First Daughter Charlene Ruto has made a point of pointing out her large forehead to those who harass her online. In an interview with Citizen, Charlene said she told her hair stylist not to cover up her forehead and that she is not ashamed of the way she appears.

Yes, I do prefer having a large forehead. Since God has blessed me with it, I don’t hide it.

Charlene acknowledged experiencing cyberbullying.

It came with a lot of pressure and scrutiny from the internet on how I dress, apply makeup, and style my hair. Because I experienced cyberbullying, I made the decision to make it one of my 30 areas of attention.

She also remembered her father’s laissez-faire attitude toward her professional decisions and expressed gratitude for his service to the country.

“My dad is an amazing man. He allowed us the freedom to become who we wanted to be as we grew older.

He didn’t put any pressure on us to enroll in any particular courses. He would just provide us advice, therefore I always enjoyed talking to him. He is a great mentor and deeply committed to this nation,” she remarked.

Ethical dilemmas in nursing: Journal: Link: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1375348/pdf/jmedeth00258-0013.pdf
Ethical dilemma(s) present in the journal

The first dilemma presented in the journal is based on orders. The nurses have in a long time been taking orders from the doctors and other senior members in the medical profession. In this case, the intellectual skills and the reasoning of nurses were not fostered and taken into consideration. The doctors were the ones allowed to make decisions based on ethical issues. The nurses however are the ones who are usually close to the patients in their daily recovering. This presents a dilemma especially to the extent of nurses’ involvement in ethical issues.

There has been a drastic change in the needs of the patients. The nurses have gotten in a better position to handle these changes despite the fact that they are viewed as subordinates to the doctors. This has elicited a dilemma especially on the roles and the extent of involvement of the nurses in offering care services to the patients. The nurses have been feeling like they should be complementing the doctors’ roles and not being subordinates. (Ellis & Hartley, 2004)

The nursing profession has been in a dilemma concerning the handling of the patients. The nurses think that in order to achieve better care for the ill in the society, it is better to understand the supportive resources, motivations and the strengths of the patients. On the other hand, medical doctors basically rely on the expertise and science in establishing the causes of ailments and their cures. This presents an ethical dilemma.

A number of nurses have been eager to contribute to the care of the patients. In giving the care that is problem oriented by the nurses, the relationship between the patients and the doctors is set to change. The nurses will get more opportunities to make the decisions that touch on the patients. However, this is ethically disallowed as it is the doctors who are vested with the responsibility of making such communications.

During treatment, the patients are supposed to be calm and anxiety should not be put on them. There is always need to ensure that the patient’s trust on the doctor is not compromised. However, there is usually a great dilemma when the beliefs held by the nurse are in contradiction to those held by the doctor or other medical team. The nurses are obliged to be honest to the patients but in situations where the doctor holds a different view, it will force the nurse to go against the ethics of being honest.

The nurses face the dilemma in situations where they have the opportunity to offer the patients psychological care and advise though they are restricted as they lack the authority to offer the same despite the fact that the patient is in dire need. The doctor’s view is always considered as the final and the patient may have a dissenting view in which he may seek the opinion of the nurse. This presents a dilemma to the nurse. (White, 1992)

The resolution and effects

The resolutions specifically affect the patients as it is them that are seeking help. However, the nurses are also affected in whichever way for there will be a conflict between their conscious and the ethics. In trying to fulfill the conditions of one principle, another will have to be broken. The doctor is seen as holding the full responsibility of making communications to the patient. The nurse may also be pitted in a dilemma especially when there is no agreement in the doctor’s decision. In the event that the nurse decides to give an opinion to the patient that contravenes the prescription of the doctor, the doctor will feel insubordinate and disrespected. The patient also has trust in the nurse and expects an honest answer for his or her concern.

Possible courses of action for any of the various parties involved

The dilemma in the nursing profession can best be addressed through a consensus agreement. The doctor and the nurses can agree on how to handle the patient. The principles should be flexible so that the nurses gain access to the information regarding the patients. Nurses are supposed to be treated as complements to the doctor and not as subordinates. The nurses are supposed to be given the authority to give psychological guidance to the patients and the doctor is supposed to share his information and decisions with the nurses.

Teleological and deontological ethics in evaluating the situation differently

Deontological ethics, in emphasizing on the obligation or duty would emphasize on the fact that the nurses need to stick to the rules. This means that in cases where there is a conflict of principles, the obligation takes a head start. On the other hand, teleological ethics focuses on the consequences that exist after taking an action. In this case, the choices made by the nurses in the dilemma are bound to have effects. The most important aspect is the results of the choice and not the choice alone. If in breaking one principle leads to positive results, then it is worth it.

Work cited

Ellis, J. & Hartley, C. Nursing in Today’s World: Trends, Issues, and Management. Philadelphia: Lippincott Williams & Wilkins, 2004. Link: http://books.google.co.ke/books?id=g8YR18m6tvgC&dq=Ethical+dilemmas+in+nursing&source=gbs_navlinks_s

White, G. Ethical dilemmas in contemporary nursing practice. NY: American Nurses Pub., 1992. Link: http://books.google.co.ke/books?id=sgxtAAAAMAAJ&q=Ethical+dilemmas+in+nursing&dq=Ethical+dilemmas+in+nursing&hl=en&sa=X&ei=46mtUZ3wBsab0wXpvoDIDQ&ved=0CDwQ6AEwAg