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Chapter 1

NURSING 2MM3 Chapter Notes - Chapter 1: Palliative Care, Surrogate Decision-Maker, Therapeutic Relationship

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Tracey Jewiss

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Ethical Issues
- The consideration of ethical issues is an essential component of providing nursing care
- Understanding and communicating the clientsʼ beliefs and values, as well as their own,
helps nurses recognize ethical conflicts
Ethical Values
- Ethical values are entwined in everyday nursing practice
- They are an essential component of providing care
- A nurse demonstrates ethical behavior by:
o Respecting clients informed choice
o Being respectful to clients, health care team and health care community
o Maintaining confidentiality
o Respecting and promoting client well being
o Acting with integrity, honesty and professionalism
o Explore personal beliefs and values
- The college has identified the following values as the most important:
o Client well being
o Client choice
o Privacy and confidentiality
o Respect for life
o Maintaining commitments
o Truthfulness
o Fairness
What is Best for the Client
- Considering and acting upon what is best for the client is simple but is complex in practice
o eg. Performing procedure for client well-being which leave patient in pain
Client Well-Being
- Clients well-being: facilitating a clientʼs optimum health and preventing or removing harm
- A nurse must:
o Use clientʼs choice as starting point for decisions
o Consider clients values, opinions, needs, and ethnocultural beliefs
o Differentiate between their view and clients view of what is beneficial
§ Client choice vs Client well-being
- Involves:
o Listening to, understanding and respecting clients
o Supporting clients to find best possible solution
o Using knowledge and skill to promote clientsʼ best interests
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