Week 2 Discussion 1

DISSCUSION BOARD 1

Explain the statement, “What may be an ethical dilemma for one registered nurse may not be an ethical dilemma for another registered nurse.” Be sure to define an ethical dilemma in the course of your discussion. Describe a challenging situation in your nursing career that required you to consider the ethical dimensions of the patient case and the role you played in providing care. (Be sure to respect and maintain patient and colleague confidentiality.)

· Compose at least 2-3 paragraphs all in APA format with proper references.

DISSCUSION BOAR 2

Week 2 Discussion 2

Apply the framework of The Five R’s approach to ethical nursing practice from this week's reading to answer the questions about values and choices.

What are values?

Q. What are your personal values?

Q. Why do you value them?

Q. What are the values in your society?

Q. How do you make choices?

Q. Are your choices based on your values?

Q. What values are useful in society?

What are the limits to personal choice?

Q. Who limits your choices?

Q. Are limits to choices good?

Q. Do you limit other people's choices?

Q. Should the health care organization or the government limit people's choices? If so, how, and under what circumstances?

Finally, consider this: A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption?

· Compose at least 2-3 paragraphs all in APA format with proper references.

BOX 2-6 The Five Rs Approach to Ethical Nursing Practice

1.  Read: Read and learn about ethical philosophies, approaches, and the ANA’s Code of Ethics for Nurses. Insight and practical wisdom are best developed through effort and concentration.

2.  Reflect: Reflect mindfully on one’s egocentric attachments—values, intentions, motivations, and attitudes. Members of moral communities are socially engaged and focus on the common good. This includes having good insight regarding life events, cultivating and using practical wisdom, and being generous and socially just.

3.  Recognize: Recognize ethical bifurcation (decision) points, whether they are obvious or obscure. Because of indifference or avoidance, nurses may miss both small and substantial opportunities to help alleviate human suffering in its different forms.

4.  Resolve: Resolve to develop and practice intellectual and moral virtues. Knowing ethical codes, rules, duties, and principles means little without being combined with a nurse’s good character.

5.  Respond: Respond to persons and situations deliberately and habitually with intellectual and moral virtues. Nurses have a choice about their character development and actions.

Intellectual virtues: Moral virtues, Insight

Practical wisdom; Compassion, Loving-kindness, Equanimity, Sympathetic joy

Insight: Awareness and knowledge about universal truths that affect the moral nature of nurses’ day-to-day life and work

Practical wisdom: Deliberating about and choosing the right things to do and the right ways to be that lead to good ends

Compassion: The desire to separate other beings from suffering

Loving-kindness: The desire to bring happiness and well-being to oneself and other beings

Equanimity: An evenness and calmness in one’s way of being; balanceSympathetic joy: Rejoicing in other persons’ happiness

I find the use of microscopes fascinating. It still blows my mind that before the microscope was invented looking at cells and all their components was never a thing! The use of the microscope opened so many doors in medicine, it really is incredible. A specific scenario where I would require the use of a microscope would be if I were wanting to identify certain toxins that may be responsible for causing autoimmune diseases such as Lupus. The type of light microscope that is needed in this scenario uses fluorescent-labeled antibodies to detect certain bacteria, viruses, or toxins. It uses specific staining techniques to identify distribution of proteins or other molecules. Fluorescent microscopes were first invented in between 1911 and 1913 by two German physicists Heimstaedt and Lehmann.

The second microscope I would use is a confocal microscope. A confocal microscope offers high-quality images that are relatively easy to obtain from specimens, which makes it one of the more popular microscopes. However, this specific type of microscope can increase cell and tissue death due to the high- intensity laser. This may cause people to opt out of using the Confocal microscope if they are dealing with certain tissues or cells that are more sensitive. 

References:

Caprette, D. (2013). Medical Lab. Up Close: A look at Clinical Microscopy. 

          https://www.medlabmag.com/article/1122#:~:text=The%20light%20microscope%20is%20perhaps,used%20tool%20in%20the%20laboratoryF  e

Fellters, T, Davidson, M. (nd). Evident. Confocal Microscopy. https://www.olympus-lifescience.com/en/microscope-Links to an external site.

    resource/primer/techniques/confocal/confocalintro/

1) Many vulnerable populations exist in the United States. Which vulnerable population do you think is the most challenging to care for, and how might your nursing care change when caring for this population as opposed to individual clients? 

 Examples of Vulnerable Population

* Pregnant Teenagers
* Migrant Farmworkers
* Homeless persons
* Persons in poverty
* Substance abusers
* Individuals with mental illness
* Persons living with HIV/AIDS
* Victims of abuse/violence
* Gay, Lesbian, Bisexual, Transgender populations

As a baccalaureate-prepared nursing professional, what role will you take to advocate for culturally diverse clients in your healthcare practice?