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300 words double spaced. APA formatcite TWO Nursing professional references, peer reviewed each reference must be current (from 2014 or newer)
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1. Demonstrate ethical principles found in the code of Ethics for Nurses relate to the ethical
dilemma presented.
2. Describe a nursing therapeutic relationship with the family in the ethical dilemma that would
promote a positive environment in the clinical setting.
Ethical dilemmas occur in situations that create a conflict in ones values, or moral standards. The
ethical principles of beneficence, nonmaleficence, justice and autonomy (which can be found and
reviewed in Lesson 1) are considered a neutral conceptual framework to help resolve the ethical
dilemmas often seen in response to todays’ biomedical, and technological advances. Assistive
reproductive technology in particular, is an area with its’ own unique set of ethical issues. As this
field has evolved, so too have the ethical dilemmas when considering the potential outcomes of
the processes involved. These processes related to the use of reproductive technology have far
reaching implications for society and individuals in terms of what is considered right or wrong,
weighing the effects on individuals involved (their human experience), who stands to gain and at
what cost, and who stands to be harmed and at what cost. The specific processes and ethical
issues are concerned with surrogacy, handling of surplus reproductive products, gender selection,
and genetic modification and enhancement.
Based on the evolution of science and technology, it is now possible to create the kind of child
that a couple may want. This creation, or design could be for gender selection to balance out a
family, to have a child with selected traits or characteristics, or to prevent an X-chromosomelinked (or other) genetic disease. Preimplantation genetic diagnosis, and inheritable genetic
modification are the processes by which this (design) can happen.
Please read the following scenario, and answer the questions using the Code of Ethics for Nurses
With Interpretive Statements (specifically Provisions 1, interpretive statements 1.1, 1.2, 1.3 and
1.4), as well as the ethical principles that you think apply as a framework for your thoughts.
Scenario:
Adam Nash was born in August 2000. He had been an embryo that was sorted, screened,
and selected from at least 12 embryos from the Nash couple, for the purpose of tissue
matching for their critically ill daughter, Molly.
Molly Nash was born to the Nash parents in 1994, with Fanconi’s anemia, a fatal autosomal
recessive bone marrow failure (aplastic anemia), which is only treatable with a bone
marrow transplant from a sibling’s umbilical cord blood. At that time, the success rate of a
bone marrow transplant from an unrelated donor was only 42%, but from a sibling the
success rate increased to 85%.
The Nash parents, with support of physicians, made the decision to have preimplantation
genetic testing on their embryos in the hopes of saving their only child. In the process, 12 of
Lisa’s eggs were fertilized with Jack’s sperm by in vitro fertilization. Two of the embryos
had Fanconi’s anemia, and were discarded. Of the remaining 10 embryos, only one
matched Molly’s tissue. This one became Adam Nash.
Questions:
1.) Knowing this history, as a nurse how would you feel about these parents, and their
situation if they were your patient during the delivery of Adam? What is the basis for
your therapeutic relationship with your patient?
2.) What ethical principles might you relate to this situation, and why?
3.) Were the Nash’s justified in creating Adam for the purpose of helping Molly get well?

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