legal parameters and ethical nursing

Apply the legal parameters and ethical nursing implications of therapy with selected pharmacotherapeutic agents.

1. . Apply the legal parameters and ethical nursing implications of therapy with selected pharmacotherapeutic agents.
• • Discuss the legal parameters of therapy with selected pharmacotherapeutic agents.
• • Discuss the important components of drug legislation at the state and federal levels.
• • Provide examples of how drug legislation impacts drug therapy.
• • Identify the ethical principles involved in making an ethical decision.
• • Describe the steps in an ethical decision-making model.
• • Discuss the ethical nursing implications of therapy with selected pharmacotherapeutic agents.
Given:
Although nurses must be aware of and practice within the framework of legal and ethical standards, this can be viewed as helpful than a hindrance. Drug legislation and state nursing practice acts and rules and regulations provide guidelines that protect both the patient and the nurse.

For ethical nursing practice information, nurses should use the American Nurses Association Code of Ethics as a guideline for protecting both nurse and patient. Having knowledge of the laws and procedures under which a drug is developed, marketed, and maintained can instill confidence in the reliability of drug information—and raise questions about what more we can do to protect our patients.

Chapter 4

This performance task focuses on the legal and ethical considerations of medication administration by nurses.

Case Study
Clinical Drug Trial
A patient on the telemetry unit has had a serious heart condition for years and has been through every known protocol for treatment. The cardiac physician has admitted him to a telemetry unit for observation during a trial of a new investigational drug. The patient exclaims, “I have high hopes for this drug. I’ve read about it on the Internet, and the reports are wonderful. I can’t wait to get better!”

1. How should the nurse answer this statement?

The cardiac physician meets with the patient and the nurse to explain the medication and how the double-blind experimental drug study will work. The purpose of the medication and potential hazards of the therapy are described, as well as the laboratory tests that will be performed to measure the drug’s effectiveness. The physician then asks the nurse to have the patient sign the consent form. When the nurse goes to get the patient’s signature, the patient says, “I’ll sign it, but I really didn’t understand what that doctor told me about the placebo.”

2. Should the nurse continue with getting the consent form signed? Explain.
3. The patient tells the nurse, “How can I make sure I have the real drug and not the fake drug? I really want to see if it will help my situation.” How should the nurse respond?

4. After a week, the patient tells the nurse, “I don’t see that this drug is helping me. In fact, I feel worse. But I’m afraid to tell the doctor that I want to stop the medicine. What do I do?” What is the nurse’s best response?

Task: Write an essay (suggested length of 3-4 pages) in which you address the following topics from the case study:

A Begin the paper with an introductory paragraph that briefly describes at least four major topic areas you are covering.

B Explain why ethical theory is important in nursing.

C Describe the steps in an ethical decision-making model.

D How should the nurse respond to the patient’s statement “I have high hopes for this drug. I’ve read about it on the Internet, and the reports are wonderful. I can’t wait to get better!”?

E E Provide rationale for nursing response to patient’s statement for D above.

F F Explains why or why not the nurse should continue with getting the consent form signed.

G G How should the nurse respond to the patient’s statement “How can I make sure I have the real drug and not the fake drug? I really want to see if it will help my situation.”?

H Provide rationale for nursing response to patient’s statement for G above.

I What is the nurse’s best response to the patient’s statement “I don’t see that this drug is helping me. In fact, I feel worse. But I’m afraid to tell the doctor that I want to stop the medicine. What do I do?”?

J Provide rationale for nursing response to patient’s statement for I above.

K Apply the decision making model (described in C above) to this case.

L Use correct APA format, headings, and in-text and reference list citations throughout the paper.

M Use a minimum of three (3) references, from professional, scholarly-based sources in the paper.

Note: To expedite the grading process, submit the paper as an attachment, please save the word processing file as an *.rtf (Rich Text File).

Note: When using outside sources to support ideas and elements in a paper or project, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the paper or project.

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