Legal and Ethical Considerations
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Transcript Legal and Ethical Considerations
Legal and Ethical
Considerations in Cellular
Regulation
Carita Bird
RANC
NUR112
Genetic Testing
Associated with development of cancer,
specifically breast cancer
Gene mutations linked to the development
of breast and ovarian CA
Genetic Testing
Ethical issues
Employment discrimination
Bias on insurance
Bias on insurance rates
Effect on children, siblings, family concerns
Right to Die
Do not resuscitate
Done if patient is competent to make the choice
Choice should be honored
Should continue to receive appropriate nursing
interventions regardless of DNR status
Allocation of Scarce Resources
Hospice
How do the bills for services get paid
Pain Control
Pain is the most feared consequence of
cancer
70% of patients with advanced cancer
experience pain
Pain Control
Inability to communicate pain should not =
no pain (need appropriate pain scale)
Other medication routes such as rectal or
sublingual can be used toward the end of
life
Teach family about pain assessment and
administration of pain meds via other
routes
Pain Control
Family needs to understand that
administration of pain med will not CAUSE
death
Fertility
Inform patients that testicular and ovarian
function can be affected by chemo
Normal ovulation, early menopause, or
sterility may be the result of chemo
Fertility
Sperm may be absent during chemo
Sperm banking is recommended prior to
chemo
Advised to continue to use birth control
during chemo