NUR3011: (Healthcare Ethics & Law)

Module / Subject / School:

NUR3011: Healthcare Ethics & Law

Requirements: 

The multidisciplinary team meets to decide what to do next and how they should advise the family. As the nurse looking after him consider the ethical theories or principles that would apply to this case in deciding whether to continue or withdraw nutrition and hydration. 

Introduction (200 words approx.)

– A brief introduction, identifying the ethical and any associated legal issue/s in the scenario.

Body (1100 words approx.)

– A balanced discussion of what you feel is/are the most important ethical
issue/s to consider in reaching a decision.
– Your discussion should include a rationale for your choice/s with evidence.
– Acknowledge any legal implications and be supported by appropriate evidence.
– Discuss a maximum of two ethical theories/principles related to the
issues.
– You may use the SNB Nurses Code of Conduct where appropriate.

Conclusion (200 words approx.)

– A short closing summary indicating what decisions can be drawn from
your discussion.
– Any implication(s) for future nursing practice.

What we score:

78%

Our Writer’s Comment 

This assignment is designed to assess students’ understanding of business practices.

To secure an A+ grade, adhere to these guidelines and make sure your work aligns with the grading criteria:

Introduction (Around 200 words)

1. Start with a clear overview of the case:
Begin by briefly describing the scenario, focusing on the main ethical dilemma—whether to continue or withdraw nutrition and hydration for the patient. In this case, the ethical issue revolves around end-of-life care, patient autonomy, and the moral responsibilities of the healthcare team.

2. Identify the ethical and legal issues:
Outline the key ethical issue (e.g., patient autonomy, beneficence, or non-maleficence). You should also mention any legal considerations, such as how laws about end-of-life care might influence the decision. For instance, Singapore’s legal framework on advance directives could be relevant if the patient has previously expressed wishes regarding their care.

Tip: Keep your introduction concise, but make sure it sets up the ethical dilemma and touches on the tension between ethics and law in the decision-making process.

Body (Around 1100 words)

1. Discuss the most important ethical issue(s):
Here, you’ll dive into what you feel are the most significant ethical issues. For instance, is the focus on patient autonomy, where the patient’s wishes take precedence, or on beneficence, where the healthcare team must decide what is in the best interest of the patient?

• If you choose autonomy, discuss the importance of respecting the patient’s right to make decisions about their care, including the refusal of treatment, and explain how this principle applies to the withdrawal of nutrition and hydration.
• If you focus on beneficence, you’ll need to explain how this principle prioritizes the patient’s well-being and how the healthcare team should act to do the most good.

2. Support your discussion with evidence:
For each ethical issue, provide evidence-based reasoning. You could refer to case studies, ethical frameworks, or research that supports your discussion. For example, mention studies on the impact of continuing or withdrawing treatment on the quality of life, or legal cases where similar decisions were made.

• Reference the SNB Nurses Code of Conduct to support your argument where appropriate, especially when discussing the role of nurses in ensuring patient welfare and decision-making.

3. Acknowledge legal implications:
Legal aspects are critical in this case. Discuss any relevant laws or regulations that apply to the decision, such as advance medical directives or laws about life-sustaining treatments. You don’t need to go into too much legal detail, but show that you understand how the law might influence the ethical decision.

Tip: A good way to approach this is to weigh the ethical argument (e.g., respecting patient wishes) against any legal constraints (e.g., what the law allows healthcare professionals to do in such situations).

4. Discuss a maximum of two ethical theories/principles:
Choose two ethical theories or principles to discuss in depth. A good combination might be:

• Deontology (duty-based ethics): Focus on the moral duties of the healthcare professionals. Is their primary duty to maintain life, or is it to respect the patient’s wishes, even if that means withdrawing treatment?
• Utilitarianism: Consider the consequences of the decision. Would continuing nutrition and hydration improve the patient’s quality of life, or would it only prolong suffering?

Relate these theories to the case and show how they guide the decision-making process. Explain why you chose these particular ethical theories, and how they apply to the current ethical dilemma.

Conclusion (Around 200 words)

1. Summarize your key points:
Briefly restate the main ethical issues and the conclusions you’ve reached. Summarize your discussion on whether the team should continue or withdraw nutrition and hydration based on the ethical principles and legal factors you’ve considered.

2. Discuss the implications for future nursing practice:
End with a reflection on how this decision-making process might influence nursing practice in the future. You might discuss how nurses need to balance ethical and legal concerns, or how continuing education on ethical principles can improve decision-making in end-of-life care.

Tip: Keep your conclusion focused. Don’t introduce new ideas here—just tie everything back to your original discussion.

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