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Critical Care Nursing A Holistic Approach Part 2 Ethical Issues in Critical Care Nursing Chapter 7 Principles of Bioethics • Nonmaleficence – Do no harm • Respect for autonomy – Respect the patient’s will • Justice – Fair in allocation of care • Beneficence – Promote the welfare of the patient • Veracity – Tell the truth • Fidelity – Keep your word Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Nursing Model for Decision Making • Identify, clarify, and understand the situation • What is the problem • Analyze the problem – Who can make the decision – Who are the stakeholders • Look at alternative solutions • Evaluate solution – Adjust the solution Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Legal Issues in Critical Care Nursing Chapter 8 Major Areas of Law • Administrative Law – Statute – Nurse Practice Act • Civil Law – Individual versus Individual – Negligence, malpractice – Assault and/or battery • Criminal Law – Government versus Individual – Negligent homicide – Murder Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Elements of Malpractice • There is a duty • Breach of duty • There is injury • The injury was caused by the breach of duty Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Consent • The patient is provided information to make an informed decision about the care he or she receives • Obtaining consent is the responsibility of the physician • Nurses witness the patient’s signing the consent form Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Advanced Directives • Living will – Written document – Expresses the wishes of the patient • Power of attorney – Appoints a surrogate to make decisions – Surrogate understands the patient’s wishes and speaks for the patient when he or she cannot Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Genetic Issues in Critical Care Nursing Chapter 9 Role of the Heath Professional • Understanding of basic genetics and its terminology • Understanding the role of genetics in preventive care of the patient • Gather family histories • Be sensitive about genetic information and provide confidentiality and privacy Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Genes code for proteins If There is a change in protein, there is a change in function! Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Code for Proteins • Replication – The double-stranded DNA separates – Template for synthesis – Complement for repair • Transcription – Genes code is transcribed in messenger RNA • Translation – In the cytoplasm, mRNA serves as a template to make proteins Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Genetic Disease • Monogenic – A single mutant gene – Sickle cell anemia – Cystic fibrosis – Phenylketonuria • Cytogenetic – Addition/Deletion of a chromosome – Down syndrome – Turner syndrome – Klinefelter syndrome Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Building a Professional Practice Model for Excellence Chapter 10 Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition. Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.