Running head: PREGNANCY TERMINATION AT WEEK 27 GESTATION
Ethical Dilemma: Pregnancy Termination at week 27 Gestation
Ethics: Case study week
November 9, 2012
The clinician can provide all of the pros and cons of carrying fetus to term or terminating the pregnancy now. The mother should also be aware of the outcomes of the fetus in both choices as well. When the fetus is diagnosed with a severe anomaly then the focus should not be on aggressive management but that of the parents’ wishes, in particular, the mother’s choice, which may raise a second dilemma of the parent’s possibly viewing the fetus as a person.
Professional code of conduct:
To provide guidance, societies or professions have formal written codes of conduct that outline the values of the group and expectations of those that to the group. The American Nurses Association code of Ethics (2001) is the code of conduct that guides nursing practice with in the United States. In essence, the code of Ethics (American Nurses Association, 2001) defines the ethical obligation and duties for individuals who have entered into and practice within the profession of nursing. The Code is based on the shared belief that “nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals, families, groups and communities”(American Nursing Association, 2001,p.5).
In our society there are values outlined in the United States constitution that provides the foundation for our society. The guiding principles of ethical decision making are autonomy, beneficence, justice, nonmaleficence and veracity.(Guido,5th ed).
Clinicians have an obligation to follow the mother’s decision based on respect for autonomy. Both parents should be provided with time to discuss amongst themselves in private in order to come up with the decision as a couple/family. Counseling should be provided if the couple is not ready to make the decision at that time or if they are not in agreement with the treatment plan.
Medical Ethical and Ethical Principles:
The traditions and practices of medicine constitute an important source of morality for clinicians and health care providers because they are based on the obligation to protect and promote the health-related interest of the patient. This obligation tells the clinicians and health care providers, in general what morality in medicine ought to be. Medical ethics is disciplined study of morality in medicine and concerns the obligations of clinicians and health care organizations to parents as well as the obligations of the parents. (McCullough & Chervenak, 1994).
The Ethical Principal of Beneficence:
The ethical principal of beneficence requires one to act in a way that is expected reliably to produce the greater balance of benefits over harms in the lives of others. (Beauchamp & Childress, 2011). To put this principle into clinical practice requires account of the benefits and harms relevant to the case...