Sign Up Now
Get instant access to over 1 million+ study documents
OR
Already registered? click here to login
By creating your account, you agree to our terms of service, privacy policy and student honor code.
b. The nurse must ascertain the status of a health care proxy and other mandates by the patients request such as DNR (Do Not Resuscitate) orders, etc.
c. The mental stability of the patient may need to be reviewed to ascertain whether such decision by the patient can be made according to hospital policy, state and federal laws.
Interpretation:
4: The issue of informed consent and/or refusal has several dimensions when dealing with any population, including HIV. The first, and probably the most important, is the attempt to ascertain the cognitive capacity of the patient in determining his or her own care and treatment. Any adult whose decision-making capacity is intact has the right to absolute self-determination in making informed health care decisions. "A person with HIV has the right to refuse any medical treatment or procedure, even if a decision not to undergo treatment may result in death." (Rubenstein, Eisenberg & Gostin, 1996, p. 110)
4a: These decisions are part of the care of the patient and should be thoroughly scrutinizes and not left one person's sole responsibility.
4b: Living Wills, health care proxy, DNR orders, etc. should certainly all be in place in order to assure that the patient's rights and wished are followed if he or she is incapacitate.
4c: However, though it may be established that the patient does not have the capacity to make the decision a court may intervene:
Most courts have recognized that patients who lack capacity to make decisions still have some sort of interest in refusing treatment. These rights are founded in the state or federal rights to privacy or liberty, the doctrine of informed consent, or both…[the] courts have...
Under this doctrine, the court attempts "to determine with as much accuracy as possible the wants and needs of the individual involved." (Rubenstein, Eisenberg & Gostin, 1996, p. 113)
5. The patient has the right for full confidentiality protection under hospital policy, state and federal regulations.
Interpretation: Following Hipaa guidelines and hospital procedure.
6. The nurse will collaborate with other health professionals chosen by the patient both within and outside her particular hospital/agency to promote teamwork and continuity of care for the patient.
Interpretation: Full involvement by all team members is essential to help preserve the continuity of care as well as the rights of the patient with HIV.
References
Adrian, a., & O'connell, J. (2000). 3 Nurse Practitioners. In Clinical Challenges: Focus on Nursing, Lumby, J. & Picone, D. (Eds.) (pp. 40-51). St. Leonards, N.S.W.: Allen & Unwin.
Codes of ethics for the helping professions. (2004). Ethical standards of human service professionals. Belmont, CA: Brooks/Cole.
Gallagher, a. (Nov. 2004) Dignity and respect for dignity -- Two Key Health Professional
Values: Implications for Nursing Practice. Nursing Ethics; Vol. 11 Issue 6, p.587-600.
Nursing Case Study Case Discussion This case scenario is a classic case of professional misconduct carried out by Nurse X. The nurse did not have enough medical or chemical knowledge and therefore she made this mistake. It is common sense for any health care professional to realize that nasogastric or endoscopic route is very different to an IV route. All nurses and health care providers must be extra careful when administering to
Nursing Case and Care Plan William Smith is a 68-year-old man who was transferred to the Palliative Care ward from a surgical ward three days ago. The patient was admitted on January 26, 2013 for removal of a sacral abscess that had been a source of a lot of pain to him. Following his surgery, his future management was evaluated and it was decided that he would be transferred to the
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for
Management (Nursing) Area: Birmingham, AL Educational requirements of the position As in all states, the state of Alabama's requirements for certified case managers is that they work with ill and injured clients serving government agencies, healthcare facilities, courts and other service providers. Their job is to create a plan that will lay out the best kind of program for these clients and by so doing improving their physical and mental well-being. Case managers
Advanced Practice Nursing: Case Study Analysis and Care Plan Creation Client Complaints: This case study involves a patient with symptoms for the past 24 hours and the patient expresses pain as ten on a scale of one to ten in the past 24-hour however, it is presently stated at seven. This patient is being treated for hypercholesterolemia, hypertension and gout. The patient tested positive for H. pylori. History of Present Illness: The patient has
Cross-Sectional Study to Determine Factors in the Educational Advancement of the Licensed Practical Nurse to the Registered Nurse in the State of North Carolina According to the Harvard Nursing Research Institute, United States nursing school enrollments dropped by 20.9% from 1995 to 1998 (Healthcare Review, 2000). Behind headlines such as this one are the overwhelming issues which threaten the nursing workforce: 1) staffing cuts, 2) mandatory overtime, and 3) the