Reference no: EM133297663
Assignment:
When to Give Bad News
Amira is driving on a highway with her male partner, Charlie, and their three year old daughter, Samantha. They are hit by a drunk driver in a multi-vehicle accident. Ambulances quickly arrive on the scene, and Amira and Charlie, both seriously injured, are rushed to a nearby hospital in separate ambulances. Samantha, with minor injuries, is taken in another ambulance to a children's hospital 10 KM away.
In the hospital emergency room Charlie's vital signs are absent. The trauma team tries to resuscitate him, but their efforts fail. Amira, awake in the same hospital's trauma room, is not aware of her partner's death. She asks about her family. At the same time her vital signs deteriorate because she has lost a lot of blood. Her colour is pale and her lips are cyanotic. As a result of the crash, one lung has collapsed, her breathing is labore, and she also has sustained kidney damage. She urgently needs to have surgery. Whether she will survive the surgery is uncertain. If she does survive, she will be in an induced coma for a week to allow her body to heal. Her physical status is unstable, and the nurses and their colleagues fear that any further stress might seriously impair her capacity to survive. She loses consciousness briefly and then suddenly awakes and asks, "How is Charlie?" and "Where is Samantha?" The nurses tell her that Samantha is well and at another hospital. No one on the team wants to answer her Amira's question about Charlie. They are aware of the risks of telling her now. But they are also afraid that she might die in the operating room without knowing the truth about Charlie.
Adapted from: Yeo, M., Moorhouse, A., Khan, P., & Rodney, P. (2010). Concepts and Cases in Nursing Ethics 3rd ed. Peterborough: Broadview
Introduction/Purpose:
- Demonstrate the ability to apply an ethical decision-making framework to evaluate and solve an ethical dilemma
- Demonstrate the ability to critically appraise an ethical dilemma using relevant ethical theories and principles
- Identify the link between ethical and legal analysis of an ethical dilemma
- Understand the purpose and function of ethics committees
- Articulate the importance of values and values clarification when discussing ethical dilemmas