\"If You Prick Me, Do I Not Bleed?\" Elizabeth is over 100 years old. She has ve
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Question
"If You Prick Me, Do I Not Bleed?" Elizabeth is over 100 years old. She has very little cognitive decline and is proud of having lived in three centuries. However, her physical condition has deteriorated during the past several months. Her only surviving daughter realizes and accepts that death is near. Elizabeth has been on a variety of cardiac medications including a blood thinning regime, for years. This requires a blood test every month for controlling the pro-time. The patient moans every time she is touched or turned, and cries out in pain whenever blood is drawn. Helen has been Elizabeth's nurse for more years than she cares to remember, but today she is reluctant to draw this blood. She talks to the Director of Nursing who tells her that the physician is very particular about continuing to monitor the pro-time accurately. Elizabeth's daughter is passive and does not complain. Helen decides to call the physician who gruffly reminds her that "good medical practice requires the blood be drawn to monitor the pro-time." The nurse approaches the bedside where Elizabeth is resting quietly and ponders what to do. 1. Thinking ethically usually becomes conscious when there is a conflict of values. The physician's need for the monthly blood test can be justified by best practices criteria. The nurse's conflict is not with professional standards. What is the basis of the conflict that causes her moral distress? 2. What realistic options lie open to the nurse? Justify each.Explanation / Answer
The nurse tries to help the patient and the physician need to check ther blood on regular month which is also necessary as a nurse we should not get emotional and do not feel the pain which Elizabeth was feeling, withdrawal of blood is necessary for her treatment as directed by physician we should follow that.
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