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Related Concept Videos

Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Standards II01:23

Ethical Standards II

Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy and...
Barriers to Effective Communication II01:21

Barriers to Effective Communication II

The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

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Related Experiment Video

Updated: May 28, 2026

Assessment and Communication for People with Disorders of Consciousness
07:37

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

When the patient says no.

Maria Aileen Soriano1, Ruth Lagman

  • 1Section of Palliative Medicine and Supportive Oncology, Taussig Cancer Center, Cleveland Clinic, Cleveland, OH 44195, USA.

The American Journal of Hospice & Palliative Care
|October 15, 2011
PubMed
Summary

Assessing decision-making capacity is crucial for patients refusing life-saving treatment, especially with complicating factors like illness and depression. Upholding patient autonomy respects their values and prevents further suffering.

Area of Science:

  • Neuroscience
  • Medical Ethics
  • Clinical Psychology

Background:

  • Ascertaining decision-making capacity is critical when patients refuse life-prolonging treatment.
  • Factors like delirium, depression, and social issues can complicate capacity assessment.
  • Patient autonomy and self-determination are central to medical ethics.

Observation:

  • A case study of a 48-year-old patient with a pituitary adenoma who refused life-prolonging treatment.
  • The patient's refusal was influenced by a long-standing symptomatic condition.
  • Treatment refusal can fluctuate with illness severity and intensity.

Findings:

  • Key elements of decision-making capacity include understanding information, evaluating consequences, deliberating based on values, and consistent communication.

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  • Capacity can be dynamic and influenced by the patient's medical and psychological state.
  • Denying autonomy may exacerbate physical and existential suffering.

    • Implications:

    • Accurate assessment of decision-making capacity is vital to respect patient autonomy.
    • Understanding factors influencing refusal is key to ethical patient care.
    • Upholding the right to self-determination can prevent additional suffering.