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Clear decision about action to be taken stated.

After read the scenario,

1.I need three quarters of a sheet of paper in summary. How can I say based on this scenario?

2. I need conclusion and action plan like rubric( refer rubric)

This is rubric:

Clear decision about action to be taken stated. Conclusions and actions are well supproted by theories, principles,nursing standards and laws. Clear statement of why recommended action was chosen.

Hello, I’m victoria. I agree with monique that, as she said earlier, she would not tell the patient about the situation about her husband in consideration of Amira’s health as well.  As a nurse, I can think of a few reasons why Amira shouldn’t know the whole truth about her husband until she gets better.

First of all, Amira’s health is not stable, and as a nurse, worried that any more stress could seriously hurt her ability to live. Telling her the truth about her husband’s death could cause her a lot of emotional pain, which could cause her body to react badly and slow down her healing.

Second, Amira is going to have surgery, and for her chances of living, she needs to be in a stable mental and emotional state. In this scenario, she requires urgent surgery due to deteriorating vital signs, pale skin, cyanotic lips, kidney damage, and difficulty breathing due to collapse of one lung.

Even if the surgery is performed under these unfavorable conditions, it will be more likely to fall into a coma, and in addition, her health condition will pose a greater risk if she is under greater stress after hearing that her husband died after the accident.

Lastly, it’s not right to hurt the patient when it’s not necessary, and telling the truth now might hurt more than help. For this reason, as a nurse, I face an ethical dilemma about whether or not to tell her about Charlie, as her survival in the operating room is uncertain.

First to evaluate an ethical dilemma critically, I should think about the relevant ethical theories and principles. One of these is beneficence, which says that as a nurse should act in the best interests of their patients and work to improve their health. As Charlie has no heartbeat or respiration, the trauma team attempts to resuscitate him in the emergency department. They were scared that breaking the silence regarding Charlie’s death would worsen her predicament, but they also did not want Amira to die without knowing that Charlie had passed away. Amira’s baby Samantha is fine and recovering nicely at a different hospital, and the nurses gave her optimism that everything would be OK. Using the “Code of Conduct Principle 2, section2.7” (CNO) ensure the very well of clients is crucial for avoiding deaths caused by client shock and terror and that was exactly avoided. As a nurse with her existing health status, the aim was to cause no damage to the patient.

And the other one is the nurses’ actions to avoid Amira’s rapid shock are consistent with the Utilitarianism theory, which states that the best ethical decision is the one that produces the most significant benefit for the great majority while minimizing unpleasant outcomes (Häyry, 2021). I understood their responsibility to advocate for their patient’s health and safety by the “Code of Conduct Principle 2, section2.6” (CNO). Amira is comforted by me who tell her that her daughter Samantha is doing OK in another hospital, but they do not tell her that Charlie, her husband, died long ago. I understand the significance of ethical practice regarding CNO respect of life (CNO.p8). I realize that telling Amira about Charlie’s death will only worsen her position, given that she requires emergency surgery, and her health is precarious.

Also, in this scenario, in relation to the ethical principles of beneficence and utilitarianism, I may have legal issues with the decision to disclose or withhold information about Charlie’s death to Amira. The ethical values are in any situation the patient’s death should be informed to all his family members immediately. Not telling the truth means they are violating the rules. According to the Zolkefli(2018) , nurses have a duty to tell the truth, but It can also be argued that telling the truth is only a prima facie obligation, in other words, when there is conflict with other obligations, one can override the other obligation. This is in particular relevant to the principles of beneficence and Utilitarianism which are used to justify for not telling the truth to patients. generally, previously that telling lies may potentially lead to physical and psychological harm, but what if, by telling lies offer greater benefits to patient, than causing harm? Therefore, perhaps it is good to reflect that if illuminating the truth would cause harm and a lie is told with the clear intention of achieving good, then lying can sometimes be morally justified.