Nursing and Ethics Management

Paper Summary:

This paper presents a case study of a patient who refuses the care of a particular nurse. It describes the details of the case - including the patient's diagnosis, mental state and cultural background. The paper then discusses the practical and ethical implications of the case and suggests possible solutions to the dilemma. The paper presents the writer's opinions on the case.

From the Paper:

"The situation is ethically complicated. The nurse should not be obliged to work with the patient as the patient has a particular aversion to the nurse, and is a highly volatile state. However, as a nurse, I would personally recognize that I am the proper person to manage the situation and would not want to fail in a bid to help. Ethically, one must tread carefully in this situation, as it concerns such issues as religiosity and suicide. A more aggressive nursing strategy may involve the use of drugs or restraints to physically sedate the woman. However, I believe this measure would only be a band-aid solution and the situation needs to be resolved by persuasive talking in order to "calm" the patient down. Talking does not involve the breaching of moral principles if the words are ethical and respectful. This strategy operates a principle of non-maleficence, even beneficence, fidelity and justice. However, it does not involve feminism and somewhat rejects autonomy. In this way, one may consider the rejection of autonomy crosses an ethical boundary. However, as the patient is in a highly charged state one might argue that she does not presently know her own mind, nor what is good for her."

Sample of Sources Used:

• College of Nurses of Ontario. (2005). Culturally Sensitive Care. Practice Guideline, 1-15.
• College of Nurses of Ontario. (2005). Medical Directives, Revised 2000. Practice Guideline, 1-7.
• College of Nurses of Ontario. (2005). Nurse Abuse. Practice Guideline, 1-15.
• College of Nurses of Ontario. (2006). Therapeutic Nurse-Client Relationship, Revised 2006. Practice Guideline, 1-19.
• College of Nurses of Ontario. (2005). Utilization of Unregulated Care Providers (UCP). Practice Guideline, 1-15.

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