Critical Care Nursing A Holistic Approach Part 2

Ethical Issues in Critical Care Nursing Chapter 7

Principles of Bioet hics Nonmaleficence – Do no harm Respect for autonomy – Respect the patient’s will Justice – Fair in allocation of care Beneficence – Promote the welfare of the patient Veracity – Tell the truth Fidelity – Keep your word

Nursing Model for Decision Making Identify, clarify, and understand the situation What is the problem Analyze the problem Who can make the decision Who are the stakeholders Look at alternative solutions Evaluate solution Adjust the solution

Legal Issues in Critical Care Nursing Chapter 8

Major Areas of Law Administrative Law – Statute Nurse Practice Act Civil Law – Individual versus Individual Negligence, malpractice Assault and/or battery Criminal Law – Government versus Individual Negligent homicide Murder

Elements of Malpractice There is a duty Breach of duty There is injury The injury was caused by the breach of duty

Consent The patient is provided information to make an informed decision about the care he or she receives Obtaining consent is the responsibility of the physician Nurses witness the patient’s signing the consent form

Advanced Directives Living will Written document Expresses the wishes of the patient Power of attorney Appoints a surrogate to make decisions Surrogate understands the patient’s wishes and speaks for the patient when he or she cannot

Genetic Issues in Critical Care Nursing Chapter 9

Role of the Heath Professional Understanding of basic genetics and its terminology Understanding the role of genetics in preventive care of the patient Gather family histories Be sensitive about genetic information and provide confidentiality and privacy

Genes code for proteins If There is a change in protein, there is a change in function!

Code for Proteins Replication Transcription Translation The double-stranded DNA separates Template for synthesis Complement for repair Transcription Genes code is transcribed in messenger RNA Translation In the cytoplasm, mRNA serves as a template to make proteins

Genetic Disease Monogenic – A single mutant gene Sickle cell anemia Cystic fibrosis Phenylketonuria Cytogenetic – Addition/Deletion of a chromosome Down syndrome Turner syndrome Klinefelter syndrome

Building a Professional Practice Model for Excellence Chapter 10