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1. Name one of the provisions that applies to vulnerable populations
American Nurses Association. (2001). Retrieved from http://nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/EthicsStandards/CodeofEthics.aspx
Parse, R.R. (2007). The humanbecoming school of thought in 2050. Nursing Science Quarterly, 20(4), 308-311.
2. What is Human Trafficking?
3. Name a virtue that applies to vulnerable populations?
vul·ner·a·ble
: easily hurt or harmed physically, mentally, or emotionally
: open to attack, harm, or damage
STATE THE DILEMMA
GATHER THE DATA
"Vulnerable groups include people who are mentally or physically disabled or challenged, undocumented immigrants, and people who are institutionalized or incarcerated. Limited choices and inappropriate treatment options often interfere with the best health care for these vulnerable populations"
Vulnerable populations are susceptible to coercion, prejudice, lack of care, & improper attainment of consent.
Identify:
resources, needs, personal feelings
Utilize evidence based practices
Definition: whether or not the homeless population should receive healthcare they might not be able to afford/manage.
Dilemma: Do as the Dr. tells you to in order to cut costs OR provide the best and most accurate care that you can for the patient.
CONSIDER CHOICES OF ACTION
ANALYZE ADVANTAGES/DISADVANTAGES
Dilemma: Many convicted criminals receive high levels of care that is funded by state taxes even though many law-abiding citizens have no access to the type of care inmates are being supplied.
Ivan: Healthcare for Inmates
Alex: Prisoners receiving limited organ transplants
Victoria: Healthcare for the homeless
Colleen: Healthcare for immigrants
Desiree: Healthcare for the mentally handicapped or unstable
Rachel: Healthcare for the physically disabled
Thara: Human Trafficking
Dilemma: The prisoners right to receive a transplant and to gain a chance to live verses the other patient who is also in need of an organ
MAKE THE DECISION!
Provide equal care
Put patient in possible harm
Put yourself in possible harm
Do not provide care due to lack of funding
Advocate for the patient
+TREATS EVERYONE EQUALLY
+PROMOTES HUMAN DIGNITY
-COSTS
-POSSIBLE HARM
Dilemma: The disabled population is one of the most under served groups in the country by: limited availability of services, physical barriers, inadequate knowledge of providers, & a lack of respect.
Dilemma: Many of the mentally handicapped or unstable population have either a lack of healthcare or no healthcare at all. If this group of people does receive healthcare, who covers the costs of treatment? And if healthcare is not received, what are the consequences?
Dilemma: many US citizens are unhappy and/or unwilling to have resources and dollars earned by US citizens spent on health care for illegal or undocumented immigrants. Often times, due to barriers in health care and resources, along with lack of health insurance or funding, immigrants are often uncared for and their health needs are unable to be met while they are here in the US
Ivan: Give care to inmates because as nurses we are to practice with unrestricted compassion for all patients.
Alex: I believe that prisoners should receive transplants when it is needed.
Victoria: I would provide the best care I can and thorough documentation for the man.
Colleen: As a health care worker and a human being i will do all i can to provide adequate care to immigrants.
Desiree:I believe that we as Christian nurses have a professional and moral obligation to provide healthcare to those that are mentally handicapped or unstable.
Rachel I would listen to concerns from the patient and the family. They are experts on the disability.
Thara: I would choose to notify someone in x-ray, so that they can provide her with the name of an organization that can help her.
Alex: Prisoners receiving limited organ transplants
Ivan: Healthcare for Inmates
Justice
Compassion
Fidelity
Beneficence
Provision 1
Transcendence
Beneficence
Discernment
Compassion
Justice
Provision 3
Human Dignity
Desiree: Healthcare for the mentally handicapped or unstable
Colleen: Healthcare for immigrants
Victoria: Healthcare for the homeless
Charity
Compassion
Justice
Provision 1 (1:1 & 1:2)
Enabling/Limiting
Provisions 1 & 3
Compassion,
Justice, and
Beneficence
Enabling/Limiting,
Transcendence
Transforming
Provision 1,3, & 8
Enabling/Disabling
• Man is a combination of biological, psychological, sociological and spiritual factors
Trafficking in Persons as the recruitment, transportation, transfer, harboring or receipt of persons, by means of the threat or use of force or other forms of coercion, of abduction, of fraud, of deception, or the abuse of power.
Thara: Human Trafficking
Rachel: Healthcare for the physically disabled
Fidelity
Non maleficence
Discernment
Provision 2 & 3
Patient Advocacy
Transcendence
Enabling/Limiting
Justice
Beneficence
Compassion
Provision 1, 3, & 9
Transcendence
Human Dignity
Dilemma: Does the nurse follow the woman to x-ray or does she have someone else in x-ray hand her a slip of paper with an encrypted phone number and risk the girl not feeling safe with the other person, but drawing less attention to the suspicious nurse by the “boyfriend?”
Provision 1- "The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.”
Provision 2: The nurse's primary commitment is to the patient, whether an individual, family, group, or community.
Provision 3. “The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient”
RISKS TO NURSING
Transcendence: "Cotranscending with possibles is the powering and originating of transforming" (Parse, 2007).
Harm to patient or nurse
Loss of employment due to offering care not funded
Possible negligence
Working outside the hospital policy
Emotional/ spiritual distress
Justice
Non-maleficence
Compassion
Fidelity
Mercy
Patient Advocacy:
Speak out for those who cannot speak, for the rights of all the destitute. Defend the rights of the poor and needy. —Proverbs 31:8-9
Enabling-Limiting- linked with the paradox potentiating-restricting. It is about the opening and closing of doors as we make choices in life. As one door is opened another closes.
1 John 3:17
But if anyone has the world's goods and sees his brother in need, yet closes his heart against him, how does God's love abide in him?
I. Andrews, A. Dabney, V. Geiger, C. Horner, D. McAlpine, T. Tapie, R. Vance