The patient is a minor and may not comprehend the severity of her diagnosis. The nurse as an adult needs to tell the parents so that the patient does not experience harm. The principle of autonomy is another principle that I would use to justify my position in this case. Autonomy is the ability of a patient to give informed consent and make their own decisions (University of California San Francisco School of Medicine, 2008). Because this patient is a minor she is not mature enough to understand all of the implications of her diagnosis and treatment.
Nurses are relied upon to advocate for our patients dignity, privacy, confidentiality, improper and incompetent care. The case of Marianne is a good example of how the ANA code of nursing ethics could help a patient that can't make convey their needs the healthcare team. The stroke has left Marianne unresponsive and without an advanced directive the healthcare team has no way of knowing what her desires would be for the plan of care. Her husband and children are in disagreement with which direction to go in regards to her care. The ANA code of ethics has provisions in place to assist in a decision for this case.
Culturally congruent care means taking in to account the beliefs and traditions of the patient and working them into the care plan. This is one of the key factors in having the patient’s attention; to understand and accept the advice of the care providers. If the patient is comfortable, they are more likely to follow the medical advice and promote the facility to their friends and family (Potter et al., 2013). The Hispanic culture believes that a post-partum woman needs to wear an abdominal binder to prevent air from entering the uterus, thus promoting healing. Marie needs to get Carla to ambulate, but Carla refuses to get up until Marie gets an abdominal binder for her.
Becoming aware of these laws would be ideal, but not knowing the key points of each law where someone may encounter an emergency should be protected if they act reasonably. Keywords: liable, protect Good Samaritan Laws May Vary In her article “How good a Samaritan should you be?” Penny S. Brooke (2003) describes legal ramifications and duties a nurse has when encountering an emergency situation outside of work. Many people refuse involvement during an emergency due to a possible lawsuit. They may be unaware that most states have Good Samaritan laws. These laws are designed to protect an individual from being held liable when volunteering their healthcare skills in an emergency.
Fifth, the physician assisted suicide should only be carried out in a meaningful doctor patient relationship. A physician should not be forced to participate in any act they deem unethical. Sixth, consultation with another experienced physician is required to ensure it is a sincere request. The patient and immediate family should attend counseling sessions to emotionally prepare for “treatment”. And lastly, all the steps should be clearly documented using an electronic video source, and through the patient’s paper file.
To put it simply pain was pain – you medicated to relieve the pain. There was not a qualifier by the patient as to their perception of the intensity. Follow up was subjective as you asked the patient if they felt better – we didn’t ask them to quantify the relief they perceived from the medication given. As nurses, we now have data that validates our actions in our plan of care for our patients through evidence based practice. We are not doing something “because that is the way it has always been done”.
This could be approached to health if a professional and the patients come together to negotiate how ill the person is and whether or not they are assigned to be “signed off work”. Interaction approaches to ill health- The Interactionists approaches to ill health is where the professional e.g. doctor and patient have an interaction but this is where the doctor presumes that they understand what the individual is suffering because of the signs and symptoms that the patient is giving without any health checks. Feminist approaches to health
Client A has dementia and therefore unable to remember or know what she needs. In order to give the best care to client A ; I would use conversations and questions to find out what the patient understands, what language client A is most comfortable using and how are workplace and facilities can supply the services to ensure well being, safety and health. To understand communication a hands on approach is a must as no amount of reading would
I want my Mommy." Which response is best for the nurse to provide? * Orient the client to the time, place, and person. * Tell the client that the nurse is there and will help her. Correct * Remind the client that her mother is no longer living.
Being a travel nurse, I do not feel comfortable adhering to this standard. In one instance, I did not allow the sedation until a physician was present. Looking back, I would not have done anything differently because the most important concept is patient safety. Giving sedation prior to a call-to-order, or time-out, is not focused on patient safety. One article detailed that when given an ethical dilemma it is important to “engage in a process of ethical analysis†(Chaloner, 2007, p.43).