Chapter 5 – Assignment Nursing Ethical, Legal Legislative Issues

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Read the Case Law and answer the questions.

Instructions:

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  1. Read the Case Law – Werth vs. Taylor (See Below)
  2. Then, answer the questions below.
    1. Did this case turn out the way you thought it would? Why or why not?
    2. How could Cindy have assured herself that she would not receive any blood no matter what happened?
    3. Would it have made any difference in the outcome of the case if the anesthesiologist had interviewed Cindy before the procedure and told her that her life could be in danger if she refused blood during both procedures?
    4. What kind of consent is it when there is an emergency situation and the physician/healthcare worker needs to act or the patient may lose their life?
  3. Your paper should be:
    • One (1) page
    • Typed according to APA style for margins, formatting and spacing standards
    • Typed into a Microsoft Word document, save the file, and then upload the file
    • CASE LAW
    • Case Law
      Werth vs. Taylor
      475 N.W.2d 426, 427 (Mich. Ct. App. 1991)
      Cindy Werth was expecting twins. Because she was a Jehovah’s Witness and had
      a firm belief in the religion’s teaching “that it is a sin to receive blood transfusions”, Cindy
      signed a “Refusal to Permit Blood Transfusions” form as part of her hospital
      preregistration.
      After delivery, Cindy had complications and was experiencing uterine bleeding.
      She was advised to undergo a dilatation and curettage and agreed. Again, she discussed
      her refusal to allow a blood transfusion with her obstetrician/gynecologist (OB/Gyn). After
      being placed under anesthesia and despite the specialist’s efforts during surgery, Cindy
      continued to bleed and was experiencing, among other things, premature ventricular
      activity and a significant decrease in blood pressure. The anesthesiologist (Dr. Michael
      Taylor) determined that Cindy needed a blood transfusion to sustain her life. Cindy’s
      OB/Gyn expressed Cindy’s refusal of blood transfusions, but the anesthesiologist
      proceeded anyway stating that it was medically necessary.
      The Werth’s filed a malpractice suit, alleging that Dr. Taylor committed battery by
      performing the transfusion without Cindy’s consent. Dr. Taylor moved for a summary
      disposition “because Cindy’s refusal was not conscious, competent, contemporaneous
      and fully informed.”
      The trial court found that Cindy’s refusals of a transfusion were made when she
      contemplated “merely routine elective surgery” and not life-threatening circumstances,
      and that, “it could not be said that she made the decision to refuse a blood transfusion
      while in a competent state and while fully aware that death would result from such refusal.”
      The record apparently reflected “the unexpected development of a medical emergency
      requiring blood transfusion to prevent death or serious compromise of the patient’s wellbeing.”
      The trial court therefore granted summary disposition in favor of Dr. Taylor.

References:

Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au

Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm

 

Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html

Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/

Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au

 

 

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