Table of Contents
Case Study 1: Mia Masterson
Legal and Ethical Issues
According to legal systems of the country, there are issues at for the legalized age which needs to be at least 18 years. Hence, the child of age 5-17 years cannot provide any vaccination, and for that, there is a need for proper consent from the parents as well as the legal guardian. This means that Mia will need appropriate approval. As the nurse immunizer, there are different responsibilities where one needs to be abided with providing vaccination services. It is recommended that the vaccination reviews of the child help in determining the suitability and also obtain valid consent. The current services and practices are categories through a formal and written consent process.
International, National, Stage and Organizational and scope of practice guidelines
Considering the Australian Government Department of Health 2013, the recommendation is for the person giving the reviews of vaccination are for the child’s history and also for determining the suitability. The current practices include the formal, written and the verbal process of consent (Hardy et al., 2019). The reviews are based on how one needs to review the medical records of Mia and Child Health Record Book for determining the different types of vaccines which are available as well as the doses. These are mainly for guiding parents according to the NIP procedures. The recommendation is that the clinical assessment is conducted for ensuring that medical wellness is through having no contradictions for a specific vaccine. Hence, this is under program of Victoria Government Immunization Program 2009.
Action needed for taking registered nurse
The responsibility for the nurse immunizer is mainly to obtain all the consents which are before the vaccination. Hence, for this, the pre-immunization procedures include the checklists and the other common reaction information (Cardona, 2017). The review for the vaccination history also consists of the fact that there is no court order between her parents and each parent has the responsibility, and neither has the obligation for consulting to the significant issues. Hence, one parent could also take the child for the vaccination, if the other is objecting. The specific criteria are mainly to meet the order for the valid consent and include legalized capacity with intellects for focusing on how the stress needs to be understood. The risks are mostly for gaining approval.
How can you as registered nurse provide holistic patient and family centered care?
The nursing needs to conduct about the checklist with ensuring about the safety with properly stating about the pre-vaccination assessment. There are in-depth assessments that include medical conditions to prevent vaccination. The parents have the legal and ethical responsibilities for providing dependency by focusing on the healthcare standards at the therapeutic level. The pre-vaccination also consists of the Aboriginal and Torres Strait Islander people. (Beykmirza et al., 2019). The vulnerability is mainly due to the interacting factors which relate to quality and coverage of services and programs. Hence, the personal factors include the different capacity to use and the growing needs as well.
Case Study 2: Taylah Dennison
Legal and Ethical Issues
The legal and ethical issues with unprotected sex can lead to the problems of infections and diseases. The parents have the legal and ethical responsibilities for providing dependency by focusing on the healthcare standards at the therapeutic level. Here, the research is based on how the parents need to work on their children and how they have no reasons for the denial of any dependency on adolescent participation. Hence, there is a need to focus on the favourable benefit-risk ratio with the law that is denied explicitly the decision making authority for mature and competent adolescents (Fraser et al., 2016).
International, National, Stage and Organizational and scope of practice guidelines
The STI is considered to be critical for Australia response with supporting the World Health Organization on Sexually Transmitted Infections 2016-21. The Australian Government needs to focus on contributing the national community with Australian Sex Worker’s Association, and Australian Society for HIV and the Australian Federation of AIDS organization and National Assess cation of people with HIV. The international and the national scope is based on the Joint Programme on HIV/AIDS. For Taylah, it is seen that she has been diagnosed with bacterial vaginosis from the self-obtained vaginal swabs. Here, there is an effective eradication of the bacterial vaginosis (Crane et al., 2017). Hence, the analysis includes the study with oral clindamycin with reduced miscarriage and preterm birth for the obstetric population. Taylah needs to focus on control activities with penetrative penile-vaginal-intercourse. The other feature includes the collusion with the pretence that includes the individual choice that consists of the individual and the environmental antecedents for the protective and risk factors.
Action needed for taking registered nurse
The consideration is about the pathogenic factors to humans and the other animals that leads to causing infections like trachoma, urethritis and pneumonia in humans. The signs are frequency, fatigue or the loss of weight. The test results are for Chlamydia with the presence of the vaginal discharge culture, which is considered to be presumed for chlamydial infection. The goal is to reduce STI with engaging in the safe sex practices and then notify the partner seeking the treatment and counselling. With this, there is a need to maintain health-anti-biotic therapy with wellness referral for counselling (Forsner et al, 2019).
How can you as registered nurse provide holistic patient and family centered care?
The prescribed medicated is essential with the minimized number of partners and the abstinence from the other sexual practices. The use of condoms and the awakening to protect HIV infection is needed for Taylah. Being a registered nurse, it is essential to inform the parents and ensure that there is a correct use of the different medicines so that the virus does not spread. Here, there is a need to focus on the prevention counselling for HIV that needs to be offered for the active adolescents and for the adults who are involved with the resource-intensive approaches. This also consists of the tailoring of the risk reduction for individual situations.
Case Study 3: Jacob Scanes
Legal and Ethical Issues
The domestic violence treatment programs have been at risks with intimate partners. The arrest laws are for treatment of programs and have increased with the women been arrested with domestic violence. There is inference for the theoretical orientation with planning, developing and providing proper services. Hence, the professional and the ethical mandates are based on the laws governing practices with criminal and other civil laws that are directly impacting the professional practices. Here, the rules governing the practices are mainly for the articulation of licensing laws (Bagnasco et al., 2018). The misleading advertisement can have a significant impact on the ethical issues like how the social workers are refining the standards with preventing the exploitation and the impairment based on the therapist judgement.
International, National, Stage and Organizational and scope of practice guidelines
The abuse is reported for NSW that includes the assault, sexual assault and the aggravated assault. Hence, the mother should record and report the incident so that Dean is punished and there are professional practices where the parties involved need to provide with the higher service quality. Here, this is primarily in hospitals where the nurses are mainly driven through professional accountability. There are regulatory organizations to focus on the problems (Hori et al., 2020). According to the Nursing and Midwife Board of Australia, the registered nurses are trained for performing the activities of regular checkups and a provision of quality practice. This is through playing the different operations by giving medications and educating them by taking care.
Action needed for taking registered nurse
Being the registered nurse, I need to look into the matter, and a report is essential as Dean has tried to accuse Jacob Mom. The duty of care connotes the legal obligation, which is mainly on the people who need to adhere primarily to the legal standards with reasonable care. This is through undertaking the acts which could lead to the foreseeable harm for the other people. The element is based on establishing and proceeding with the negligence action. Hence, one needs to ensure the safety with the service and safeguard of the rights through reporting for the neglect, and the physical abuse under abusing agency (Bayoumi et al, 2017).
How can you as registered nurse provide holistic patient and family centered care?
Jacob needs to make sure that his mother is not affected. But being a nurse, it is important to deal on the possibilities so that Jacob understands the problem that his mother can go through. Safeguarding is essential for the protection and then reporting under the legislative obligations where the selected classes of individuals tend to report for the neglect of child and abuse (Breen et al., 2019). There have been legal provisions with consent to participate in the research along with planning about the confidentiality that is maintained through reproductive health that includes the contraception and the abortion, which is a sensitive issue.
References
Bagnasco, A., Cadorin, L., Barisone, M., Bressan, V., Iemmi, M., Prandi, M., Timmins, F., Watson, R. and Sasso, L., (2018). Ethical dimensions of paediatric nursing: A rapid evidence assessment. Nursing ethics, 25(1), pp.111-122.
Bayoumi, M.H., Kamel, F.F. and Fathalla, A.A., (2017). Guideline Education Program about Nursing Ethics in Pediatric Oncology Unit: Effect on Nurses’ Knowledge and Practice. IOSR J Nurs Heal Sci, 6(3), pp.01-09.
Beykmirza, R., Nikfarid, L., Atashzadeh-Shoorideh, F. and Nasiri, M., (2019). Nursing adherence to ethical codes in pediatric oncology wards. Nursing ethics, 26(3), pp.924-936.
Breen, L.J., Szylit, R., Gilbert, K.R., Macpherson, C., Murphy, I., Nadeau, J.W., Reis e Silva, D., Wiegand, D.L. and International Work Group on Death, Dying, and Bereavement, (2019). Invitation to grief in the family context. Death studies, 43(3), pp.173-182.
Cardona, L., (2017). Ethical considerations in the care of children with life-limiting conditions: A case illustration of the role of a pediatric psychologist on a hospital ethics committee. Clinical Practice in Pediatric Psychology, 5(3), p.287.
Crane, S. and Broome, M.E., (2017). Understanding ethical issues of research participation from the perspective of participating children and adolescents: a systematic review. Worldviews on Evidence‐Based Nursing, 14(3), pp.200-209.
Forsner, M. and Mattsson, J., (2019). Caring for Dying Children in the Pediatric Intensive Care Unit, Nurses and Parent’s Perspective. Online Journal of Complimentary & Alternative Medicine, 1(2), pp.1-7.
Fraser, J.A., Hutchinson, M. and Appleton, J., (2016). Nurses’ experiences of home visiting new parents in rural and regional communities in Australia: a descriptive qualitative study. Journal of children’s services.
Hardy, K., Hooker, L., Ridgway, L. and Edvardsson, K., (2019). Australian parents’ experiences when discussing their child’s overweight and obesity with the Maternal and Child Health nurse: A qualitative study. Journal of clinical nursing, 28(19-20), pp.3610-3617.
Hori, M., Yamazaki, A., Soeda, A., Odatsu, K., Buyo, M., Matumoto, M., Tokutani, R., Mine, H., Tsumura, A., Kimura, C. and Nakayama, Y., (2020). The Factors Associated with the Attitudes of Nurses Working in Medical Facilities towards Family Nursing. Open Journal of Nursing, 10(2), pp.171-183.