Mr. Logan is a 48 year old who has struggled with an opioid addiction for the pa

Question

Mr. Logan is a 48 year old who has struggled with an opioid addiction for the past 5 years. Recently, he was playing basketball with friends when he slipped on the court, fell, and broke his arm badly. After his arm was repaired surgically, the physician orders acetaminophen, 650 milligrams by mouth or 1 ml of normal saline (similar to water) intramuscular shot as needed for pain. The nurse asks the physician about this, concerned about Mr. Logan’s pain control post-operatively. The physician says, “I’m not going to add insult to injury. Tell Mr. Logan you’re giving him medication for his pain. Hopefully he’ll get a placebo effect.” Meanwhile, Mr. Logan is in excruciating pain. The nurse gives him the acetaminophen and several injections of the “pain medicine” with no effect. Mr. Logan says, “What are you giving me? It isn’t working!” What should the nurse do now? Support the answer using at least three of the nursing code of ethics provisions

Explanation / Answer

The activity to scrutinize this doctor arrange recommends that nurse trusts that misleading the patient isn't right. Arrangement 1 of the Code expresses that the attendant is committed to act with empathy and to regard the nobility and self-rule of every patient (ANA, 2015b). Deceiving the patient, watching him endure, and not including him in his arrangement of care accomplish neither objective. Furthermore, Provision 5 addresses saving one's own particular nobility and 5.4 all the more particularly takes note of the danger to one's honesty that is finished by deluding patients and withholding data (ANA, 2015b). Be that as it may, for this situation, there is a suspicion of uncertainty in light of the likelihood of a misleading impact. That is, the saline infusion may instigate some pain relieving impact despite the fact that it isn't a torment solution. Likewise, there is some worry that while an opioid may give here and now advantage, it could cause hurt in the more drawn out term by causing re-fixation. In Mr. Logan's case, the characterizing question is, does beguiling the patient give any advantage or keep any risk?

A current position articulation by the American Society for Pain Management Nursing bolsters a pain management regimen including cautious observing and concurrence with a completely educated patient (Oliver et al., 2012). After audit of the Code and a pursuit of the writing, Mr. Logan's attendant sees all the more completely that misdirecting him isn't right since it is discourteous of the patient, lessens his self-sufficiency, and debilitates the medical attendant's own respectability. Utilizing a fake treatment to treat Mr. Logan's agony without his assent is improper for similar reasons and isn't with regards to current rules for pain management.

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