First Assignment: The Adult Nurse Practitioner Case
Identify the appropriate statements from Rule 221.13 Core Standards for Advanced Practice that relate to this case?
Rule 221.13 (a)
Rule 221.13 (d)
Rule 221.13 (1)
Rule 221.13 (2) (A-E)
Identify the appropriate statements from Rule 222.4 Minimum Standards for Carrying Out or Signing Prescriptions that relate to this case?
Rule 222.4 (a) (1) (A)
Rule 222.4 (b) (1-10)
Rule 222.4 (e) (1-2)
Identify the appropriate statements from Rule 217.12 Unprofessional Conduct that relate to this case?
Rule 217.12 (6) (A)
Identify the appropriate statements from Rule 222.10 Enforcement that relate to this case?
Rule 222.10 (a) (2)
Second Assignment: Jenkins versus Payne Case Analysis
Identify the conduct statement in Rule 12 (Links to an external site.) (Texas Nursing Practice Act, Amended 2013) and the NP’s behavior that violated the standard of practice.
Rule 217.12 (4)
The patient complained about the pain and pus coming out from her nipple. The complaint was rendered not just once but many times. On several occasions, since laboratory results did not show any indication of a serious condition, but the nurse was aware that the condition could benefit from biopsy, no action was made to conduct such test.
Identify two (2) ethical principles with rationale for each that were not followed by the NP.
Medical nurses are among the leading members and providers in the health system. They are accountable for offering consideration to the customers and patients in light of ethical issues. They require moral learning to lead their suitable capacity to oversee circumstances and to give sheltered and appropriate legitimate and ethical consideration in today's evolving world.
Nurses are in charge of their clinical capacity, and their primary obligation is to deal with the customers and patients who require immediate care. They act given the qualities they have chosen. These qualities shape a structure to assess their exercises impacting their objectives, procedures, and capacity. These qualities can likewise be considered an asset for nurses’ behavior toward clinical moral competency and their meeting with contemporary moral concerns. Values conduct human life needs and frame the world we live in. They go about as a standout amongst the most fundamental parts of human life. Moral qualities are as one part of the general public and, thus, nursing calling.
For the most part, restorative misbehavior alludes to proficient carelessness by the clinic or its staff whose activities have brought about physical and money related harm to a patient under consideration. Its extension incorporates nurses, doctors, and other social insurance experts. In any case, it has for some time been connected with specialists. On account of Jenkins versus Payne, carelessness and negligence were seriously committed. The family nursing professional, and also the doctors, were careless for neglecting to perceive conceivable indications of a disease, over-stressing to the patient the likelihood of a negligible infection, not advising the patient a biopsy and not catching up to see that a biopsy had in reality been done to preclude tumor.
A standout among the most widely recognized moral problems emerges in the regulation of beneficence and non-maleficence. This equalization is the one between the advantages and dangers of treatment and assumes a part in about each therapeutic choice, for example, whether to arrange a specific test, prescription, method, operation or treatment. By giving educated approval, doctors give patients the data essential to comprehend the degree and nature of the potential dangers and advantages keeping in mind the end goal to settle on a decision. The patient allocates burden to the dangers and event. Regardless, the potential benefits of any mediation must exceed the dangers all together for the activity to be moral.
The attendant medical specialist, alongside the doctors, disregarded the moral standards beneficence and non-maleficence. This is the center standard of doing great and patient promotion. Medical attendants focus on ensuring that their patients get the best treatment to accomplish ideal results. In the case of Payne, the patient has already complained several times about the discharges. The nurse practitioner that the condition could be something alarming but she kept mum about it. She instead prescribed medications and even suggested to the patient to see a dermatologist. In reality, the dermatologist has nothing to do with the patient’s condition because it was something more serious than just a skin condition.
Beneficence is accomplished for the advantage of others. Advantageous moves can be made to forestall or expel hurts or to just enhance the circumstance of others. Doctors are relied upon to abstain from bringing about damage; however, they likewise have a commitment to help their patients. Ethicists regularly recognize compulsory and perfect helpfulness. Perfect value contains compelling demonstrations of liberality or endeavors to advantage others on every conceivable event. Doctors are not as a matter, of course, anticipated that would experience this wide meaning of usefulness. The objective of the solution is to advance the welfare of patients, and doctors have aptitudes and learning that empower them to help others. Because of the way of the relationship amongst doctors and patients, specialists do have a commitment to 1) avoid and evacuate damages, and 2) weigh and adjust conceivable advantages against conceivable dangers of activity.
Non-maleficence intends no mischief. Physicians must avoid giving ineffectual medicines or acting with malevolence toward patients. This guideline, be that as it may, offers minimal helpful direction to doctors after numerous useful treatments additionally have genuine dangers. The appropriate moral issue is whether the advantages exceed the weights. Doctors ought not to give ineffectual medications to patients as these offer danger with no probability of advantage and therefore have a shot of hurting patients. Likewise, doctors must not do anything that would deliberately hurt patients without the activity being adjusted by the corresponding position. Since numerous drugs, techniques, and mediations cause hurt notwithstanding benefit, the standard of non-wrathfulness gives a minimal solid direction under the watchful eye of patients. Where this guideline is most useful is the point at which it is adjusted against helpfulness. In this connection, non-perniciousness sets that the dangers of treatment must be comprehended in light of the potential advantages. Eventually, the patient must choose whether the potential advantages exceed the potential damages. A few case of non-pernicious activities is halting a solution that is appeared to be destructive, declining to give a treatment that has not been seemed to be powerful. In this case, the nursing practitioner gave medications that were not suited to the patient’s condition. In her belief that it was just mere infection, she administered antibiotics. In addition, the patient was never recommended to have a biopsy by any doctor who checked on her. Everyone ruled out the manifestation of cancer since they could not find any basis to declare such condition. The case shows that there were indications of cancer symptoms. Laboratory tests suggest there was none. Suspecting such case of cancer, the doctors could have performed further alternative tests to make sure that their diagnosis was right.
References
7 Ethical Principles of Nursing | Wilkes Nursing Online. (2016). Onlinenursing.wilkes.edu. Retrieved 7 August 2016, from http://onlinenursing.wilkes.edu/key-ethical-principles-of-nursing/
Bon Rule Changes. (2016). Retrieved 7 August 2016, from http://c.ymcdn.com/sites/texasnurses.site-ym.com/resource/resmgr/Docs/Doc1AnnotatedGuideUpdate0914.pdf
Texas Board of Nursing - Education - Remediation Education. (2016). Bon.texas.gov. Retrieved 7 August 2016, from http://www.bon.texas.gov/rr_current/221-13.asp
Texas Board of Nursing - Education - Remediation Education. (2016). Bon.texas.gov. Retrieved 7 August 2016, from http://www.bon.texas.gov/rr_current/217-12.asp
