ETHICAL DECISION-MAKING FRAMEWORK

Ethical Problem

Ethical Principles (What are the ethical principles involved?)

Fidelity
Being loyal and faithful to commitments and accountable for responsibilities.
Non-maleficence
Doing no harm to clients.
Beneficence
Doing good for clients and providing benefit balanced against risk.

Ethical Issues (What are the types of the ethical issues happened?)

Freedom vs. Control

Problem Statements (What are the problems?)

Does the patient have the right to make choices for himself that may result in harm or can the nurse
take control and do what the doctor ordered, and force to give medication ?

Data Gathering
Relevant Facts (What are the facts gathered from the case?)

1. Susan refused to be given any medication or treatment

2. Susan stated that she wanted to die in peace and dignity.

Stakeholders and the Concerns (Who are involved? What do they concern?)
Stakeholders Concerns
 Susan Nurse in charge concerned susan because, she
refused when nurse give medication

Options
What are the possible solutions? What are the advantages and disadvantages of each option?
Option 1 : The nurse force client to given any medication and treatment, even thought she refused?

Advantages Disadvantages
1. Doctor ordered is carried out 1. Susan feels uncomfortable or she has no
2. Susan condition is getting better freedom

Option 2 : Not forcing Susan to be given medication

Advantages Disadvantages
1. Susan feel comfortable 1. Thats the bad option for her condition

Decision and Justification

Decision (What is the recommended decision?)

Recommend decision is option 1

Justification (What are the considerations?)

However the nurse had to given medicine and therapy to susan for his survival and to reduce the pain.