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The Legal Limits Of Autonomy, In Respect to Harming Oneself

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A. Does the principle of autonomy guarantee a person the right to do something that is harmful to oneself? To others? Please explain this principle and explain ethical rationale.

B. I was passing medications. The policy in my institution gives me a 30-minute window on each side of the time the medication is due to be considered on time' with medication administration. I have had a code on my unit and the patient, Mr. Smith, needed to be transferred to an ICU setting. Obviously, this took a lot of staff time and care. Consequently, the 9 a.m. medications for the rest of the patients in my assignment are not administered until 10:30 a.m. What do I do? How do I chart them? What ethical principles are involved in guiding my decisions and actions?

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The principle of autonomy does not guarantee a person the right to do harm to oneself, due to the fact that even though the individual has the rational choice to make decisions in the best interest of his or her well-being, doing something harmful to oneself is not in the interest of the individual's well-being, and this harmful act tends to affect others in a negative fashion. An example of this concept, would be an individual severely lacerating his or her face with a razor, this situation will cause a great deal of money to have to be spent in relation to their medical treatment, even if it is spent by their ...

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  • Master of Public Administration, North Carolina Central University
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