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QUIZ

References:

1. Name one of the provisions that applies to vulnerable populations

Definition:

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?

Healthcare for the Homeless Population

3. Name a virtue that applies to vulnerable populations?

Decision Making Process:

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.

Topics:

Healthcare for Inmates

Prisoners & limited organ transplants

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

Healthcare for Immigrants

Healthcare for the mentally handicapped or unstable

Healthcare for the physically handicapped

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

Our Decisions:

Human Trafficking

Conclusions:

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

Do unto others as you would have others do unto you. [Matthew 7:12]

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?”

Code of Ethics

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

Virtues

Humanbecoming

Christian & Personal Values

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?

Defend the cause of the weak and fatherless; maintain the rights of the poor and oppressed. Rescue the weak and needy; deliver them from the hand of the wicked." Psalm 82:3-4

Hebrews 13:1-3: “keep on loving each other as brothers and sisters. Do not forget to show hospitality to strangers for some who have done this have entertained angels without realizing it! Remember those in prison, as if you were there yourself. Remember also those being mistreated, as if you felt their pain in your own bodies”

Social Issues: Vulnerable Populations

I. Andrews, A. Dabney, V. Geiger, C. Horner, D. McAlpine, T. Tapie, R. Vance

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