Posted: June 14th, 2023

Practicum Journal Entry: Analyzing an Ethical Decision (Due in Week 4)

Assignment 2: Practicum Journal Entry: Analyzing an Ethical Decision (Due in Week 4)
In your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.
Learning Objectives
Students will:
• Analyze salient ethical issues in psychiatric mental health practice
• Compare ethical dilemmas with state health laws and regulations
• Analyze ethical decision-making processes
To prepare:
• Review literature for moral/ethical issues encountered by a PMHNP.
• Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.
Write a 2-page paper in which you do the following:
• Summarize the moral/ethical issue in the article (no more than 1 paragraph).
• Describe the moral and ethical dilemmas surrounding the issue.
• Analyze the ethical issue and compare them to the state health laws and regulations in your state.
• Outline the process of ethical decision making you would use to address this ethical dilemma.
Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.
All references require creditable sources, nothing less than 5 years. References require APA 7th edition http//. Please add conclusion.

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Practicum Journal Entry: Analyzing an Ethical Decision

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Moral/Ethical Issue

The moral/ethical issue in the article is the use of electroconvulsive therapy (ECT) in children and adolescents. ECT is a controversial treatment that has been used for decades to treat severe mental illnesses, such as major depression, schizophrenia, and bipolar disorder. However, there is some concern about the safety and efficacy of ECT in children and adolescents.

Moral and Ethical Dilemmas

There are a number of moral and ethical dilemmas surrounding the use of ECT in children and adolescents. One dilemma is whether ECT is an appropriate treatment for children and adolescents, given that they are still developing and their brains are not fully mature. Another dilemma is whether the risks of ECT outweigh the benefits, particularly in light of the fact that there are other, less invasive treatments available for children and adolescents with mental illness.

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Analysis of the Ethical Issue

The ethical issue of whether to use ECT in children and adolescents is complex and there is no easy answer. On the one hand, ECT can be an effective treatment for severe mental illness in children and adolescents. On the other hand, there are some risks associated with ECT, such as memory loss and confusion. Ultimately, the decision of whether or not to use ECT in a child or adolescent must be made on a case-by-case basis, taking into account the individual's specific circumstances and needs.

Comparison to State Health Laws and Regulations

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The use of ECT in children and adolescents is regulated by state health laws and regulations. In the United States, each state has its own laws governing the use of ECT. These laws vary from state to state, but they generally require that ECT be used only as a last resort after other treatments have failed. In addition, most states require that parents or guardians give informed consent before their child can receive ECT.

Process of Ethical Decision Making

The process of ethical decision making is complex and there is no one-size-fits-all approach. However, there are a number of steps that can be taken to make ethical decisions in the context of mental health care. These steps include:

Identifying the ethical issue.
Gathering information about the issue.
Identifying the relevant ethical principles.
Weighing the pros and cons of the available options.
Making a decision.
Evaluating the decision.
In the case of the use of ECT in children and adolescents, the ethical decision-making process would involve the following steps:

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Identify the ethical issue: Is it ethical to use ECT in children and adolescents?
Gather information about the issue: What are the risks and benefits of ECT in children and adolescents? What are the alternatives to ECT?
Identify the relevant ethical principles: What ethical principles are relevant to this decision? (e.g., beneficence, nonmaleficence, autonomy, justice)
Weigh the pros and cons of the available options: What are the potential benefits of using ECT in children and adolescents? What are the potential risks?
Make a decision: Based on the information gathered and the ethical principles considered, should ECT be used in this case?
Evaluate the decision: Was the decision made in the best interests of the child or adolescent? Were the ethical principles upheld?
Conclusion

The use of ECT in children and adolescents is a complex ethical issue. There are a number of factors to consider when making a decision about whether or not to use ECT in a child or adolescent. These factors include the child or adolescent's individual circumstances, the risks and benefits of ECT, and the relevant ethical principles. The ethical decision-making process should be used to make a decision that is in the best interests of the child or adolescent.

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