Scenario: Peter, a 35-year-old, was brought via ambulance to the emergency depar

Question

Scenario:

Peter, a 35-year-old, was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a fellow surgeon about how to go about changing the patient’s decision.

Initial Discussion Post:

Address the following:

State and discuss the legal and ethical considerations occurring in this scenario. Include supporting citations.

How can RNs support the patient’s decision when the beliefs of the patient are contrary to their own? List three (3) interventions, with supporting rationales, the RN would perform to ensure the delivery of culturally sensitive care.

Identify one (1) additional major religion, in which the same circumstances might also require the RN to advocate for the patient’s refusal of surgery. Describe the beliefs behind why the identified religion could pose a moral conflict for a similar patient.

Explanation / Answer

According to the given situation a 35 year old Peter young Christian Scientist was suffering from chronic appendicitis pain and the pain scale was pointing on 9 (Based on 0-10 scale). Based on the belief of his Christian religious he is thinking the pain will reduce through payer. Due to this main reason he is rejecting pain medication. In this situation RN should approach peter politely and must explain his situation criticality and necessity of surgical procedure is the best option. Every health care individual have crucial responsibility in recognizing cultural diversity, religious diversity, context finally implementing ethical based decisions in maintaining patient health information safe and secure. The public health implications should be implemented as per care ethics, virtue ethics. Therefore, health care workers, nurses, clinicians ensure & competent about the ethical dilemmas, solutions in their professions. Nursing informatics promote clinical nurses to make ethical based health care decisions in the aspects of public health.

According to the legal laws giving false and misleading information to patients is punishable. Law only considers physician role is to save patient and public health aspects should be implemented. Justice must be maintained as part of professional code of ethics during the ethical based nursing practice at every rural and urban community level with impartiality. Nursing informatics promote clinical nurses to make ethical based health care decisions in the aspects of public health. The ethical theories including principlism, justice, and fidelity should be applied in public health, health care informatics in which ethical dilemmas associated with the incorporation of bio-informatics, should be examined to deliver an ethical framework. Nurses must provide a systemic and reflective method of approach to convey sufficient information & reasons for patient’s moral beliefs during informatics based nursing practice to maintain proper public health.

RNs support: The RN should support the patient’s decision when beliefs of the patient are contrary to their own by respecting the beliefs of the patient. But in this situation nurse can make the patient aware about his complicated situation and the necessity of medication and surgery.

The three interventions:

1. Give some alternative treatment for patient’s wellbeing. It can helpful in stabilizing the condition of patient without harming patient’s cultural beliefs.

2. Ensures the patient had an idea about his problem and its consequence if he is not treated. If he about it very well then he will be able to take an aware decision.

3. The RN should carefully listen what the patient is feeling and thinking, the patient will feel more comfortable and will believe that the RN is there for taking his care.

One additional major religion: According to the Islam religion the people may think the God is only the one who can save their lives even at the time of health crisis. Most of the people can belief that if they get a disease that means it’s a part of God’s plan and he is removing all sins from him so he has to bear the pain and also the dietary pattern can also affects the patients’ use of medication. The dietary prohibition against alcohol has occasionally raised questions about Muslims' use of alcohol-based hand rubs in the hospital, but such hand rubs should not ultimately prove problematic, because they do not have an intoxicating effect and are used for potentially life-saving hygiene nevertheless, a patient or family member's concern about this should be addressed thoroughly and sensitively, perhaps with the input of an imam.

Related Questions

Navigate

• Browse (All)
• Browse S
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.