Ethical Dilemma In Nursing
I’ve encountered an ethical dilemma situation in my recent capstone clinical. My clinical preceptor and I caught in the concepts of the principles of autonomy, veracity, and nonmalifecence. This occurred when we provided nursing service to a 30-years-old male patient who was taken to the ED as a post-code patient. The EMS team arrived in the scene and initiated CPR and defibrillated a client (on the floor of his room). The client ended up in the ICU with a diagnosis of hypoxic- anoxic injury (HAI). The parents did not know how long he was on the floor. The client’s blood tests result suggested a high level of alcohol and other substances in his system. The client had history of ETOH and substance abuse. All the diagnostic tests (Head CT-scan,
…show more content…
I saw how devastated the family was (especially the mother, father, and the sister of the client). One night the mother asked my preceptor about the medication we provided and why we need to adjust the infusion rate of his drips and why we have to wean their family member from the other treatments he got. When my preceptor nurse provided them with some relevant facts and she said he’s “so negative.” The mother even requested me to give a medication to their patient continuously with the same rate because they believed that lowering the rate of his drip or weaning him with some medications will make his situation worse. I even told her that it was their doctors’ order to titrate/wean him in order to determine the progress of their family member in relation to his treatment. I even told her that we will be titrating their son’s medication in accordance to his needs base from his hemodynamics/vital signs’ stability. She turned her back with tears in her eyes without any word. The first thing that came to my mind was to give her a hug, but my preceptor was giving me a signal to come out from their room. Their average ICU room was filled with equipment, such five pumps, hypothermal equipment, the huge equipment for continuous renal replacement therapy (CRRT), etc.
The next night the family of the client requested for a different nurse for
I saw how devastated the family was (especially the mother, father, and the sister of the client). One night the mother asked my preceptor about the medication we provided and why we need to adjust the infusion rate of his drips and why we have to wean their family member from the other treatments he got. When my preceptor nurse provided them with some relevant facts and she said he’s “so negative.” The mother even requested me to give a medication to their patient continuously with the same rate because they believed that lowering the rate of his drip or weaning him with some medications will make his situation worse. I even told her that it was their doctors’ order to titrate/wean him in order to determine the progress of their family member in relation to his treatment. I even told her that we will be titrating their son’s medication in accordance to his needs base from his hemodynamics/vital signs’ stability. She turned her back with tears in her eyes without any word. The first thing that came to my mind was to give her a hug, but my preceptor was giving me a signal to come out from their room. Their average ICU room was filled with equipment, such five pumps, hypothermal equipment, the huge equipment for continuous renal replacement therapy (CRRT), etc.
The next night the family of the client requested for a different nurse for