A 22-year old patient is admitted through

A 22-year old patient is admitted through the emergency department for appendicitis. Ryan, the nurse, introduces himself to the patient and notices the first name on the patient’s chart is Andrea. Andrea tells Ryan in this initial interaction that he prefers to be called Andy and identifies as a male. Ryan asks Andy if he would like a note put on his chart and on the whiteboard indicating this preference. Andy asks Ryan to please put a note only on his chart, but to try to refer to him as Andrea when his parents are in the room as they have not accepted his gender identity and it makes them uncomfortable to talk about it. Ryan wants to make sure that the patient’s identification is consistent to reduce the risk of errors and to not cause any confusion, but also wants to respect Andy’s request and identification as a male. 1) importance of the case scenario in relation to nursing practice. What elements of this case scenario can you relate to nursing practice (consider ethical, relational, legal, professional perspectives)? 2)Identify a key ethical theory that fits with this case, and offer insights on how it serves to inform, justify, or challenge your interpretation of the case scenario. Examples include: utilitarianism, deontology, virtue ethics, feminist and relational ethics. 3)Consider the basic structure of ethical decision making by examining and applying key ethical principles to the case scenario. Examples include: autonomy, beneficence, non-maleficence, veracity, confidentiality, fidelity, and justice. 4)Identify pertinent professional nursing values or legal frameworks. Consider the CNO/CNA Ethical Framework /Professional Standards that apply to the case scenario, and/or relevant legislation that would impact nurses practicing in Ontario 5) What are your thoughts on this case scenario, and what aspects are you willing to “think again”? Comment on your initial reaction to the case scenario, and how the consideration of theories, principles, and multiple perspectives may have illuminated a broader perspective of the case, or reinforced your initial opinion(s). Identify one value, bias, or assumption you have that may consciously or unconsciously be contributing to your perspective. SCIENCE HEALTH SCIENCE NURSING NUSC 3P20

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