Ethical Dilema Essay Example for Free

Ethical Dilema Essay In this paper, I will discuss the ethical dilemma faced by a nurse who is caring for an eight month old patient, who reports with his mother to the emergency room with a suspicious fracture. The mother provides a plausible story, and the physician knows the family and does not suspect abuse. I will discuss the action I would take in order to provide the appropriate care for this patient. As a registered professional nurse, I feel the only approach to the case is to report the injury to Department of Family and Child’s Services (DFACS) for their investigation. When a report is made, DFACS will complete an investigation and make the ultimate decision if abuse or neglect was the cause of the injury. Each nurse has a duty to report all suspicious injuries to DFACS, regardless of her feelings on abuse or neglect. This is true even when the physician knows the family or does not suspect abuse. The nurse is responsible for her own actions. In order to provide the best quality of care for this patient, I would take the statement from the parent about how the patient was injured, and then talk to the physician to gather the physical finding, which may include x-ray reports after this information is gathered, I would report the case to the local DFACS. Anytime there is a suspicious injury regardless of the plausibility of the story, or if the physician knows the patient and does not suspect the parent, the DFACS case must be reported. The nurse in this situation has a duty to report this injury and let child services decide if the patient is in danger. I would perform a complete examination of the patient and communicate with the physician, in addition to noting any other signs of abuse, along with paying close attention for indicators of abuse. Indicators of abuse can warn healthcare providers to pay closer attention to situations that may indicate abuse or neglect and someti mes there are not indicators even though the child may be abused (Henderson, 2013). Three indicators of abuse or maltreatment include physical, child behavioral and parent behavioral indicators (Henderson, 2013). These indicators should not be considered in isolation but should be considered along with the child’s condition in the context with overall physical appearance and behavior; however, it is conceivable that a single indicator may be consistent with abuse or neglect (Henderson, 2013). Considerations of abuse are raised by injuries to both sides of the body and/or to soft tissues, injuries with a specific pattern or injuries that do not fit the explanation, delays in  presentation for care, and/or untreated injuries in multiple stages of healing (Henderson, 2013). It would be helpful to check the patient’s record for previous unexplained injuries or history of frequent visits to the emergency room or physician’s office. Any burns or patterns of bruising during the examination would warrant further investigation. Other signs of physical abuse I would monitor for include signs of pain where there is not visible injury and lack of reaction to pain. I would also note any emotional signs of physical abuse, which include passive, withdrawn or emotionless behavior, and fear when seeing parents. Any symptoms noted on exam should include this in the report to DFACS. Since the physical signs of abuse are often visible, most cases of abuse are recognized by a healthcare provider (Padera, 2009). These signs may be noted at routine appointments or while providing acute care. The ethical principle of non-maleficence and beneficence are addressed with this case. The ethical principle of non-maleficence helps to ensure that healthcare providers do not harm to their patients. If I did not report this case to DFACS for investigation and the abuse continued causing any harm to the patient, this would be an ethical violation of non-maleficence on the part of the nurse. The ethical principle of beneficence ensures that health care provider’s actions benefit the patient. By choosing to report this case to DFACS, my actions would benefit the patient and help ensure that the patient was no longer being abused. As a nurse, if I did not report this to DFACS for investigation, I would be in violation of the nurse practice act, and I could be held liable if the patient suffer more injuries or death at the hand of an abuser. My report of child abuse or neglect is confidential and immune from civil or criminal liability as long as the report is made in good faith and without malice (https://www.oag.state.tx.us/victims/childabuse.shtml). Provided these two conditions are met, as a nurse, I am immune from liability if they are asked to participate in any judicial proceedings resulting from the report (https://www.oag.state.tx.us/victims/childabuse.shtml). In conclusion, mandatory reporting can produce unanticipated and unwanted consequences (Buppert Klein, 2008). Nurses may be concerned about reporting suspected abuse especially, when the investigation is completed, no abuse or risk to the patient is found (Buppert Klein, 2008). Boards of Nursing rarely  discipline nurses for failure to report and nurses are covered with their nurse practice act when they make reports in â€Å"good† faith (Buppert Klein, 2008). Given this information there is no reason not to report this mother to DFACS for investigation. References: Buppert, C. Klein, T. (2008). Dilemmas in Mandatory Reporting for Nurses. Medscape. P. 4- 16. Henderson, K. L. (2013). Mandated reporting of child abuse: Considerations and guidelines for mental health counselors. Journal of Mental Health Counseling, 35(4), 296-309. Padera, Connie. (2009). Nursing, Child Abuse, and the Law. 7(37). P. 122-126. When you suspect child abuse or neglect: A general guide. Retrieved from https://www.oag. state.tx.us/victims/childabuse.shtml

The Roosevelt Era :: American History

Chapter 30 American on the World Stage 1899-1909 Summary: Foreign affairs led Roosevelt from domestic to international involvement. Page:673-681 Columbia blocks the Canal Foreign affairs absorbed much of Roosevelt’s energy and had more knowledge of outside world than most of his predecessors. Americans from Spanish-American War wanted canal across the Central American isthmus to augment the strength of the navy by increasing its mobility, defend recent American acquisitions (Hawaii, Puerto Rico, and Philippines, and facilitate operations of American merchant marine. Initial obstacles was legal ones. Ancient Clayton-Bulwer Treaty with British in 1850 U.S Could not secure control over such route. 1901 with unfriendly European power and Boer War, British consented to Hay-Pauncefote Treaty it gave the U.S. right to build canal and right to fortify it as well. Locations of the canal was a controversy. Many Americans like the Nicaraguan route but the French Canal Company was not want this failing S-shaped Panama. New Panama Canal company suddenly dropped the price of its holding. Nicaragua was objected because of its volcanic activity. Congress accepted the Panama route after Hanna persuasion. U.S. negotiation with Colombian a treaty favorable to the U.S. It lease the 6 mile for $10 million and annual payment of $250,000. Colombian rejected because it was its most valuable natural assets and later truth was $ not enough. Eager to be elected prez and mad at the outcome. 1904 proclaimed he want the canal built and critizen the treaty rejector blocking the onward march of civilization. Uncle Sam Creates Puppet Panama Panamanians ready for another revolt because fear prosperity would be gone it U.S. now turn to Nicaraguan route. Buanu-Varilla did not want company to lose money + revoluntionists+fire fighters+Colombian troops. 1903 Panama revolution occurred when Colombian troops were gathered to crush uprising but U.s. naval forces would not let them cross isthmus with justification of treaty 1846 that U.S. was obligation to maintain perfect neutrality of the isthmus against outsiders. Roosevelt quickly made Panana it outpost of u.S. Buanau-Varilla (now Panamanian minister) signed the Hya-Bunau-Varilla treaty in WA. Everthing the same but canal space widen and French company pocketed money from U.S. treasury. U.S. suffered from Roosevelt because European imperialists scorn at America’s uperior moral pretensions. Completing the Canal and Appeasing Colombia Panama made an ugly U.S.

Immigration debate Essay

The Development, Relief and Education for Alien Minors Act (DREAM Act), is a proposed bipartisan legislation that is meant to provide amnesty and relief for many young persons who came to the US unwillingly. Senator Orin Harten (R-UT) and Senator Richard Durbin (D-lL) pioneered this legislation. (Dreamact. info) Although a Republican is involved in pioneering this legislation, the majority of the party has strongly rejected the DREAM Act. The DREAM Act is a bill that â€Å"would provide certain illegal and deportable alien students who graduate from US high schools, who are of good moral character, arrived in the U. S. illegally as minors, and have been in the country continuously and illegally for at least five years prior to the bill’s enactment, the opportunity to earn conditional permanent residency if they complete two years in the military or two years at a four year institution of higher learning. † (Debatepedia. org). The conditions of the bill are that the persons must have entered the country before the age of 16 and one also must be between the ages of 12-35 to qualify. This Act is meant to provide a solution to around two million undocumented immigrants of the 11. 5 that are currently living in the US. Ill. The Debate: An Economic Opportunity Republicans have been reluctant to afford illegal aliens any type of relief regardless of the reasons they are here. As a New York Times editorial puts it, â€Å"Republican politicians have overwhelmingly embraced an approach to immigration reform that offers only misery, arrest and punishment to the undocumented†. NY Times, Editorial) This hard line approach only baffles many considering how crucial a role the immigration debate has been in the recent presidential election and has left the Republican Party out of favor with many of the Latino voters. Republicans have made it extremely difficult to pass the DREAM Act, a reform that can help aid a very big problem in the US. They have provided some good arguments against the DREAM Act, such as how it would entice parents to bring their children here ille gally. However, like in any debate, the bottom line is whether it is economically sound or not. After analyzing both sides of the debate, I have no reason to believe that it is not. The DREAM Act might actually be what our ailing economy needs. As a recent report by the Washington Post claimed that, â€Å"The Center for American Progress report, ased on data from the American Community Survey, says that passing the DREAM Act for the estimated eligible 2. 1 million youth would add $329 billion and 1. 4 million passing the DREAM Act will create a more competitive Job market, something that would lead to an increase in unemployment rate. Besides the fact that we are a capitalist society that is built off competition, it is also these same Republicans who are crying foul about competition that argue for a more free capitalistic economic system. We need to look at these illegal immigrants as assets to our country, rather han treat them as criminals. Those eligible for the DREAM Act can provide so much to the economy if they were granted the opportunity to do so. It isn’t like they are going anywhere and, they have adopted so many American values into their lives. By giving them the amnesty they need and arguable deserve, our economy can only benefit. The government can generate more tax revenue from them, thus ending the outcry that they don’t pay tax. Also by giving them the same rights as citizens in the job market, they will be paid what they deserve thus possibly stimulating consumer spending by them. ‘V. Conclusion: Democrats seem to be the party that is trying to solve the immigration issue here in the US. They have advocated hard for the passing of the DREAM Act, a legislation that I believe needs to and must be passed.

Effects Of Oil Prices On The American Economy - 1528 Words

Abstract This research paper provides an overview on why there is oil price falling in the United States. It will examine the reasons that are influencing fall of oil prices. Additionally, the paper will seek to explore the effects caused by the fall of oil prices in the American’s economy. Introduction In the recent months, the prices of crude oil have dropped from 140 dollars per barrel to 60 dollars a barrel in the latest date. To begin with, there is technological revolution in the energy extraction referred to as â€Å"fracking† which has significantly increased supply of natural gas and petroleum in the America, allowing them not to depend heavily on the foreign sources of crude oil. Secondly, Saudi Arabia and the other countries†¦show more content†¦Finally, the paper will include a conclusive recommendation of the appropriateness and effectiveness of the operation. Literature review Oil prices hike or drop is normally a major concern to researchers, industries as well as the government. Oil majorly affects the operations of all sectors of economy in any nation. From analysis and monitoring of oil prices, it has been observed that oil prices went down from the second half of 2014. This was unexpected because oil prices had stabilized for about four years with each barrel costing 105 US Dollars (Miller 11). According to a research and simulation done by researchers in 2014, there was a prediction speculating oil prices would remain low in 2015 and marginally rise in 2016. However, in 2015 there has been a very sharp decline of oil prices. It is out of this concern that this papers the aims at addressing the following questions. †¢ What is the relationship between recent oil price decline and the previous episodes? †¢ Why are oil prices falling? †¢ Could the decline be foreseen as of mid-2014? †¢ What are the impacts of oil prices? †¢ Who benefits and who suffers from low oil prices âž ¢ What is the relationship between recent oil price decline and the previous episodes? The 2015 oil price drop is a very significant event as compared to the previous episodes