Ethical Dilemma: Brain Death

Ethical dilemma Brain DeathThe h wizardst dilemma is a situation that is b both(prenominal)park in many places of lean including the concords travel. These dilemmas argon ever hard to solve since technically they weigh equally in the eyeball of the professional nurses in question (White, 2001). nursing as a criminal maintenanceer identical any other has diverse honourable dilemmas. This paper aims at describing an ethical dilemma in relation to declaration of oral sex expiration by the nurse and refusal of this situation by the patients family. The work pull up stakes entail the definition of ethical dilemma main incorrupt issues that arose in the scenario given description of two bioethical principles and giving a realize of how they relate to this scenario explain my personal holiness and how it relates to the dilemma of declaration of learning ability stopping point and finally the conclusion.Ethical predicament and How it Affects NursingAccording to Ong Yee (2012), ethical dilemma is a situation that motivations one to choose one from among two or much morally acceptable options or in the midst of equally unacceptable courses of go through, whereby one of the choices pr flatts the occupyion of the other. Increase in sparing stress, advances in medicine, rise in self determination of patients and differing values betwixt patients, their family and wellness workers, especially nurses ar among the many factors that contri exactlye to the frequency and complexness of issues that be ethical in the health care. Example of these ethical dilemmas includes truth-telling and disagreement oer the management plans. This therefore enquires the nurses to be in a costly stead so as to be aware of these issues and adopt a suitable approach towards dealing with such dilemmas. In addition, the health care facilities management should have a responsibility to ensure that systems are in place to minimize the occurrence of dilemmas and to ensure that in case it happens, facultys, including nurses, are supported on how to get through with(predicate) the process of resolving dilemmas and conflicts that whitethorn arise afterwards.An ethical dilemma can also be a situation or state in which one must select between two or more adoptions that are equally unacceptable, where this is departure between two or more nursing ethical principles and each(prenominal) solution may contain unpleasant out recognizes for one or more involved parties and in my case the parties are the bereaved person family and the management staff (Miwa et al, 2012).The effect of a caput dying and the family refusal scenario may be of coarse emotional impact of the nurses. Some skill even end up losing it all, according the historical findings, but it always appropriate to none that these do leave differ from one nurse to another. The grade to which one feels a dilemma result always differ from each nurse and also differs in terms of th e nurses educational background, how much clinical experienced is the nurse and also ones nursing moral (Miwa et al, 2012). The dilemma consequences are always frustrating and upsetting nurses and more so when one does not have adequate experience dealing with the matter. The suffering that the nurses go through is known as the moral distress (Epstein Delgado 2010). This is meant to happen since the nurses know the ethically correct action to take in reference to the brain death but feels powerless to take the action. This might course to some nurses go away their jobs, or even the profession altogether.Main Moral Issues RaisedIn a situation of ethical dilemma in the declaration of brain death and refusal on the part of the family, the main moral issues include the fact that the family is de jure authorized to solve decisions in relations to the patient even though they do not have the medical knowhow they desire an action not declaring the patient brain death thus the patient bequeath still be assumed to be alive and thus treated. On the other transcend, the nurse who has the clinical knowledge opposes the idea and is about a desire for action that the patient should be declared clinically and legally dead so that other follow up procedures could be taken (Epstein Delgado 2010).This means that there are two courses of action, both of which can be justified ethically and neither of which is of lesser weight. If the desires of the family are followed, the patient will be in the hospital assumed alive and treated standardised any other patient. one(a) may ask how beneficial is this to the family and what are the costs of this action? On the other hand, if the desire of the staff is followed, the patient will be declared dead and there is the likely cap of the family feeling abandoned and opinion, neglected thus angry thus would lead to other repercussions like court battles a situation that one would like to avoid due to the costs that come with it ( Epstein Delgado 2010).Bioethical PrinciplesAccording to Crisham (1985), the bioethical principal has evolved oer the years with some elements added and others removed until now we have only foursome broad bioethical principles beneficence, non-maleficence, justice and impropriety. In this case will discuss autonomy and beneficence. This does not mean they override all other moral considerations, but they are the perfect match for this kind of ethical dilemma.Autonomy ethics entails the respect for autonomy. This is the principle of permission. In minimal terms, autonomy requires to decide for the as an individual and free from the control of others and with sufficient level of deducting that you will provide a meaningful choice. Autonomous persons should be capable to contend a course of action and develop an action plan thus implement it. This principle comes with its share of problems, especially when the person is incompetent for our scenario the bereaved family. The issues , therefore, rise since the family is to give communicate consent to the declaration of the patients brain death. The principle holds that there is a need for competence, disclosure, voluntariness and comprehension when it comes to the informed consent qualification the declaration even more difficult for our car (Gordon et al, 2011).In relation to the ethical dilemma therefore, there is a need for informed consent from the parents for the declaration to take effect. And the fact that the family denies the declaration merely means they do not consent to it thus rendering it deceitful and void (Gordon et al, 2011).BeneficenceThis principle requires that we contribute to the welfare of others as an flesh of the Golden Rule (Gordon et al, 2011). This principle can be divided into two utility and positive beneficence. The positive beneficence principle requires that there is preparedness of benefits from the moral staff while the utility principle requires that the nurses weigh th e benefits and deficits as a means of producing the best result. There is therefore need for a risk benefit analysis.In the scenario of brain death declaration and refusal from family, I will be preventing the ethical losses on part of the health facility by declaring that the patient is brain dead while I will be like issuing a loose narrative to the patients family. The utility principle, therefore, requires me to weigh the risk associated with the declaration and come up with a sound decision (Gordon et al, 2011).Personal MoralityNaturally, I am an empathetic person with peachy compassion, thus pride myself be a nurse. I always try to put myself in the patients and family tog and try to understand the situation that they are in. I made great sacrifices on behalf of my career as a nurse and just to seem that my role as a nurse is felt in the health facility. I am open and ready to lean in all the environments. I also enjoy socializing and comparing notes with my colleagues to ensure that the mathematical product of my decisions is holistic and meet the threshold that is set. My compassion has enabled me to appear friendly for both the patients and their family and friends. I always believe that am suppose to be sacred to my place of work through hard work and ensuring flexibility whenever need be (White, 2001). The majority of these qualities is what I would call that makes part of me as a nurse if not all and therefore a situation that brings a collision between these qualities and the my occupation as a nurse does not only cause great confusion but perplexes.The scenario of declaring the brain death and refusal of the family is therefore a hard nut to crack on my part. One side of the puzzle is, given the fact that I have been appearance to be the friend of the patients and their family members and friends, and such a declaration will make me lose one of the morality that I intend to keep. Compassion is the morality that keeps me going in my career as a nurse (White, 2001). Empathy makes me understand the situation of the family and the pain that they are going through thus making the declaration even harder. On the other hand, a declaration is my obligation in place of work. I have to declare that the child is brain dead to ensure me being a benefit to the facility. Failure of which will be like a denial to do an activity which is in reality the same reason why I am a nurse. This might lead to results such as being sucked.The declaration of brain death and refusal by the family is therefore an ethical dilemma. This is from the fact that it brings forward the controversy between the two bioethical principles autonomy and beneficence. It is hard to determine whether to do what one is judge to do in the career or do what one views is justly while all this does not solve the solution at hand this is the scenario that comes with this ethical dilemma. The values of compassion and empathy makes enable one to understand the situ ation better and feel for the family even more and may end up forgetting his or her role as a nurse. In this case, the declaration of a brain death would be still a great ethical dilemma on part of the nurses if the family is against the declaration.ReferencesBeauchamp, T.L. (2011). Making Principlism Practical,Bioethics, 25(6), 301-303.Crisham, P. (1985).Moral How Can I Do Whats Right? Nursing Management, 16 (3), 42A- 42N.Epstein, E.G., Delgado, S., (Sept 30, 2010) Understanding and Addressing Moral Distress. OJIN The Online ledger of Issues in Nursing, 15(3), Manuscript 1.Gordon, J.S., Rauprich, O. Vollmann, J. (2011). Applying the Four-Principle Approach. Bioethics, 25(6), 293-300.Ham, K. 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