The increase in obesity among UK’s population has been a tremendous interest in healthcare since it is seen as one of the principal factor for causing cardiovascular disease and Type 2 diabetes, costing NHS even more (MRC, 2013). The occurrence of obesity has been so common in the overall population that it has become vital for nurses to be up to date with information regarding obesity issues. Nurses should also be able to use those obtained information to prevent and help recognize those who are already obese by providing them with treatment choices and lifestyle changes information. There are many aspects of obesity treatment which require particular expertise and insights and so doing ...view middle of the document...
There is also National Institute for Health and Care Excellence (2013) and National Health Service (NHS) that health professionals should be aware while treating patients. The ethical issues related to bariatric surgery are based around deontology and teleology theories and autonomy and justice (Beauchamp and Childress’s Four Principles Approach 2001).
Legal and Professional Issues
Human Right Act (1988) sets out that individuals living in the UK have right to life, protection from torture and inhuman and degrading treatment, right to liberty, freedom to speech and expression. Similarly, Equality Act (2010) also speaks in favour of equal rights to individuals. The Equality Act (2010) covers discrimination against disability, sex and race in wider society. Likewise, Mental Capacity Act 2005 allows individuals to make their own choices and should be mentally competent to give valid consent on treatment and patients who lack capacity to do so; decisions can be made on behalf of them. Hence, it interprets if an individual is capable of understanding the nature and effect of the treatment intervention such as bariatric surgery. However, Foster (2007) noted that laws must not be interpreted in a way as to put an impossible pressure on the authorities.
There are professional guidelines such as Nursing and Midwifery Council (NMC) which has a code that states nurses should be responsible for nursing decision and action. It states every nurse should treat patients as an individual and must produce evidence based judgements that are in the best interest of the patient using their professional skills and expertise. Similarly, there is National Institute for Health and Clinical Excellence (NICE) guidelines that set out approved guidance for health professionals so that they can deliver safe practice. In terms of bariatric surgery NICE guidance has clear instructions about who should be considered for surgery. For instance, NICE says bariatric surgery should be considered for the person who has a BMI of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 along with other significant illness (NICE, 2006). Likewise, there is National Health Service (NHS) that controls public health care and funding. And due to limited funding NHS is limiting numerous people for surgery despite meeting NICE criteria (The Telegraph, 2010). NMC and NICE encourage to implement safe practice by identifying and minimizing risk to patients. In the other hand, NHS is going against the NICE guideline by not putting guideline into practice and not working to evidence based standards.
Staunton and Chiarella (1997) writes teleology is based upon results of performance (the consequence); if the result of action gives the positive result, the performance is judged to be morally right. The best known branch in teleology philosophy is called utilitarianism which describes greatest good for the greatest number and is often used in healthcare resource allocation. It can...