NURSES AND END OF LIFE PRACTICES

Nurses and end of life practices

Nurses and end of life practices

Nurses make legal and ethical decisions when caring for patients; decisions that need to be made carefully because the decisions could possibly change a patients' life. There are theories to explain how to problem solve ethically and the theories are not based on emotion. This paper will discuss the relationship between legal and ethical issues and ethical theories, examples will be provided.

Ethics can be described as principles and standards that are a guide to conduct used to elevate the standard of compliance. Ethics is derived from the Greek word “ethos” ethics explains actions as right or wrong in respect to cultural principles and values. Moral values are personal beliefs that are intertwined with ethical actions and behaviors (Mildred 2001) . Ethics, similar to values, are individualistic and they come from our experiences, culture and actions. While one's values or moral ethics may be different, the nurse's ability to conform to a patient's ethical behavior is important.

The legal system was created to establish policies to protect the public. The laws that are set can be changed when evidence suggests amendments are necessary. The relationship between law and ethics is apparent when discussing a patient's healthcare decision that goes against the norms or beliefs of the healthcare provider (Mildred 2001). An example would be the patient exercising his or her right to refuse treatment for a disease process that will result in imminent death, such as a patient in renal failure refusing dialysis.

Meta-ethics is a non-normative ethic that attempts to describe the implication between moral concepts or statements and the justification of why something is regarded good or ethically correct. Normative ethics understand standards of behavior and application of these behaviors in life. Normative ethics branch out into two broad categories called deontological and teleogical theories.

Deontological theories focus on the intended action not the consequences of one's actions(Mildred 2001) . The theory focuses on the dignity and sense of duty of the individuals and finds the relationship between the person and the action. Deontological theories are divided into two subcategories; act deontology and rule deontology. Act deontology is based on the personal moral values of the person making the ethical decision, whereas rule deontology is based on the belief that certain standards for ethical decisions transcend the individual's moral values”.

Teleological theories are based on the simple concept, right actions have good consequences and bad actions have bad consequences. This theory suggests the act of right or wrong is directly related to the consequence of the action (Mildred 2001). Utilitarianism stems off of teleogical theories, explains that consequences count and acts are determined by the consequence. Some utilitarian's believe that the moral rightness of a consequence is determined by the greatest number of good or the least harm and suffering. Considering the moral rightness is based on greatest number to benefit from the greatest good, actions based on the utilitarianism theory can often be unethical and ...