Description
Part 1
Review the following case and respond to the questions below:
Case: A military RN is ordered to force feed a terrorist prisoner while he is undergoing interrogation. The prisoner is on a hunger strike protesting his capture and highlighting his cause. The nurse is to ensure the prisoner remains hydrated and fed so he can provide information, and does not starve. The nurse is torn. On the one hand, the nurse has strong loyalty to the military objective of ensuring public safety by uncovering terrorist plots along with fear of reprisal if orders are disobeyed. Yet the nurse is appalled at the over-riding a patient’s wishes by force feeding him against his wishes.
Is this an ethical dilemma or a moral dilemma? Justify your response
What ethical principles are in contention? How?
Watch the short video clip “No Easy Answers” as a general overview of the wide ranges of situations that fall under the umbrella of “Bioethics”. Watch another video clips “Do Not Resuscitate” Discuss ethical principles that are in contention and state your rationale for your answer. What role(s) did nurses have in the case you chose? What would you have done if you were the nurse in this case
Part 2
The past 3 weeks’ learning activities were focused on health equity and the impact of socioeconomic and political factors on vulnerable populations. Respond to the following prompts using the knowledge you have gained from the readings and other A/V resources and your own reflections. Consider your understanding of the issues and your reactions to the issues: Post a response that conveys your thoughts. You may also choose to cite some of your readings if it supports or is relevant to your response.
Everyone has experienced some form of prejudice at some time in his or her life; some have been confronted with discrimination on a regular basis, while others have experienced only one or two situations. Think about your experience with an “ISM” in which you were the object of prejudice. Consider the situation, your thoughts and feelings. What did you learn and would you like to have happen when this happens again? NEXT – Think about an act of prejudice in which you have acted out against someone else. What were the feelings, thoughts and actions associated with the experience? What was the outcome? How could it have been different? What did you learn from it?
Poverty, homelessness, language barrier, sexual orientation, and disabilities are all social considerations that may prevent people from accessing health care. Are these cultures, subcultures, or social issues? What are the impacts on health care in the U.S. related to cultural incompetence in these areas? If you were a health care provider caring for any of these marginalized groups how would you build trust and rapport? What specific strategies can you describe in communication, assessment, identification of person-centered goals, and establishment of a person-centered plan of care for these vulnerable persons?
After completing the poverty simulation write a short paragraph reflecting on the following questions:http://www.playspent.org/
Did you make it through the month? If so, how much money did you have left? If not, how many days did you make it?
What was the most difficult decision you had to make? What was the easiest? Why?
What did you learn from this simulation? Were you surprised by anything you learned? Why?
Did you find yourself making any decisions that went against your usual ethical/moral perspectives? Discuss.
How might some of the challenges you encountered in this simulation have an effect on an individual’s ability to achieve and maintain health and wellness?
Reflect upon your personal beliefs and attitudes about people living in poverty and/or homelessness. Did this simulation have an effect on those? Why or why not?
Describe how completion of this simulation will change your nursing practice and the care you provide to low-income and homeless individuals.
Optional: In addition to answering the above questions, you may complete the simulation more than once and discuss your rationale for different choices and the differences in your results.
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