregnancy (Silversides et al., 2018)Case Study Involving Ethical Dilemmas In Nursing Discussion.
Treatment Plan
For her heart condition, the patient will remain on her current medications (Zocor, Plavix, and Lisinopril). The patient will be advised of the risks of getting pregnant at her age and given her medical history. She will then be referred to psychiatrist for consoling. It is advised that her fiancé accompany her.
Evidence-based Research
Involuntary childlessness has been linked to depression. If the depression goes on for more than two months, it is likely to negatively affect the patient’s life. It is therefore important to work with a caring and impartial counselor where they can admit their feelings with no fear of judgment and finding ways to move forward (Fieldsend, 2018)Case Study Involving Ethical Dilemmas In Nursing Discussion. This has been found to produce positive outcomes among patients with depression due to involuntary childlessness.
Resources did you use to meet your best practice guidelines?
PsycArticles (EBSCO) is a peer reviewed resource for both scientific and scholarly articles in psychology. It contains numerous articles from the American Psychological Association as well as organizations allied to it. This resource helps medical professionals in meeting best practice guidelines.
Issues for the Case Study
Ethical issues: The most prominent ethical issue is deprivation of liberty. Deprivation of Liberty Safeguards (DoLS) however ensure that people are protected from care arrangements that deprive them of their liberties.
Psychological issues: As stated above, the most notable psychological issue is depression resulting from involuntary childlessness with the recommended treatment being counseling.
Physical issues: The patient has a cardiac stent and suffers from mild hypertension both of which may be exacerbated by a pregnancy at her age.
Financial issues: The costs of IVF and any related complications may amount to between $12,000 and $14,000 for one cycle (Herndon, 2019)Case Study Involving Ethical Dilemmas In Nursing Discussion.
References
Fieldsend, M. (2018). What is it like being involuntarily childless? Searching for ways of understanding from a psychological perspective. In Voluntary and involuntary childlessness. Emerald Publishing Limited.
Herndon, C. N. (2019). Need for expanding insurance coverage for in vitro fertilization in the United States. Fertility and Sterility, 112(1), 37-38.
Silversides, C. K., Grewal, J., Mason, J., Sermer, M., Kiess, M., Rychel, V., … & Siu, S. C. (2018). Pregnancy outcomes in women with heart disease: the CARPREG II study. Journal of the American College of Cardiology, 71(21), 2419-2430.
Case Study Discussion: Working Through Ethical Dilemmas and Other Issues in Advanced Nursing Practice
The Discussion for this week is to provide you an opportunity to discuss with your colleagues the case studies presented in the interactive media program. These case studies involve ethical dilemmas or other issues encountered in advanced nursing practice.
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By Day 3
To prepare: Case Study Involving Ethical Dilemmas In Nursing Discussion
• Review the interactive case studies in this week’s Learning Resources. Select one of the cases to prepare your discussion post. Your post should address the following:
o Summary of your chosen case study
o What is your differential diagnosis?
o Why did you make this diagnosis decision?
o What is your treatment plan?
o What evidence-based research can you provide to support your decision (choice for differential diagnosis and plan/intervention)?
o What resources did you use to meet your best practice guidelines?
o Address the ethical dilemmas and/or other issues for your case study:
Ethical issues
Psychological issues
Physical issues
Financial issues
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By Day 6
Respond to at least two of your colleagues’ posts (from a different group) on two different days and provide additional insight that might be useful and appropriate for the issue addressed. Use your learning resources and/or evidence from the literature to support your position.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Case Study Involving Ethical Dilemmas In Nursing Discussion
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 9 Case Study Discussion Rubric
Post by Day 3 and Respond by Day 6
To Participate in this Discussion:
Week 9 Case Study Discussion