Introduction Patient was a 34 year old female admitted to the hospital for observation as an EMU patient on the Neuro step down unit. Patient reported that she had a tonic clonic seizure before coming to the hospital. During the three days she was in the hospital, she showed no apparent seizure activity. The nurse who was also assigned to this patient said she was pretty sure she was a pseudo seizure patient. When it came to looking at what drugs she could be given, the only drug she was not allergic to was Morphine. When doing assessments on the patient, she would always say that her pain was an 8-9 before pain medication and a 7/10 after pain medication. Every 4 hours the patient would put her call light on and complain of pain. …show more content…
Impact on Future Role as RN
The alternative that I chose was to treat the patient every 4 hours when requested, but only giving half the dose ordered. I felt like this was a good alternative because pain is subjective, so if the patient tells us that they are in pain then we should treat the pain. There is no way to measure pain, so I must go by their word. Although there are usually nonverbal signs of pain, a nurse must trust the verbal signs of the patient as opposed to the nonverbal. This is true because all people have a different response to pain, and different cultures have distinct ways of showing pain and suffering. By giving pain medication upon request of the patient, I was showing autonomy towards them. This choice also lowers the patients risk for addiction since I was giving the patient a lower dose.
I’m glad that I have experienced this ethical dilemma in my clinical rotation because I feel like this is probably one of the most frequent dilemmas nurses experience. There is a good chance that I will come across many patients in the future who are trying to seek drugs. Even if we assume this, can we really prove that they are? In my experience with this situation, I have learned that even though we believe a patient may not be in pain, we have no way to prove it, since pain is not
People from all walks of life face many ethical dilemmas. These dilemmas have consequences. Our worldview determines how we deal with these dilemmas, and guides us to the right decisions. In this essay, I will examine an ethical issues through my Christian worldview. I will also present other viewpoints, and compare them to mine.
On the other hand, I understand the matter of prn pain medication abuse. Again, the patient’s expression of pain is the sole indicator, so it is important to respond. Potash (2010) suggest a health history and exploring the patient’s past and identify if anything can be a trigger. Further, it’s important to try trial and error because the current medication, is not providing a therapeutic effect for the pain. As a result, figuring out a new balance, perhaps discontinuing a medication and prescribing one with a higher therapeutic window. Also, daily pain assessments to evaluate the effectiveness of the new pain. The primary focus is decreasing the pain.
Some of the elderly live with chronic pain due to a lack of communication with health care providers. When speaking with their practitioner they fail to emphasize those daily aches and leave with questions regarding pain management. I recent interviewed a resident about her pain and she denied any pain. Until her son said, “what about your hands?” She explained, it was chronic discomfort in her hands and she does not take medication for it. I explained no one has to live with pain and ask her permission to notify the doctor. She seemed appeared relieved and granted me authority to contact the physician on her behalf. There are patients that will not allow the nurse to contact their physician to request pain medication; some have indicated
If Aisha is alert and cognitive, I will speak to her first to find out her position on taking narcotics to relieve her pain. Then I will encourage Aisha to discuss her feelings with her husband about whatever decision she has made. Then I will assess the situation further and provide teaching to both Aisha and her husband around pain medication, side effects and the therapeutic effect. I will involve the medical doctor (MD) and pharmacist to give further teaching if required. I will also find out from Aisha husband his reason for not wanting Aisha to take narcotics. Aisha husband reason may be guided by Muslim religious principles which place strict conditions on the use of narcotics. Muslim also believe patiently bearing pain is of divine significance (Branden & Broeckcert, 2010). A nurse should take into consideration applicable culture and religious believe of patient and family teaching. A nurse need to advocate for their patient well-being by: listening to, understanding and respecting patient valves opinions, needs and ethno cultural believes (College of Nurses of Ontario, 2009)
In my personal experience, I have seen Emergency Room physicians prescribe narcotics to patient, when it seemed unwarranted. I can’t help but wonder if the emphasis on patient satisfaction
Exhibit 1 explains the decision tree. It is used in globally to implement ethical and social duties. The companies are earning large profits in third world country markets. Third world countries are profiting from tobacco sales. 75% of the price of cigarettes in taxes are in Brazil. Because living in third world countries are not ideal, Tobacco companies made sure their products will lead them to a gateway out of their troubles. This is influenced by western culture as we see many celebrities smoking cigarettes. Finally, when considering the individual there are two perspectives to consider, the individual form his/her perspective and the individual from our (western) perspective. The individual viewed from their own perspective most certainly
The following is a case associated with ‘Ethical Dilemma’. We can provide evidence that ethical behavior and decision making regarding ethical issues is a critical decision to make as a person. While unraveling this case you will find disturbing sequence of events that confronts George. The events force George to consider ethical options. Will George let Paul convince him everything is okay, or will George take control of the problem and do the right thing?
When one thinks about the topic of clean, numerous ideas appear in one’s mind. Nonetheless, clean is defined as “to be free from dirt, marks, or unwanted matter” (Oxford English Dictionary). Thus speaking, clean is considered to be something that can protect us from germs, diseases, and other toxins. Therefore, the settings that we choose to put ourselves in on a daily basis is considered to be either clean or dirty. With that being said, you’re more at risk for developing a disease or getting a simple sickness (i.e. cold) if you aren’t cautious and your surroundings.
For my final internship I was placed in the HSIE faculty of a metropolitan 7-12 government school, which enrols over one thousand students from the surrounding areas. The student cohort is largely of high-middle and high socio-economic status (SES), with a small percentage of Indigenous students, and a gender ratio of approximately 70 percent girls to 30 percent boys.
However, the coverage of this act is limited as it only applies to industries that are federally regulated. Moreover, companies such as Hooters have openly discriminated against people during hiring processes. For instance, Hooters will only hire female servers, which is legally permitted by the Bona Fide Occupational Qualification. They have avoided several lawsuits by arguing that their business is fueled by female sex appeal and it will significantly impact their business operations if being an attractive female was not a job requirement. On the other hand, for applicants that progress to the interview phase, employers should create a set of equal questions to ask all the potential employees in order to eliminate bias. The Ontario Human
After careful consideration of the lawsuits presented in Chapter 20 of the text, this writer chose two lawsuits that violate standards in which important future cases were based upon due to the outcomes of these cases. The first case is that within an employment setting in which testing was used to determine employee performance, yet was considered to not be valid or reliable. Griggs vs. Duke Power Company, 1971 brought to question if the testing that was being used to hold back African Americans from higher paying positions was valid (Kaplan & Saccuzzo, 2009). The same test however, when given to the Caucasian employees, did not provide fruitful results as they too failed the test. Standards require that businesses must demonstrate
According to Viren Swami, a professor at the University of Westminster, “animal testing, or animal research, refers to the use of animals in experiments within academic, research, or commercial establishments” (Christopher, 269). Sounds simple enough, but Swami does not mention how this testing affects the animals or why this is such a controversial issue among the public. M.J. Prescott, from the National Center for the Replacement, Refinement and Reduction of Animal Research, makes a very good point when he says that:
In this week’s assignment, we have been asked to identify an ethical issue presented in the Devise Products Unlimited (DPU) case study. First we will discuss the issue and the ethical dilemma it creates. Next we will look at possible recommendations for the DPU CEO to handle this issue.
Ethics in business has to do with making the right choices - often there is no apparent one
The Code of Ethics for Nurses was developed as a guide for carryingout nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the professions (American Nurses Association, 2017). An ethical dilemma that stood out most to me in the documentary was about Roger, the young boy with muscular dystrophy. Roger was a young teen age boy who has been battling muscular dystrophy for some time now. This debillitating illness has been very hard on Roger and his mom, it is beginning to take a toll on the entire family. His condition has started to decline, and now it is time to have the conversation about death and dying.