Case Study : The Case of Muna
Muna was admitted via the Emergency Department to the ward following a fall at home. She was treated for a fractured neck of femur and had a total hip replacement from which she is recovering well. She is 66 years old, recently widowed and, two years ago, she was diagnosed with Alzheimer’s disease.
Muna displays certain behaviours that are annoying other patients on the ward and some of the nursing staff. The main issue is that she refuses to remain either in bed or in her chair and attempts to mobilise without assistance. She continually appears agitated and can be aggressive to other patients who try to approach her. The nursing staff are concerned for her safety and the safety of other patients.
To address Muna’s behaviour, a nurse has contacted the doctor to discuss prescribing sedative medication and the doctor has consequently prescribed diazepam to see if it would help.
Muna’s family visit her in the afternoon and find her lying in a wet bed. She is non responsive and very sleepy. They are concerned that she no longer seems able to recognise them or respond to their questions.
They complain to the nursing staff that they were not consulted about their mother’s treatment and insist on the sedative being discontinued.
• Use the ethical decision making framework to determine your recommendations for the ongoing care of Muna
• Consider the legal and ethical implications surrounding the chemical restraint of Muna.
Can chemical restraint be justified to be in the best interests of Muna
Consider interests of all stakeholders and resource availability
Consider Safety and hazards
Consider mental health legislation.
Model for Ethical Decision-Making.
1. Clearly state the problem
Consider the problem within its context and attempt to distinguish between ethical problems and other medical, social and legal problems
2. Get the facts:
Find out as much as you can about the problem through history, examination and relevant investigations.
Are there necessary facts that you do not have? If not search for them.
3. Consider the four ethical principles:
• Autonomy: what are the patient’s preferences?
• Beneficence: What benefits can be obtained for the patient?
• Non-maleficence: what are the risks and how can they be avoided?
• Justice: how are the interests of different parties to be balanced?
4. Identify ethical conflicts:
Explain why the conflicts occur and how they may be resolved.
5. Consider the Law:
Identify relevant legal concepts and laws and how they might guide management,
Examine relationships between the clinical-ethical decision and the law.
6. Making the ethical decision: Clearly state the clinical ethical decision and justify it eg:
Specify how guiding principles were balanced and why( i.e. justify the decision)
Take responsibility for the decision & provide alternative management;
Evaluate the decision;
Document the decision
Kerridge, I., Lowe, M., & McPhee, J. (1998). Ethics and law for the health professions (p. 84) Tuggerah, NSW: Social Science Press
Why Work with Us
Top Quality and Well-Researched Papers
We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.
Professional and Experienced Academic Writers
We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.
Free Unlimited Revisions
If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.
24/7 Customer Support
Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.
Admission Essays & Business Writing Help
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.
Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.
Effortlessly get the essays and grades you need. You can now get any essay, on any subject and at ANY deadline with just 10 minutes of your time (or less). Your professor will love you for it!