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• What are some reasons for withholding information from patients? Cite examples from the Being Mortal film and/or, other readings/media.
• What is your personal opinion on veracity (disclosure and/or paternalism) in health care?
• How can advanced care planning and serious illness care conversations decrease bioethical end-of-life dilemmas?

Incorporate tenets/principles/beliefs from the Code of Ethics in Nursing and how this was involved in your decision-making, how do these empirical concepts or perceptions impact your view regarding the disclosure of health care information and end of life care.   

 

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Step-by-Step Guide for Writing Your Discussion Post:

Step 1: Understand Key Concepts

• Veracity: Honesty and truth-telling in patient care.

• Paternalism: Making decisions on behalf of the patient with the intention of benefiting them, sometimes withholding information.

• Advanced Care Planning (ACP): Discussing patient preferences for end-of-life care before serious illness occurs.

• Serious Illness Care Conversations: Open discussions about prognosis, treatment options, and patient values.

• Bioethical Principles: Autonomy, beneficence, nonmaleficence, justice.

• Code of Ethics in Nursing: Guides nurses in ethical decision-making, emphasizing patient-centered care, advocacy, and respect for human dignity.

Step 2: Reasons for Withholding Information

• Protecting patients from unnecessary stress or anxiety.

• Cultural or family preferences for limited disclosure.

• Situations where disclosure could result in harm (nonmaleficence).

Examples from Being Mortal and Other Media:

• In Being Mortal, patients and families often struggle with whether to disclose terminal prognoses; some doctors withhold details to preserve hope.

• Other readings: Patients with cognitive impairment or terminal illness sometimes receive limited information to prevent psychological distress.

Step 3: Formulate Your Personal Opinion

• Reflect on the balance between autonomy and beneficence.

• Do you believe patients have a right to full disclosure, or are there cases where paternalism is justified?

• Use specific examples from your experiences or media references to support your perspective.

Step 4: Discuss the Role of Advanced Care Planning and Conversations

• Explain how early, transparent conversations can:

  • Clarify patient wishes.

  • Reduce confusion or conflict among families and healthcare teams.

  • Prevent unnecessary interventions that may not align with patient values.

• Highlight how these conversations support ethical decision-making and reduce dilemmas.

Step 5: Integrate Nursing Ethics

• Reference principles from the Code of Ethics in Nursing:

  • Provision 1: Respect for human dignity and patient autonomy.

  • Provision 2: Advocacy and protection of patient rights.

  • Provision 5: Duty to maintain integrity and accountability.

• Explain how these principles guided your thinking about disclosure and end-of-life care.

Step 6: Outline and Write Your Discussion Post

1. Introduction – Introduce the topic, define key terms (veracity, paternalism, ACP).

2. Body Paragraphs –

   • Reasons for withholding information.

   • Examples from Being Mortal and other sources.

   • Personal perspective on veracity and paternalism.

   • How ACP and serious illness conversations mitigate dilemmas.

   • Integration of nursing ethics and Code of Ethics principles.

3. Conclusion – Summarize insights and the ethical balance between truth-telling and patient-centered care.

Step 7: Support Your Post with Scholarly References

• Use at least two scholarly sources within the last five years.

• Recommended resources:

  • PubMed

  • CINAHL Complete

  • American Nurses Association: Code of Ethics

  • Articles on ACP and end-of-life care (search keywords: “end-of-life care ethics,” “veracity in nursing,” “paternalism in healthcare”).

Step 8: Review and Edit

• Ensure clarity, grammar, and APA formatting.

• Make sure your discussion is substantive, relevant, and insight-driven.

• Address all points in the prompt thoroughly.

Step 9: Engage with Peers

• Respond to at least two peers with constructive, thoughtful feedback.

• Include evidence or examples from readings or media to support your responses.

 

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