Preview

Case Study COPD Exacerbation

Satisfactory Essays
Open Document
Open Document
290 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Case Study COPD Exacerbation
I took care of N. 68 year’s old female who was admitted to the Medical-Subacute unit for COPD exacerbation treatment. When the patient’s COPD exacerbation was treated, she wanted to go out for a smoke. The patient was a long time smoker prior to admission and has decided to continue smoking, despite encouraging. Moreover, the patient argued that smoking helps her to cope with depression and socialize with people. Therefore, going outside the hospital building for smoking makes her more physically active. One of the most difficult ethical issues arise when the patient autonomous decision conflicts with the nursing beneficent duty to look out for the patient’s best interest. Respect for the patient’s autonomy is likely to promote patient

You May Also Find These Documents Helpful

  • Better Essays

    As nurses, we encounter ethical situations everyday regarding patient care. How we handle these situations promote equality while seeking rationality. After reading the two case studies presented, I will discuss in my reflective journal how the ethical issues were presented, the steps taken in the decision-making process to ethically address the issues, the lenses used and how these lenses influenced the decisions made, and also how these can relate to the workplace. The Baird Decision Model is a five step process that guides us through that decision-making process when making ethical decisions.…

    • 767 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Nvt1

    • 1211 Words
    • 5 Pages

    Provision 1.4 of the ANA Code of Ethics for Nurses, states that all human beings have “The right to self-determination.”(American Nurses Association Website, n.d., p. 4) It is important for the nurse to always honor, respect, and assist a patient in his or her decisions in determining the course of their care. Supporting these decisions as a patient advocate may require further education of family and staff. Preserving the rights of individual decisions made previous to a patient’s incapacitation is the moral and legal duty of all nurses.…

    • 1211 Words
    • 5 Pages
    Good Essays
  • Better Essays

    According to the American Nurses Associations Code of Ethics (ANA) provision 1.4, “respect for human dignity requires the recognition of specific patient rights, particularly, the right of self-determination” (Nursing World, Code of Ethics). By means of…

    • 1310 Words
    • 6 Pages
    Better Essays
  • Satisfactory Essays

    Nursing Ethical Issues

    • 295 Words
    • 2 Pages

    However decision making is essential for nurses to participate in order to focus on ethical and moral issues and note situations that appears to be dilemmas with the help of professional and ethical competence (Tschudin, 2002). Moreover unprofessional ethical practice may result to litigations if care was deemed not to be professionally sound.…

    • 295 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    COPD Research Paper

    • 950 Words
    • 4 Pages

    Chronic Obstructive Pulmonary Disease is a progressive disease that constricts airways and dramatically hinders a person’s ability to breathe. It affects around 13% of Australians aged 40 or over. It causes mucus or blood-filled coughing, chest tightness and severe shortness of breath. The disease is comprised of Chronic Bronchitis, Asthma and Emphysema, with the seriousness of it being judged by four levels, each level increasing in severity. To this day, there is no known cure for the disease.…

    • 950 Words
    • 4 Pages
    Good Essays
  • Good Essays

    In the clinical setting, nurses also encounter ethical dilemmas regarding patient care that do not appear to have a potentially simple solution (Fant, 2012). Such as, a patient’s family…

    • 389 Words
    • 2 Pages
    Good Essays
  • Good Essays

    It is not unusual for nurses to face at least one ethical dilemma per shift. Some of the hardest ethical dilemmas that a nurse will face during their nursing career are situations that go against the personal values of the nurse. The following essay will discuss such a dilemma and how the nurse uses a decision-making model to assist in resolving the ethical dilemma.…

    • 1205 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Up holding the patient’s wishes to the best of the nurse’s abilities can seem fairly straight forward. Often, there are situations where this could be hindered by the family, who also have good intentions to protect the patient. Although the nurse may feel strongly to advocate for the patient, in these situations, it becomes difficult to ignore the request of the family who know the patient and have their best interest at heart. This creates an ethical dilemma as to how to approach the situation because there is no clear answer to what would be best for the patient.…

    • 1294 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Autonomy In Nursing

    • 303 Words
    • 2 Pages

    Also, nobody is present from their family to make decision on their behalf. This could give rise the ethical problem and dilemma for a nurse and/or for a paramedic because patient refused treatment. It would result in delay in patient care (Betts, 2013). Although to build effective relationship with a patient, trust is really important and this can only build by maintaining the patient autonomy (Betts, 2013). Autonomy of the patient is admired by ethical code of conduct and regulations as outlined by Australian Medical Association (AMA). It defines that for health care providers, the thought of the good health of patient should be kept at prime precedence (Townsend & Luck,…

    • 303 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Promoting patient’s autonomy is showing a sense of respect the patients. This can be violated very easy, it is the nurse responsibility to provide some sort of safety to prevent this from occurring. By educating the patients is recommended in all healthcare environment. When these patients understand that they have the right to their medical information, and also they have right to make any decision, they will be able to advocate themselves and prevent it. Educating the patient as a preventive measure that will also prevent any ethical dilemma advanced practice nurses’ moral distress. As a result, this can be done by explaining to the patient all the legal aspect while they are in the hospital. Another recommendation that could be made to prevent the violation of patient veracity and autonomy which may resolve advanced practice nurses’ moral distress in the dilemma, the healthcare providers should always encourage patients to seek care that promotes the individual patient’s medical interests. It might be thought that this approach fails to respect patient autonomy.…

    • 249 Words
    • 1 Page
    Good Essays
  • Powerful Essays

    Identifying and addressing problems aids in the decision-making process (ANA, 2001). Nurses should recognize some cultures place less weight on individualism and choose to defer to family or community values in decision-making. The nurse’s primary commitment is to the health, well-being and safety of the patient across the life span and in all settings in which health care needs are addressed (ANA, 2001). The ANA Code of Nursing ethics would influence the final decision in both cases by ensuring the nurse stays impartial in delivering nursing care while advocating for patient’s rights, respecting their…

    • 931 Words
    • 4 Pages
    Powerful Essays
  • Better Essays

    Long Term Care Ethics

    • 1793 Words
    • 8 Pages

    There are four elements of ethical issues regarding patient care such as, attentiveness, responsibility, competence and responsiveness. Attentiveness involves nurses being able to recognize the needs of the patient and their families. The development of a close relation between nursing staff and patient through receptibility helps the nurses to be receptive to what the patients need. A nurse has the responsibility to care for their patients and be a support system for their patient. A nurse must exhibit competence while caring for their patients. Nurses must be able to provide individual care. They are obligated to provide care of a patient based on their physical needs, psychological, cultural and religious needs of the patients and their families. Nurses have a duty to ensure that the patients’ needs are being met. If the patient is responding to the nurse in a positive to the treatment that is received. The American Nurse Associations’ provision 3 states that a nurse advocates for the patient, promotes and protects the rights, their health and safety for the patient. Nurses are held accountable and responsible for making good decisions to provide the best care for the patient (American Nurse Association, 2015). Facilities that…

    • 1793 Words
    • 8 Pages
    Better Essays
  • Satisfactory Essays

    I believe professional nurses should uphold ethical principle such as autonomy and beneficence when they are making health care decision. As nurses, we have to understand that clients have the right to make their own decision at all times during care, and it is our job as health care providers to have resources that will benefit clients. My philosophy is that nurses should protect s’ health information and ensure that they receive clients’ permission first before they give their health information to their friends. My other philosophy is that we are all human beings and everyone makes mistake, and it is extremely important that we are accountable for our actions rather than putting blame on someone else. I also believe professional nurses must…

    • 520 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    An 84 years old female patient came to the ER due to shortness of breath and high blood pressure, so she was put on BIPAP. The physician prescribed nitroglycerin patch and morphine to bring down the blood pressure. So, I went in her room to put the nitroglycerin patch on and give morphine via IV push. I told her why she was getting those medications, and the patient accepted to get the patch, but she said she doesn’t want to take morphine. So, I respected her wish and told the physician that she doesn’t want to take morphine. In this situation, I respected her right to self-determination by respecting her choice (Marquis & Huston, 2015). However, fifteen minutes later, the patient called us and told us that she would take the morphine because her family had explained her that it would benefit her. So, I again ask her to make sure if she is sure about taking morphine, and she said yes, so then I gave her morphine. The issue of patient autonomy will affect my future nursing career because it is very important to respect patient autonomy and give them an environment where they feel they have control over the situation for positive patient outcome. So, in future, I will continue to respect patient autonomy because the nursing values central to advocacy emphasize compassion, autonomy, respect, and patient empowerment (Marquis & Huston,…

    • 873 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Palliative Care Papers

    • 588 Words
    • 3 Pages

    It feels morally wrong to take the autonomy away from a patient whom has chose an EOL plan and the advanced directives they wanted honored. As a nurse I will be able to honor the patient and families wishes. The hardest part is dealing with the moral dilemmas that may affect me on a personal level based on the patient and families choices.…

    • 588 Words
    • 3 Pages
    Good Essays