In the healthcare profession management and employees have developed policies and procedures to help the general staff understand their role and what they are able to do according to their job description. Each hospital develops their own policies and procedures according to their needs always staying within the law. These policies and procedures help to work through ethical problems or dilemmas that a healthcare professional encounter daily.
In the healthcare profession ethical dilemmas/problems are encountered every day by all of the healthcare professionals. As a registered nurse and throughout the years, I have encountered many problems of different magnitude; different ...view middle of the document...
If the labor is allowed to progress to a critical point the danger is for both mother and the unborn baby. This type of problem is an ethical dilemma, which involves the whole family, is a delicate situation that needs to be managed with extreme tactic and thoughtfulness because two lives are in jeopardy. In searching for the answer on how to best help and ensure that Rachel and her baby receive appropriate and timely medical care, is the ethical dilemma medical staff encounters in this situation.
The primary ethical issue in this situation is that Rachel is an underage young lady, who is not married, and is ready to deliver her baby. Because she is under age her parents have the legal right to make all the decisions for her including medical treatment. Due to their religious beliefs Rachel's parents believe their daughter needs to be punished for getting pregnant before marriage, therefore one of her punishments will be to feel all the pain of labor and suffer the consequences of her actions, and if any other medical assistance is needed during the labor is not to be given because of their religious beliefs that if God wants to take Rachel and her baby he will do so. Mr. and Mrs. Banks don't seem to understand the critical situation they will be facing by refusing treatment for their daughter and grandbaby; they are closed minded and unwilling to see and understand the grave danger of the situation.
As a healthcare provider, registered nurse, and shift supervisor I need to maintain a clear mind and be impartial in regard to their religious beliefs and attitude towards their daughter. The main concern and responsibility in this case is to maintain Rachel Banks and her unborn baby safe. Another concern is how to best deal with this critical ethical dilemma without making the situation worse than what already is. I need to notify the house supervisor on duty of the current situation, the chaplain on call for the hospital, the physician on duty, and explain to them the urgency to intervene on this situation because I do not want Rachel's untreated situation to continue and get any worse.
A conference needs to be arranged with Rachel and all family members, including the primary care nurse, the supervisor, the chaplain, and the physician on duty. It is hoped that the chaplain will hopefully be able to reason with Mr. and Mrs. Banks that physical punishment is not a way to treat another human being especially their daughter. I am hoping that the chaplain will be able to reason with Rachel's parents and make them understand the critical situation their...