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Moral

Moral uncertainty insure of what to do


Moral dilemma

Preserve (quality?) life


End suffering

A pt seeks experimental tx that is likely to cause harm


o How much harm?
o What condition are they in to begin with? Are they already circling the
drain?
An alert elderly pt falls often, so the physician orders physical restraints.
o Lose-lose, she is alert and falling and losing her independence
o Need to have a discussion with dr because you have a moral problem
with the order for restraints
Moral distress
o Can have long-term impact
If pts have had bad experiences in hospitals with nurses or
whatever, they wont come back for illness that they think they
can handle and they can turn into worse disease processes
Moral outrage
o Give examples of all these categories
Moral reckoning
Make sure we get a good look at the chapter for the steps in the ethical
decision-making model

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