What in your view is the most moral thing for that person to do in that dilemma? Why is that the most moral thing? Use moral values and logical reasoning to justify your answer

Next, apply the following:

  • Aristotle’s Golden Mean to the dilemma
  • Utilitarianism to the dilemma
  • Natural Law ethics to the dilemma

Which of those three theories works best ethically speaking? Why that one?

Why do the other two not work or not work as well?

 Is it the same as what you said is the most moral thing earlier? Why or why not?

Required Resources

· Read/ Textbook: Chapter 12

· Lesson

· Minimum of 5 scholarly sources (This includes the sources from the annotated bibliography. Additional sources may be included as appropriate.)

Instructions
Return to the topic you chose in the week three assignment. Articulate a specific dilemma in a situation faced by a particular person based on that topic. The situation can be real or fictional.

· Summarize the dilemma.

· Define any needed key terms associated with the dilemma.

· Analyze the conflicts or controversies involved in the dilemma.

Revise and rewrite based on any feedback you received in your previous draft (week three). Reference and discuss any professional code of ethics relevant to your topic such as the AMA code for doctors, the ANA code for nurses, etc.  State whether and how your chosen topic involves any conflicts between professional and familial duties or conflicts between loyalty to self and loyalty to a community or nation.

What in your view is the most moral thing for that person to do in that dilemma? Why is that the most moral thing? Use moral values and logical reasoning to justify your answer

Next, apply the following:

· Aristotle’s Golden Mean to the dilemma

· Utilitarianism to the dilemma

· Natural Law ethics to the dilemma

Which of those three theories works best ethically speaking? Why that one?

Why do the other two not work or not work as well?

 Is it the same as what you said is the most moral thing earlier? Why or why not?

Use the 5 articles from your annotated bibliography to support your answers. (Additional academic scholarly research from the past 5 years can be included as well.) 

Include a reference page at the end of your paper in APA format that includes your bibliography with the annotations removed and any other sources used in your final paper.

Writing Requirements (APA format)

· Length: 4-5 pages (not including title page or references page)

· 1-inch margins

· Double spaced

· 12-point Times New Roman font

· Title page

· References page (minimum of 5 scholarly sources)

1

Do Not Resuscitate

Antonea Johnson

Chamberlain University School of Nursing

Professor Laura Jacobus

Date: Week 5 11/28/2021

Annotated Bibliography

Yuen, J. K., Reid, M. C., & Fetters, M. D. (2011). Hospital do-not-resuscitate orders: why they have failed and how to fix them. Journal of general internal medicine26(7), 791-797.

In the article, Yuen, Reid, and Fetters (2011) discuss how do-not-resuscitate (DNR) orders have failed and various ways they can be fixed to ensure better patient and doctor engagements. The authors contend that DNR orders have been used for several years but have failed to fulfill their purpose as required. The article talks of the satisfaction of “informed consent” (p. 792) which entails the patients position of making informed decisions for their treatment. Similarly, it also looks at the total volume and rewards of “intensity of care” (p. 795) which entails overtreatment of patients with severe and life-limiting conditions which in the end do not offer better or improved outcomes. The issues raised by the authors include the neglecting, delaying, and offering inadequate DNR discussions by practitioners, including the inappropriate extrapolating of such orders. I agree with the sentiments echoed by the authors, and this is because physicians often delay information leading to poor decisions by patients. The article is crucial and has helped me understand the various factors that make DNR ineffective in the hospital setting. Changes in “inadequate hospital policies” (793) can be a good start to bring about positive and workable DNR orders.

Weissman, D. E. (1999). Do not resuscitate orders: a call for reform. Journal of palliative medicine2(2), 149-152.

The viewpoint by Weissman (1999) digs more profound on the issues surrounding palliative care, and more specifically, DNR orders. It is an area that has been under debate and discussions because of its weighty nature and most importantly its nature as a policy for every hospital. However, within this discourse, cancer patients are considered, with their pain, the discussion is centered on the reasons for DNR orders. The main concepts include “patient autonomy” (p. 242), which implies the decisions made by patients without their caregivers’ influence. Similarly, issues of “policy reforms” (p. 243) are discussed. These centers on the need for physicians to keep most information with themselves in regard to CPR or “unilateral DNR orders” (p. 243) which means that a patient desires to continue with treatment. At the same time, the medical professionals see no need for continued support regarding medical provisions. I agree with the sentiments of Weissman because within this time or period, patients are in their end period of life, and issues of DNR orders make l

Today I want to focus on DNR ethical dilemmas in healthcare. What is a DNR Order? A do-not-resuscitate order, or DNR order, is a medical order written by a doctor. It instructs health care providers not to do cardiopulmonary resuscitation (CPR) if a patient’s breathing stops or if the patient’s heart stops beating. What is CPR? CPR involves: Simple efforts such as mouth-to-mouth breathing and pressing on the chest with chest compressions. Electric shock also is used to restart the heart. Breathing tubes to open the airway and medicines can be used as well to bring someone back to life.

If you are near the end of your life, you are able to decide whether or not if you want to receive CPR or not. It’s best to make the decision while you can. If this decision is left up to your loved ones then it can become a hard decision because most loved ones do not want to give up on their loved one. I believe it’s best to consult with your physician about the pros and cons of having a DNR order. If you choose to have a do-not-resuscitate order, tell your physician and healthcare team so that the proper steps can happen. The doctor usually makes sure that their is proper documentation in your records so that all medical personnel knows and honor/respect your wishes.

What would an ethical egoist say about an DNR order? “On their view, known as Ethical Egoism, each person ought to pursue his or her own self interest exclusively.” (Rachels, 2019). Ethical Egoism is considered to be the morality of selfishness. So when we think of implementing a DNR order as an ethical egoist we make the selfish decision of believing that our loved ones can live without us, no matter how they feel about our decision. Ethical Egoism focuses truly on the way things “should be”.

“Ethical Egoism does not forbid such actions; in fact it recommends them.” (Rachels, 2019). This theory insists on what makes things right but the act is right because it benefits you. In regards to DNR orders, this decision should most definitely be left up to each individual. Although, we know that our loved ones would decline the order, we make decisions based of what we believe is best for oneself.

The Social Contract Theory explains the purpose of both morality and government. “Morality consists in the set of rules, governing behavior, that rational people will accept, on the condition that others accept them as well. When it comes to a social contract ethicist and do-not-resuscitate orders; many family members don’t understa