Tims conflicting loyalties-suffer from lack of nursing care

Assignment Help Other Subject
Reference no: EM13495858

When Patients Suffer from Lack of Nursing Care
Tim, an RN, works weekends on the skilled nursing unit of a small rural hospital. Recently purchased by a large corporation, the hospital was forced to dismiss nearly one-third of the staff of the skilled nursing unit. Lately, when Tim comes to work, he feels totally overwhelmed. Although he always considered himself effi­cient, Tim is distressed because he rarely has enough time to complete his work. He knows that many of the patients suffer because of lack of attention. Those who are bedfast are not turned on a regular schedule, they often wait for assistance with eating until their food is cold, and medications are rarely given on time. Suf­fering from expressive aphasia and hemiplegia secondary to a CVA, Mrs. Wallace was admitted to the skilled nursing unit after two weeks in the intensive care unit.
Mrs. Wallace has been on the skilled nursing unit for three weeks when her daugh­ter, Nina, notices a large reddened area surrounding a small gray ulcer over her mother's coccyx. Concerned, Nina asks Tim what caused this problem. Even though Mrs. Wallace's nursing care plan calls for attention to activity including fre­quent turning and sitting in a chair twice daily. Tim suspects that this was not con­sistently done the previous week. He recognizes that the reddened area is the begin­ning of a large pressure ulcer, a problem that might have been prevented with proper attention to activity and good nutrition. Tim hesitates to tell Nina that the problem is a potentially serious one that might have been prevented by good nurs­ing care measures. He believes she has a right to know but is hesitant to implicate himself or the other nurses, and he is afraid that he will lose his job if he complains.

1. What are the ethical principles implicit in this situation?

2. What are Tim's conflicting loyalties?

3. The staff on the unit is efficient and hard-working—skipping lunch and staying overtime to complete their work. Do you believe the staff is responsible for the apparently poor nursing care that Mrs. Wallace is getting?

4. Do you believe Tim should tell Nina the truth about the pressure sore?

5. Should Tim risk losing his job by whistle-blowing?

6. What harm can result from either option? What would you do?

Reference no: EM13495858

Previous Q& A

  Cost a negative punishment procedure

Design a response cost procedure for a 13 year old boy with a history of lying. Explain what makes response cost a negative punishment procedure.

  Define anterograde amnesia

Name two ways that you can increase the capacity and/or duration of Short Term Memory. Name two kinds of Explicit (or Declarative) memory, and tell what each one stores. Define anterograde amnesia (very precisely!)

  Define prejudice and discrimination

Define Prejudice and Discrimination. How can stereotyping can cause prejudice and discrimination in both personal and professional situations?

  Main effects and for the interaction

Use an ANOVA with a= .05 for all tests to evaluate the significance of the main effects and the interaction. Calculate the n2 values to measure the effect size for the two main effects and for the interaction.

  In social psychology-this is termed self-serving bias

Sometimes, people tend to accept credit for their success or accomplishments but blame others when they don’t succeed or when things go wrong. In social psychology, this is termed self-serving bias.

  Describe conformity and obedience

Most psychology textbooks use the Milgram experiment as a way to describe conformity and obedience. There are significant ethical flaws in the experiment, which make it inappropriate by current standards. However, it does lead to some interesting ..

  Roles changed through the past generations

Name two roles that can be acquired during early and middle adulthood, such as through parenthood, romantic relationships, and career. How have these roles changed through the past generations?

  Do you believe that people have an unconscious mind

Do you believe that people have an unconscious mind? If so, how does it affect thoughts, feelings and behavior?

  Cultural values impact on the issue

Discuss the issue of suicide prevention compared to the societal "right to die with dignity" movement. How might cultural values impact on the issue?

  Adapt to aging and changes in life style

What psychological adjustments are made during early and middle adulthood to adapt to aging and changes in life style? How does this affect development?


Write a Review


Similar Q& A

  Duplicate values in an array

Write a program to display the duplicate values in an array.

  Which best describes the practice of astroturfing

Which best describes the practice of astroturfing?

  Descriptive-exploratory-explanatory research

What are the strengths and weaknesses of the following four types of social research? (Descriptive Research, Exploratory Research, Explanatory Research and Evaluation Research)

  Bronfenbrenners ecological theory of development

Need an analysis on Bronfenbrenner's ecological theory of development. Describe and evaluate how Bronfenbrenner's levels of influence shapes people development.

  Pros and cons in the debate about amendment

What the proposed amendment would do and the problem its proponents say it will solve. Explain the main pros and cons in the debate about the amendment. Evaluate the proposed amendment from two perspectives:

  Webpros company intranet

Explain WebPros company Intranet. Include how the information is laid out and what security measures are in place to protect your company's information.

  capita gross national product and freedom

What is the relationship between per capita Gross National Product [gnp] and freedom?

  Create tort liability

Which of the following could most likely create tort liability?

  Type of interview conduct for psychologist

As Ben's psychologist, what type of interview would you conduct? What diagnosis would you give him on AXIS I, II, and III and why?

  Disaster relief on influencing settlement in evacuations

Anticipating future events and policy options requires more than an after-the-fact assessment of what happened before. Making useful predictions it requires analysis in order to infer possibilities in the future

  Sigma control limits

A producer of contact lenses regularly takes samples of 100 lenses and inspects them for scratches. If a lens has a single scratch, it cannot be sold.

  Which of the following is most likely to account for your

1. norman and fredrick seem to argue all the time. coworkers describe the two as hotheads but recognize that the two

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd