Summative Assessment
A 2500 word discursive essay on an ethical and/or legal subject.

Title of assignment:

What are the legal and ethical implications involved in the ethical dilemma of a paranoid schizophrenia refusing treatment resulting in leg amputation?
This is the case of Re C (Adult, refusal of treatment) [1994] that should be discussed in reference to the ethical principles.

Also harvard referencing must be used. this qassingment must include articles/journles, cases and book.

The articles that must be used are below:
https://uk.sagepub.com/en-gb/eur/journal/nursing-ethics

https://journals.cambridge.org/action/displayJournal?jid=CQH

https://jme.bmj.com/

https://jmp.oxfordjournals.org/

https://phe.oxfordjournals.org/

https://pq.oxfordjournals.org/

Also NICE GUIDELINES , RECENT MENTALHEALTH ACT , NMC MUST BE USED.

As for books these must be used:
principles of biomedical ethicals by tom l. beauchammp and james f. childress 7th edition

Nursing ethics – a principle bbased approach by steven d.edwards 2nd edition.

This is the title of the assingment that i wish for you to undertake. the requiremnts state that we can either choose between the ethical principles or the ethica theories, however i would like the assingment to be based on ethical principles.However you may touch on the theoriees and link them to the case and principles.

 Your essay should include reference to appropriate ethical and/or legal theory and
where appropriate demonstrate application of theory to practice.
 You are strongly advised to complete the Assignment Planning Form (“Questions”
and “Action Plan” sections), in the Module Information section on the VLE, and to
bring it to the timetabled Structured Group Academic Supervision Tutorial. This
will help you to engage in discussion and to organise your ideas.
 You are also strongly advised to share the title and focus of your assignment with
your supervisor so that you can be sure that your selected topic is appropriate and
manageable within the word limit.
o If you wish to do this you should send your supervisor an email which clearly
indicates the title and the focus of your work no more than 150 words.
o You should send this email no later than 12 noon on Friday 13th November.
o If you choose to do this your supervisor will respond briefly to confirm that
your choice is appropriate, or if not appropriate to give you direction
regarding reading and refining your topic.
o Supervisors can respond once and cannot maintain email correspondence
regarding your topic selection.
Essay Guidelines
The module team will support you to achieve the module learning objectives.
Please prepare for academic supervision by bringing comprehensive plans of your
work and points for discussion to the group tutorial or your individual meeting. If you
need to check your understanding of an issue remember that the learning resources
are on the VLE; the Articulate presentations can be played as many times as
required.
In planning your essay you should consider the following points:
 You should succinctly outline your topic.
o When deciding on a topic consider the everyday ethical dilemmas that
occur in practice as well as the “big” ethical issues.
o A case from your own practice or a published case will give focus to
your essay.
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o Presenting your essay title as a question can also give help to give
focus; check that you are answering the question.
o Clearly summarise your case or the issue near the beginning of your
essay. Use an appendix only where you are addressing a complex
topic which requires further factual information to facilitate
understanding.
o Ensure that you explicitly identify why your case or the issue is an
ethical dilemma.
o Identify the concepts (e.g. capacity, duty of care, quality of life) which
apply to your dilemma and which you will need to address in your
essay.
o Check that you fulfil your original aim and stay focussed.
 You need to demonstrate sound understanding of ethical theory (the ethical
principles, utilitarianism, consequentialism are all ethical theories) and/or legal
case law as applied to your topic.
o You will not be able to address every theory. Choose one or two ethical
theories and apply these to your topic, your academic supervisor will
give you guidance regarding this.
o Ensure that any legal case law that you discuss is in context; be careful
when using cases from international law.
 Your essay should have a logical structure.
o When you have identified the relevant concepts and ethical theory you
will need to define them and apply them to your case.
o Consider a paragraph for each concept and aspect of the theory (e.g.
autonomy, beneficence etc. if you are using the principles) that you
have chosen. Give definitions and application within the paragraph and
reach a conclusion.
o Lead the reader through your discussion by signposting your debate.
You may wish to use subheadings in your drafts to assist you with the
structure but remember to remove them before submitting your final
draft.
 You need to present a balanced argument and a range of perspectives.
o Consider application of your concepts and theory from the viewpoints
of all parties.
o Your points should be logical and reasoned.
o If you are passionate about or particularly close to a topic ensure that
you don’t present an argument which is biased. It may be easier to
choose a different topic.
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 Your essay needs to be evidence based.
o Ensure that all of your points are supported by evidence.
o Consider which guidelines may be relevant to your case or issue (e.g.
from the Nursing and Midwifery Council and the Department of Health)
and ensure that you use the most recent ones.
o Use the most recent editions of textbooks and remember that you are
more likely to find contemporary research and discussion in recently
published journal articles.

A bibliography must be used at the end