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    Ethical Issues in Critical CareNursing

    Chapter 7

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    Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    Principles of Bioethics

    • Nonmaleficence – Do no harm

    • Respect for autonomy – Respect the patient’s will

    • Justice – Fair in allocation of care

    • Beneficence – Promote the welfare of the patient

    • Veracity – ell the truth

    • Fi!elity – "eep your wor!

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    Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    Nursing Model for Decision Making

    • #!entify$ clarify$ an! un!erstan! the situation

    • %hat is the pro&lem

    • 'naly(e the pro&lem

    – %ho can ma)e the !ecision

    – %ho are the sta)ehol!ers

    • *oo) at alternati+e solutions

    • ,+aluate solution

    – '!-ust the solution

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    Legal Issues inCritical Care Nursing

    Chapter .

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    Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    Major Areas of La

    • '!ministrati+e *aw – /tatute

    – Nurse Practice 'ct

    • Ci+il *aw – #n!i+i!ual +ersus #n!i+i!ual– Ne0li0ence$ malpractice

    – 'ssault an!1or &attery

    • Criminal *aw – 2o+ernment +ersus #n!i+i!ual

    – Ne0li0ent homici!e

    – 3ur!er

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    7/20Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    Ele!ents of Malpractice

    • here is a !uty

    • Breach of !uty• here is in-ury

    • he in-ury was cause! &y the &reach of !uty

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    9/20Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    Ad"anced Directi"es

    • *i+in0 will

    – %ritten !ocument

    – ,5presses the wishes of the patient

    • Power of attorney

    – 'ppoints a surro0ate to ma)e !ecisions

    – /urro0ate un!erstan!s the patient’s wishes an!spea)s for the patient when he or she cannot

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    #enetic Issues inCritical Care Nursing

    Chapter 6

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    11/20Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    $ole of the Heath Professional• n!erstan!in0 of &asic 0enetics an! its terminolo0y

    • n!erstan!in0 the role of 0enetics in pre+enti+e care ofthe patient

    • 2ather family histories

    • Be sensiti+e a&out 0enetic information an! pro+i!econfi!entiality an! pri+acy

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    12/20Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

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    13/20Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    Genes code for proteinsGenes code for proteins

    If If  

    There is a change in protein,There is a change in protein,

    there is a change in function!there is a change in function!

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    14/20Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    Code for Proteins

    • Replication

    – he !ou&le8stran!e! DN' separates

    – emplate for synthesis

    – Complement for repair

    • ranscription

    – 2enes co!e is transcri&e! in messen0er RN'

    • ranslation– #n the cytoplasm$ mRN' ser+es as a template to ma)e

    proteins

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    15/20Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

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    16/20Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

    #enetic Disease

    • 3ono0enic – ' sin0le mutant 0ene

    – /ic)le cell anemia

    – Cystic fi&rosis

    – Phenyl)etonuria

    • Cyto0enetic – '!!ition1Deletion of a chromosome

    – Down syn!rome

    – urner syn!rome

    – "linefelter syn!rome

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    Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

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    Building a Professional PracticeModel for E%cellence

    Chapter 9:

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    Copyright © 2005 Lippincott Williams & Wilkins. Instructor's Resource CDR!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition.

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    Copyright © 2005 Lippincott Williams & Wilkins Instructor's Resource CD R!" to #ccompany Critical Care $ursing% # olistic #pproach eighth e(ition


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