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Q4. Ethical issues are a matter of serious concern for health professionals especially in palliative care context. It is the moral obligation of health care to provide pain relief to patients and for that every action undertaken is in due compliance of the ethical and practices. A nurse’ primary responsibility is to provide care to the patient that enables his or her physical, social and emotional wellbeing. The foundation of ethics in healthcare is laid by the four main factors, namely autonomy, beneficence, non-maleficence and justice. It is followed by dignity and truthfulness and honesty (Roth, 2014). 

In the case of Rachael Harris, it is evident that she is aware of her situation and is not in full support receiving the palliative care. However, as a care provider it is the duty of the nurse to provide all the necessary treatment to the patient following the deontological theory of ethics. The nurse cannot harm Rachael under any circumstance and should be ready with all equipment to serve her and ease her of the pain she is suffering from. All the required treatment should be provided to Rachael till the last.   

On the other hand, the utilitarian ethical theory implies consequence based action. Thus, the care provider’s action should be as per the best interest of the patient and wait for the outcome. Although the nurse cannot take any step that would end Rachael’s suffering once and for all, still she has act to the best ways that would soothe the patient’s mind. From Rachael’s condition it is clear that she is completely alive on medication and her pain is intense, but as health professionals and on the wish of her father there is no other way but to take extreme care of her. The nurse should take the emotional cue and provide Rachael with means that would calm her mind and ease her pain (Roth, 2014).     



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