1. Critical Care Nursing A Holistic Approach Part 2

2. Ethical Issues in Critical Care Nursing
Chapter 7

3. 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

4. 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

5. Legal Issues in Critical Care Nursing
Chapter 8

6. 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

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

8. 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

9. 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

10. Genetic Issues in Critical Care Nursing
Chapter 9

11. 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

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

14. 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

16. 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

18. Building a Professional Practice Model for Excellence
Chapter 10