Ethics

Ethics

1. DECISION MAKING

   • MDT
   • Evidence Based
   • Documented
   • Justified
   • Person centred
   • agreed care plan
     • empowerment
     • compassionate
     • unique
     • least intrusive
     • empathy
       • meet patient needs
     • recovery
     • beneficial
     • action planning
     • evaluation
     • boundaries
   • transparency
     • veracity
   • confidentiality
   • non-judgemental
   • collaboration
   • choice
   • advocate
   • equality
   • diversity
   • accountable
   • therapeutic
   • assessment

2. MENTAL CAPACITY ACT 2005

   • assume capacity
     • temporary/permanent loss
       • conflicting condition
         • delirium?
           • anxiety
         • depression?
         • physical illness
         • severe dementia?
           • confusion
             • challenging behaviour
               • unmet patient needs
           • impaired cognition
           • impaired memory
         • UTI?
   • advanced statement
     • right to die
     • spiritual beliefs
     • core beliefs
   • Understand information?
   • Retain information to make decision?
   • able to work thru info?
   • independent advocate
   • able to communicate decision
   • power of attorney
   • best interest of patient
   • assessment

3. SAFETY

   • risk assessment
   • safeguarding
   • positive risk-taking
   • safe environment
   • non-abusive care
   • risk management
   • vulnerable
   • security
   • protection

4. MEDICATION

   • Non conformity
     • covert administration
       • deceit
       • trust issues
       • underdose
   • side-effects
     • trips and falls
     • confusion
     • altered physiology
     • distress
   • pain management
   • overdose
   • maladministration

5. POLICIES/PROCEDURES

   • NMC code 2008
   • trust policies
   • NICE clinical guidelines
   • legislation
     • negligence
     • criminal law
     • civil law
   • NHS constitution

6. THEORY

   • Unilitarianism/consequentialism -do the best for most
   • deontology - morally correct decision
   • Virtue- the right nurse doing the right thing
     • kindness
     • caring
     • compassionate
     • listening
   • Principalism
     • Beneficience
     • Non-maleficience
     • Justice
     • wisdom
     • Autonomy

7. MENTAL HEALTH ACT 2007

   • deprivation of liberty safeguards
   • sectioned
     • enforced detention
     • deprived of freedom
     • medication can be forced
       • restraint?
     • human rights compromised?
   • forced interventions
     • sustainable
     • justified
     • least intrusive
     • improve health
   • leave
   • appeal
   • assessment

8. HUMAN RIGHTS ACT 1998

   • Fairness
   • Respect
   • Equality
   • Dignity
   • Autonomy
   • illegal detention?
   • right to liberty
   • right to life
   • prohibits degrading treatment
   • right to respect for private and family life
   • choice

9. PATIENT CHOICE

   • involvement
   • Accessible
   • Well informed
     • appropriate
   • patient voice
   • affordable
   • empowerment
   • ownership
   • spirituality
     • cultural
   • expectations
   • resources
   • consent
   • independence
   • privacy
   • feelings
   • right to refuse treatment
   • relationships
   • control
   • dignity
   • respect

10. END OF LIFE CARE

    • palliative care
      • pain management
        • comfort
    • quality of life
      • dignity
      • contentment
      • respect
      • enjoyment
      • belonging
    • independence
      • support
        • home care
        • respite
        • carers