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Biomedical subjects

C H Rushton

Publications and source records attributed to C H Rushton.

48 records · Page 3Linked to original sources

Placebo pain medication: ethical and legal issues.

The unconsented use of placebo pain medicine raises numerous ethical and legal issues. Generally, the use of placebo for the assessment of pain is unjustified. Nurses who are asked to participate in placebo pain medication must be knowledgeable of the ethical and legal ramifications of their actions.

Adolescent↗

When values conflict with obligations: safeguards for nurses.

Increasingly, nurses are being confronted with clinical situations that challenge their personal and professional integrity. For integrity to be preserved, safeguards must be developed and an environment that supports ethical practice fostered. Standards such as those promulgated by the JCAHO provide an important opportunity for nurses to create mechanisms to assure that diverse religious, cultural, and ethical beliefs of nurses are respected and upheld.

Conflict, Psychological↗

Balancing personal risk with professional responsibility: the case of AIDS.

Generally, nurses have an ethical and legal obligation to provide treatment to persons with AIDS. When it is unclear whether nurses are morally required to provide treatment, they should engage in moral analysis, discuss their concerns with their colleagues and administrators, work within their institution's framework to resolve their concerns, seek legal counsel, or as a last resort consider working in another practice setting.

Acquired Immunodeficiency Syndrome↗

End of life care for infants with AIDS: ethical and legal issues.

Complex cases involving end-of-life care for infants with AIDS raise a variety of ethical and legal concerns. Health care providers should understand the issues involving proper treatment, including adequate relief of pain at the end of life, and a context for examining the suffering of caregivers.

Acquired Immunodeficiency Syndrome↗

When parents demand "everything".

Critical care professionals may be faced with requests by parents to continue life-sustaining treatment despite professional recommendations to the contrary. Such cases raise complex moral, legal and social issues that require ongoing ethical dialogue in hopes of achieving a social consensus. Professional standards, a statutory framework, case law and the exercise of professional and parental responsibility will also play a role in this dialogue.

Coma↗

Confronting unsafe practice: ethical and legal issues.

Confronting unsafe practices in the workplace requires careful ethical and legal analysis and a supportive practice environment. Nurses should collaborate with their colleagues to create mechanisms to review and monitor clinical practices, investigate questionable occurrences, and collaborate with licensing boards to respond to infractions.

Child↗

Keeping secrets: the ethical and legal challenges.

Blatant examples of breeches of confidentiality are less common in comparison to the daily indiscretions that occur by members of the health care team or support staff. Yet such breeches of confidentiality are rarely identified as ethical or legal problems and therefore remain unaddressed. To uphold their moral and legal obligation to protect private information, nurses must examine the nature of their obligations and devise strategies to create and maintain a culture that holds health care professionals accountable for their actions.

Adolescent↗

The language of miracles: ethical challenges.

In the context of health care decision making, the language of miracles is expressed by both parents and professionals. Without mutual understanding of the meaning of miracles, parents and professionals may experience conflict about treatment goals. Understanding the dynamics of appeals to miracles, examining caregiver responses, and employing strategies to assess parental knowledge, understanding the meaning of miracles and faith, and allowing for hope are essential for respectful and mutual accommodation.

Attitude of Health Personnel↗

Establishing therapeutic boundaries as patient advocates.

Pediatric nurses often struggle to define their advocacy role with patients and their families. Nursing is based on the therapeutic use of self and caring. An unclear therapeutic relationship can undermine nurses' advocacy efforts. Nurses are encouraged but often not guided about staying within the parameters that define a professional and therapeutic relationship between the nurses and the patient/family. Examining the impact of unclear boundaries on the patient/family relationship and the nurse's ability to serve as an advocate provides the basis for suggested constructive strategies for addressing the related issues.

Child↗