NHS FPX 4000 Assessment 1 Applying Ethical Principle

 NHS FPX 4000 Assessment 1 Applying Ethical Principle 

Applying Ethical Principles 
Everyone will be confronted with an ethical dilemma at some time in their lives that will force them to question or test their moral principles or code of ethics. Healthcare workers confront ethical issues in a wide range of settings. As a result of numerous variables, healthcare workers can fulfill their obligations to their patients by using the four basic ethical principles of autonomy, beneficence, maleficence, and justice. (Vermont Ethics Network, 2011). 

Overview of the Case Study 
As a response to an Ethical Case Study: Old School or Out of Touch at Capella University report, Crosby Community Hospital has just hired Corey Davidson as the Emergency Department (ED) director (2018b). She has been practicing medicine longer than the hospital has been in existence. However, some who have worked with him say that his age and deteriorating health are hurting his ability to perform medicine. He has a strong reputation in the community. 

NHS FPX 4000 Assessment 1 Applying Ethical Principle JulianNkems
After being called by the Director of Nursing, Margaret Truman, to explore Corey’s worries, Corey meets with Margaret Truman. Patients who arrive at the emergency department (ED) with breathlessness are treated using evidence-based recommendations that have a clear strategy (SOB). Patients with SOB should wait until they have a definitive diagnosis of acute heart failure (AHF) verified by chest x-ray and lab testing before using Lasix. When it comes to treating patients with SOB, Dr. Lacey is referred to as “Dr. Lasix” by many nurses. Lasix is contraindicated in individuals with dehydration and pneumonia, which worries her. The fact that Dr. Lacy has previously refused to use the electronic health record raises Margaret’s suspicions. He won’t work with the nursing staff, according to her, and his

abilities are diminishing. An ER patient with disorientation and SOB just came, and Dr. Lacy’s nurse suspected sepsis as a result of a pressure sore. However, the nurse was able to persuade him to follow the rules after first ordering Lasix and chest radiographs. In his new role, one of his duties will be to create an evaluation procedure for physicians who are applying for clinical privileges and reappointment to the medical staff. As soon as Margaret informs Corey that Dr. Lacy’s inability to follow hospital guidelines nearly resulted in a patient’s death, Corey is faced with the ethical dilemma of whether or not to revoke Dr. Lacy’s ED privileges or to respect the clinical judgment of the community’s most experienced physician. 

Analysis of Ethical Issues in the Case Study 
Dr. Lacy’s unwillingness to adjust to new hospital rules is the primary factor in Corey’s ethical dilemma in the case study. To make matters worse, Dr. Lacy refuses to follow evidence-based protocols that have been put in place to improve patient outcomes. Marge understands that Dr. Lacy’s behaviour is not only harming his ability to work with the nursing staff, but it might also be damaging to patients in the future. Sob patients are being prescribed Lasix by her doctor, she says, and he is giving it to everyone who comes to the emergency room with SOB. The American Heart Association’s recommendations say that diuretics are the primary line of therapy for AHF; nevertheless, diuretics should be used with caution and good judgment due to their detrimental effect on renal function. (Long et al., 2018). As another example of providing Lasix before appropriate diagnosis, when the patient has acute pulmonary edema, might result in damage to the patient. Patients with APE, however, have a shift of fluid towards the lungs from volume distribution, rather than a general volume overload, as is the case with AHF. Long explains that a patient with APE who