Week 3 Discussion 1 Discuss the potential

Week 3 Discussion 1 Discuss the potential controversy when considering a patients right to know whether a caregiver has AIDS, and the caregivers right to privacy and confidentiality. Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues. Week 3 Discussion 2 The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice. Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following: Did you find any of the scenarios more difficult to deal with than others? Did you feel any internal conflict with any of the scenarios? How did your personal and professional background impact how you decided to interact with the patient? Do you feel the responses the patient gave to the practitioners response were reasonable or typical? Were you taken aback by any of the patient reactions? How might this activity contribute to your role as a nurse advocate in a moral and ethical practice? Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness. response 1and 2 diss 1 Louise Irene Ranit HIV status is a protected information and shouldnt be disclosed if the law doesnt require it. Those with HIV/AIDS are also considered with disability and is protected under the disabled population (Ochoa et al., 2019). Even in situations where theres a risk for injury for physician and blood exposure, I dont feel the physician should disclose it to the patient unless necessary. The risk of HIV transmission is very low from an infected surgeon (Jacobson, 2009). In the case of the surgeon who had injury during surgery and accidentally infected the patient, the surgeon doesnt have disclose HIV status to the patient prior to surgery but rather inform the patient of the HIV exposure after without identifying the surgeon (Ochoa et al., 2019). However, from a moral standpoint, I think the HIV+ surgeon holds the responsibility for making sure that he/she adheres to HIV treatment and reduce risks of transmission by reassessing risks of occupational hazard and making changes at work if the job is deemed high risk for injury for the physician (Jacobson, 2009). I work in the Emergency Department; it is a high risk for injury environment in my opinion and I draw blood many times for my patients in all my shift and it doesnt change my way of practice and treatment for patient with HIV/AIDS or other communicable diseases. I practice with caution and use universal precaution each time and Im careful every time I insert IVs, draw blood, or administer medications with needle use. However, If God forbid I became HIV positive through needlestick injury, I wouldnt work in the ED as a staff nurse anymore and consider nurse roles that have very minimal risk for injury on my part to avoid the risk of transmitting it to my patient accidentally, no matter how small the percentage of risk transmission is. References Ochoa, A. M., Cordero, L., Pulsipher, C., & Paneda, C. P. (2019, March). California HIV laws. California Aids Research. Retrieved November 14, 2021, from https://californiaaidsresearch.org/topic-areas/hiv-laws_final.pdf. Jacobson, J. A. (2009, December 1). A surgeon with HIV. Journal of Ethics | American Medical Association. Retrieved November 14, 2021, from https://journalofethics.ama-assn.org/article/surgeon-hiv/2009-12. Dwayne Peck the example of the disclosure of physicians HIV status in this weeks reading was eye-opening and satisfying simultaneously because they were able to maintain his/her anonymity while also remaining consistent with their obligations as healthcare providers by following-up with all of the patients possibly exposed to that provider (Pozgar, 2016, p.112). This case study provided us an opportunity to observe where the hospital served both parties fairly. The partial disclosure of the providers information, which was limited to letting the patients know that some provider involved in their care had HIV, was essential in order to properly determine the patients which may have interacted with the physician. Being aware of HIV being a blood borne pathogen and the transmittance of the virus is negligible unless under very specific circumstances, the question of whether providers need to make patients aware of their HIV status seems unnecessary in my opinion—so long as they are managing their HIV according to current standards and utilizing universal precautions when interacting with patients which is becoming standard practice as suggested by the CDC (Pozgar, 2016, p.114) I feel that in situations such as this, just as with COVID-19 or any other public health risk, one must consider the real risk to the public by the caregiver working with the known diagnosis. Someone having AIDS in the 1980s and following the best standards of practice would certainly present a different level of risk as compared to the efficacy of the medications available today—increasing from a 57% efficacy in the 1990s to greater than 84% in post-2010 patients (Carter, 2018). Seemingly, so long as one is capable of serving their licensed role without contradiction, they ought to be able to work. The onus would be on them and their provider to determine the potential level of risk to their clients. References Carter, M. (2018, 27 December). HIV treatment outcomes continue to get better, says large analysis. NAM aidsmap. https://www.aidsmap.com/news/dec-2018/hiv-treatmen… Pozgar, G. (2016). Legal and ethical issues for health professionals (4th ed.). Burlington, MA: Jones & Bartlett Learning Ijeoma Otuechere The exercise was tough for me in the sense that I admire the nurse’s initial response of ” Can you talk about how you came to the decision that ending the pregnancy is the best option for you”. Honestly, I do not often like ethical questions because I believe it should be solely the patient unless education is involved. Did you find any of the scenarios more difficult to deal with than others? ‘ I was raped by my husbands’ brother .Patient stating this is very difficult because she is not sure if the baby is her husbands’ or the brother. Did you feel any internal conflict with any of the scenarios? My husband is abusive and I fear for my safety and the safety of my children.This is very difficult and I feel that being in an abusive relationship is not healthy for her and the children. How might this activity contribute to your role as a nurse advocate in a moral and ethical practice. It is always important to allow patients make their decisions. If educating them is involved then the nurse should assist in doing so. A nurse had a patient who has history of respiratory failure and was on oxygen. Her saturation was in the 70s’. She did not want to be switched to a CPAP machine because of the way it covers the face. The nurse suggested intubation which patient agreed and she died the next morning. Here the nurse should have explained more to the patient how CPAP would have helped instead of telling her right away about intubatio Dwayne Peck First, I must say that I have had an interest in philosophy, ethics, emotional intelligence and relating subjects for quite some time—I was well-read on these subjects prior to becoming a nurse. Acknowledging that we are emotional beings by nature and that objectivity itself may be a moving target depending on ones perspective, I feel that the best we can do during ethical dilemmas is to be aware of our role and with our best understanding of the patient, their desires, and our own self-awareness, become the best advocate for the patient possible. With that context set, I will now address three of the questions describing my overall experience with the moral and ethical dialogue exercise.Did you find any of the scenarios more difficult to deal with than others? If I were to be the practitioner in that room, firstly I would need to acknowledge that I would be trained to handle obstetrics and I would not interpret it as I do now similar to a foreign language. But that aside, being a male, I would have to tread very delicately upon hearing that the baby was a result of the woman being raped by a male that she was supposed to be close with. Situationally, I would immediately try my best to not do anything that could possibly be interpreted as threatening or forceful being that she had just had a difficult encounter with another male. Perhaps she would not have been fearful or timid regarding a male in a perceived role and building of safety, but my goal would be to do everything in my power to develop a synergistic environment of open communication and trust to promote whatever is safe for the patient.Were you taken aback by any of the patient reactions? I was surprised reading every response to the better decision. All of the scenarios provided would unlikely finish with any sense of certainty because of the complexed emotions surrounding the decision. Even when she was considering the abortion because she had already had three children, it would not be difficult to say something that could be interpreted as judgmental or an attack and immediately decrease any chance of successful communication in either direction.How might this activity contribute to your role as a nurse advocate in a moral and ethical practice? I feel that going over roles such as this can benefit healthcare workers because it can introduce them to difficult subjects—forcing them to try to empathize with the patients perspective. A couple principles of nursing ethics which we are all familiar with are autonomy, beneficence, nonmaleficence, and justice. If we could initiate interactions with our patients based on a foundation of respecting them as people, then the other principles would more easily fall into place. Exercises such as this seem to emphasize this point despite their inherent difficulty.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE.*******."