Critical Care Nursing

A Holistic Approach
Part 2

Ethical Issues in Critical Care

Nursing
Chapter 7

Principles of Bioethics
Nonmaleficence Do no harm
Respect for autonomy Respect the patients will
Justice Fair in allocation of care
Beneficence Promote the welfare of the patient
Veracity Tell the truth
Fidelity Keep your word

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Nursing Model for Decision Making

Identify, clarify, and understand the situation
What is the problem
Analyze the problem
Who can make the decision
Who are the stakeholders

Look at alternative solutions

Evaluate solution
Adjust the solution

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Legal Issues in
Critical Care Nursing
Chapter 8

Major Areas of Law

Administrative Law Statute
Nurse Practice Act
Civil Law Individual versus Individual
Negligence, malpractice
Assault and/or battery
Criminal Law Government versus Individual
Negligent homicide
Murder

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Elements of Malpractice
There is a duty
Breach of duty
There is injury
The injury was caused by the breach of duty

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Consent
The patient is provided information to make an informed
decision about the care he or she receives
Obtaining consent is the responsibility of the physician
Nurses witness the patients signing the consent form

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Advanced Directives
Living will
Written document
Expresses the wishes of the patient

Power of attorney
Appoints a surrogate to make decisions
Surrogate understands the patients wishes and
speaks for the patient when he or she cannot

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Genetic Issues in
Critical Care Nursing
Chapter 9

Role of the Heath Professional

Understanding of basic genetics and its terminology
Understanding the role of genetics in preventive care of
the patient
Gather family histories
Be sensitive about genetic information and provide
confidentiality and privacy

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Genes code for proteins

If
There is a change in protein,
there is a change in function!

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Code for Proteins

Replication
The double-stranded DNA separates
Template for synthesis
Complement for repair

Transcription
Genes code is transcribed in messenger RNA

Translation
In the cytoplasm, mRNA serves as a template to make
proteins

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Genetic Disease
Monogenic A single mutant gene
Sickle cell anemia
Cystic fibrosis
Phenylketonuria
Cytogenetic Addition/Deletion of a chromosome
Down syndrome
Turner syndrome
Klinefelter syndrome

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Building a Professional Practice

Model for Excellence
Chapter 10

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.

Copyright 2005 Lippincott Williams & Wilkins. Instructor's Resource CD-ROM to Accompany Critical Care Nursing: A Holistic Approach, eighth edition.