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.....nurse assigned to care for this patient, I would strongly advocate on behalf of the patient's autonomy. The clash between patient autonomy and the healthcare system and its representatives like nurses can only be resolved by being honest in this situation. The patient is under a high degree of stress, not only because of his health condition and the fear that brings out in him, but due to other stressful life events including his financial situation. He was also supposed to get married immediately before the bypass surgery was scheduled, and this is bound to add to his level of stress. The primary issue here is providing what the patient needs to keep him safe during the procedure, and if he insists on using his own pump, which he has successfully used for the thirty years he has lived with the disease of diabetes, then he should use his own pump. There is no need for the nurses on duty to be concerned about this issue, or to coerce the patient into purchasing a new pump that he not only cannot afford, but does not want. Perhaps the new pump would not be effective in his case, anyway. The nurse manager is in the wrong, and I would tell...
When confronted with the ethical issue of patient autonomy, many nurses perceive that they respect patients more than patients perceive they are being respected by nurses (Rahmani, 2010). Sometimes nurses forget that what is convenient for them (such as using the pump the nurse manager was familiar with already) is not best practice for the patient.
The standard post-op orders are not a rigid rule. They are guidelines, designed to be flexible to allow for any extenuating circumstances or issues like this. Unless the nurse can definitively prove that post-op, the patient's pump will be insufficient for keeping his blood insulin levels at equilibrium, then the nurse manager has no business telling the patient to buy a new pump. The patient's safety needs to be assessed more in relation to the stress of the bypass surgery, which is a totally separate issue. If the patient does need to adjust the settings on his pump temporarily, then there are better ways of framing the issue other than coercion and paternalism. The patient has been managing his disease for a long time,…
Johnson & Potter’s (n.d.) case study “Walking the Tightrope” demonstrates how different ethical obligations like patient autonomy, beneficence, and non-maleficence often conflict during delivery of care. Pain management is especially difficult, given the problematic side effects and potential for abuse of some pain management interventions. The patient in the case in question has been described as a “complainer,” but there is no indication of dementia (Johnson & Potter, n.d.). Therefore,
Nursing Is there a limit to one's professional obligation to the patient? Is that the same as advocacy? Advocacy can be construed as a professional obligation to the patient, especially when advocacy is framed as an ethical obligation. There are therefore few limits to a nurse's ethical responsibilities to the patients, even though some situations may seem morally ambiguous. Many nursing researchers promote the concept of patient advocacy as "an ethic of
Nursing Definitions Autonomy Autonomy in the nursing profession states the importance of the client's role in making decisions that reflect advocacy for the client (Wade, 1999, p.310). Ultimately, this includes taking care of the patient physically as well as mentally and emotionally, developing a relationship with the patient that is beneficial to his care and actively advocating for the patient's rights and care. This type of autonomy, it is important to note,
" (Allen 2008) This means that nursing educators are also a key stakeholder. Other stakeholders include healthcare facility administrators, corporate trustees and public office holders, who will often have entangled or competing interests relating to the profitability of operations and the political expediency of policy orientation. This will also be true of the various professional advocacy groups, nursing associations and lobby groups that will vie for influence in the discussion on
Clinical narratives are used for the articulation and sharing of knowledge and experience which has been acquired over time and through experiential learning and is a way of enabling nurses to "tap into the thought processes and best practices of expert clinicians" through sharing of stories based on experience. Professional conferences involve the attending of conferences, which expose nurses to ideas that are new and best practices of other
Nursing Theories: In contemporary times, there are many nursing theories, each with a highlighted core concept and value, and each with a unique philosophy. When looking closely at these theories, it is possible to see commonality among them, and theorists can be divided into groups with similar core beliefs. Nursing in general has an underlying goal of identifying and filling the patient's needs, though each theorist comes from a unique