Reference no: EM133886617
Question
Patient D in the community is receiving complex wound care, IV medications,and monitoring intake and output- patient is on indwelling catheter. Patient hasa diagnosis of CVA and Lung CA. Spouse is the primary caregiver and expressesburnout feeling and demanding home care to have 24 hours care to the patientas the patient is bedridden and total care. Spouse is not happy with the nurseand personal support worker as she reported that they rush to provide care tothe patient and they leave right away. Family members recommended movingpatient to a smaller place like retirement home or long term care placement orshort stay respite care. Family found out through their neighbour that spousegoes out all the time and attends social activities with friends and has beenneglecting to take care of patient. Family member confronted spouse and denied going out with friends and accuses all the workers that are taking care of thepatient of neglecting patient. Patient is not well.
Step 1: Determine whether the issue is an ethical dilemma.
Is this an ethical dilemma?
Clarify your knowledge base about clinical facts, review policy and procedures or standards of care to reveal any legal obligations that determine a course of action regardless of personal opinion.
Identify the actual moral issue.
Discuss why the issue is a dilemma by applying ethical principles and theories- what are the conflicting values?
Step 2:
Information could include laboratory and test results, the clinical state of the client, and the current literature about the diagnosis or condition of the client.
May also include an investigation of the psychosocial concerns of the client, as well as those of their significant others.
List resources that you will use to help your actions (i.e CNA code of ethics, CNO ethics, CNO professional standards, Other CNO documents. etc.)