ethical issues

  1. The law in portugal on abortion is about to change, abortion will become legal. i guess its part of a nurses life to have to live with those situations, and of couse you can choose what to specialize, but it must be really hard to make some decision as a nurse, or doctor. I hope to learn how to live with that... (not just abortion)
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  2. 28 Comments

  3. by   rags
    You're right. There are many issues that are of moral value that you will have to take on within yourself as a nurse.

    You can make it easier though be always remembering that it is not about you, it's about the pt. your beliefs or thoughts are not a part of your pt care. If you are ever in a situation where a pt asks "what would you do if you were me" you will honestly have to sit down and open you mind, because it is your responsibility as pt advocate to give ALL sides fair value. You must explain from a level plane and let the pt make their own decision with the information you provided (non bias information) as simply a tool to weigh all the facts.

    It thinks but that is part of the job. Other wise you will be boarding on judging and you cannot allow yourself to be judgmental toward a pt. EVER. Even if you get the alcoholic that won't quit drinking but has a rock hard liver. You cannot treat him any differently than you would a child with liver disease. This is your pt and this is what is wrong with them. Treat them just as you would anyone else. Refrain from thinking... "if you had stopped drinking you would be in this situation right now". It doesn't matter.

    Maybe this is just my way of nursing. I guess others have their own styles. Maybe that is why I also am a pro-choice nurse. I personally wouldn't decide to have an abortion but am certainly not going to make that decision for someone else. I wouldn't want them making it for me.

    Okay, this time I went WAY over my 2 cents. Sorry. Please be nice....

    rags
  4. by   rags
    " It thinks but" Wholy Comoly That was Horrible Language!!!

    I meant 'stinks' NOT 'thinks'

    sorry about that guys. I realize there are other typos in there but that one just really stuck out didn't it? :imbar

    rags
  5. by   portugalgirl
    wow, that was a long reply, but i really appreciated it, thank you! i'll think about what you said, it sounds right
  6. by   Jules A
    Quote from rags
    You can make it easier though be always remembering that it is not about you, it's about the pt. your beliefs or thoughts are not a part of your pt care.
    I agree. Its never about what I would or wouldn't do. It is about my patients. My goal is to be supportive and remember that we all have to make difficult decisions sometimes.
  7. by   WDWpixieRN
    Quote from rags
    " It thinks but" Wholy Comoly That was Horrible Language!!!
    I meant 'stinks' NOT 'thinks'
    sorry about that guys. I realize there are other typos in there but that one just really stuck out didn't it?rags
    You know what? You must have done some editing before I came along as I didn't notice (and they usually GLARE at me)...but I wanted to say you addressed the topic very eloquently and fairly...nice reply to something that could've gotten really nasty, really quickly!!
  8. by   rags
    Quote from wdwpixie
    I wanted to say you addressed the topic very eloquently and fairly...nice reply to something that could've gotten really nasty, really quickly!!
    Awe Thanks, you made me blush! :imbar

    It is a difficult topic to bring up and discuss. Especially in a place like this where others cannot hear your tone or feel your emotion with simply reading words. I often feel that posts get misconstrude simply because of the current attitude of the reader reading it rather than that of the author.

    But I still post!

    rags
  9. by   WDWpixieRN
    No kidding...I really feel for those who get bashed for asking what was simply on their minds and hearts...I had that happen early on, so have learned to be very cautious!!

    You did good....
  10. by   jov
    Quote from portugalgirl
    The law in portugal on abortion is about to change, abortion will become legal. i guess its part of a nurses life to have to live with those situations,
    at least in the US nurses have the right to refuse to participate in these types of procedures when they personally feel the procedure is morally wrong, and not be retaliated against. Would that be the same in Portugal?
  11. by   portugalgirl
    well, the country voted two days ago, and yes won 60-40.... so the law is going to change, dont knwo how long that will take, but i it seems logical that a nurse can refuse to do the job just like in other situations, right? all we can do is wait and see what happens.


    hey guys, thank you for replying!!
  12. by   portugalgirl
    sorry for the miss-types... mah bad:roll
  13. by   carolinapooh
    Oooh, now for my unsolicited opinion....oh, the trouble that one can stir up when one has psych clinical at 2 pm the next day instead of God-awful early....

    My own feeling is if I refuse to do something for a patient that I don't agree with I'm judging my patient's beliefs.

    I have a problem with people refusing treatments with blood products, as Jehovah's Witnesses do. I can't understand how someone would do it - why and how could one prefer death over life. But I can't force them to have the treatment, no matter how badly I want to see their life saved (that's not only twisted and psychotic but just morally wrong; I'd be forcing my religion/personal beliefs on someone else - not to mention LEGALLY a disaster), and by the same token I just can't bring myself to not care for them just because they don't believe in blood transfusions.

    How could I refuse to care for a frightened 15 year old rape victim who's having an abortion? Or an incest victim? Or a consenting adult who is living her own life the best way she knows how, and feels having an abortion is the best decision for her right then?

    For me, it's no different. I don't have to agree with someone's choices to care for them. I'm not living their life. I don't have their experiences. I wasn't raised with their beliefs. Bottom line is, it has nothing to do with me. My Bible says "judge not lest ye be judged" - so I work very hard NOT to.

    I will meet many patients I find contemptuous, I'm sure. Some will probably sicken my stomach. But judging them is not my place. For me, refusing care based on MY beliefs is passing judgment on the patient.

    Which means if I'm working the ED the night they bring in some convicted killer with chest pain, I will treat them to the best of my ability. I might think un-nice and probably decidedly un-Christian thoughts, but I'll treat them as best I can. My beliefs are my problem, not theirs. Just the same, if a young and unwed Catholic girl wanders into a clinic I'm working in someday, and she desperately needs help in trying to figure out what she's going to do with this baby - it will be her decision and I will answer any questions she has. But I will treat her the same, whether she opts to keep it or abort it. And I will help her in any way I can based on what help she requests, affording her the same confidentiality I would afford anyone, within the bounds of the law and the scope of my practice.

    I might encourage them to think very hard about their decision, because there will be a good chance that once it's made, there's no going back. I might encourage them to seek counsel from their own religious leaders, family members, or mentors. And I will of course advocate for my patient when and if I can, and I will help them seek other solutions to their problems if conventional medicine and thought just don't offer any comfort for them.

    Overt suggestion (telling folks what to do) and covert criticism are not my job; my job is to care for and take care of my patients. And sometimes that involves leaving my own personal opinions at the door. Because that's what they are - personal. And mine.

    Thanks for letting me vent. :smiletea2:
    Last edit by carolinapooh on Feb 14, '07
  14. by   IrishIzCPNP
    There is 1 medical procedure that I can think of that I will not participate in that I will likely see after I graduate based on what I plan to specialize in.

    I will not participate.

    It's not about judging what is right or what is wrong.

    I don't believe it is of any benefit and actually believe that it is abuse. If the procedure is asked for I know others will participate. I will not.

    So by refusing to participate I'm not taking something away from somebody. The procedure will still be done. There's no reason for me to participate if I'm that against it when I know others will step in my place.


    I'm not judging those who asked for it. It is their choice. I don't have to be part of something I (and many others) find unethical when there are plenty willing to take my place.

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