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TLC in Manila Bulletin

TLC_MB.jpgNational daily Manila Bulletin featured The Lewis College on the front of their Schools, Colleges and Universities Bulletin section (E1), To see the online version of this article, click here (this opens a new window/tab).

Navigating Ethical Dilemmas in the Role of a Nursing Assistant

Being a nursing assistant is a rewarding and challenging role that involves providing essential care and support to patients. Alongside the medical and technical aspects, nursing assistants often find themselves facing complex ethical dilemmas. These situations require careful consideration and decision-making to ensure the well-being and dignity of the patients. Let's explore some of these ethical challenges and how nursing assistants can navigate them responsibly. ๐Ÿฅ

The Foundation of Ethical Practice

Before diving into specific dilemmas, it's crucial to establish the foundation of ethical practice in healthcare. Nursing assistants adhere to a code of ethics that emphasizes respect, compassion, and patient-centered care. This code guides decision-making and helps maintain the trust between patients, families, and the healthcare team. ๐Ÿค

Respecting Patient Autonomy

One of the primary ethical principles in healthcare is respecting patient autonomy. This principle recognizes the patient's right to make informed decisions about their treatment and care. Nursing assistants may encounter situations where a patient's choices conflict with medical recommendations. Balancing the patient's autonomy while ensuring their well-being requires open communication and collaboration with the healthcare team. ๐Ÿค”

Maintaining Patient Confidentiality

Patient confidentiality is paramount in healthcare. Nursing assistants often have access to sensitive medical information, and maintaining patient privacy is essential for building trust. An ethical dilemma might arise when a nursing assistant discovers information that could impact patient safety, such as a medication error made by a colleague. Striking the right balance between confidentiality and patient safety can be challenging but is crucial for the patient's best interests. ๐Ÿค

Challenges in End-of-Life Care

End-of-life care presents unique ethical challenges. Nursing assistants play a vital role in providing comfort and support to patients and their families during this delicate time.

Quality of Life vs. Quantity of Life

Nursing assistants may find themselves torn between ensuring a patient's quality of life and prolonging their life through aggressive medical interventions. This dilemma often involves discussions about palliative care and the patient's wishes. Understanding and respecting the patient's values and beliefs can guide decisions that align with their best interests. โค๏ธ

Family Conflicts and Decision-making

Family dynamics can complicate end-of-life decisions. Nursing assistants may witness disagreements among family members about treatment options. In such situations, it's essential to provide emotional support to the patient's loved ones while ensuring that the patient's wishes remain at the forefront of the decision-making process. ๐Ÿค—

Advocating for Vulnerable Patients

Nursing assistants often work with vulnerable populations, including the elderly and individuals with cognitive impairments. Advocating for these patients' rights and well-being is a critical ethical responsibility.

Elder Abuse and Neglect

Unfortunately, elder abuse and neglect can occur in healthcare settings. Nursing assistants have a duty to report any signs of mistreatment promptly. This can be emotionally challenging, but it's essential to prioritize the safety and dignity of the patients. ๐Ÿšจ

Communication Barriers and Consent

Patients with cognitive impairments may have difficulty communicating their preferences or giving informed consent. Nursing assistants must work closely with the healthcare team to ensure that the patient's best interests are upheld. Clear communication strategies and involving family members can help navigate this ethical challenge. ๐Ÿ—ฃ๏ธ


Nursing assistants play a vital role in the healthcare system, and their work often involves navigating complex ethical dilemmas. Upholding patient autonomy, maintaining confidentiality, providing compassionate end-of-life care, and advocating for vulnerable patients are central to their ethical responsibilities. By grounding their decisions in a strong code of ethics and collaborating closely with the healthcare team, nursing assistants can navigate these dilemmas with empathy, compassion, and integrity. ๐Ÿ‘ฉโ€โš•๏ธ๐Ÿ‘จโ€โš•๏ธ