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Discussion 3 Clinical Reasoning - Edited
Discussion 3 Clinical Reasoning - Edited
Is the patient's autonomy being respected by involving her in the decision-making process?
No. Patient autonomy is defined as a patient's right to decide on their own medical treatment
without interference from a healthcare professional (Olejarczyk & Young, 2022). In this
case, the patient's healthcare decisions were influenced by her family members and
healthcare professionals except her. It was probably among the reason she kept complaining,
How could a meeting of all parties involved have been more effective and/or ethical than
Due to the ease of providing the doctor and hospital staff with complete and accurate data
medications, as well as other health-related matters, the meeting of all concerned parties
could have been more appropriate and/or ethical than fragmented decision-making (Patton et
al., 2018).
What ethical principle can function as a basis for good pain management?
Bioethical theory. The model contains ideas that are missing from conventional professional
practice, such as equality of human value, autonomy, as well as respect for the person
Does the nurse have a moral responsibility to be more assertive in advocating for the
patient's relief?
No. The patient's sister phoned the state regulatory agency to report that the caregivers are
ignoring her and not trying to take care of her pain; thus, the nurse has no moral obligation to
be more proactive in pushing for the patient's comfort. The doctor also agreed to test Nalfon
(NSAID), which later caused the patient to have symptoms including a severe gastric
haemorrhage.
Given that the doctor is likely to see the resident only every two months, what role should
the doctor take in assessing and monitoring the pain and its treatment?
Explain the ANA Code of Ethics provision(s) you think is violated in the case study and
why was it violated? Describe how you could apply the ANA Code of Ethics in the case to
Provision one was violated, given that it advocates for equal patient treatment (ANA
ENTERPRISE, 2022). On the contrary, most parties involved resented the patient for being
"stubborn", thus contributing to the negligence. The second provision that mandates nurses to put
the patient's needs was also violated because they refused to give the patient the drugs she
wanted. After all, a family member instructed them. These provisions could have been upheld if
the staff had prioritized the patient's needs instead of following solely the information the family
provided. Also, she ought to have been treated with dignity, notwithstanding her persistence in
seeking help.
List one assumption pertinent to this case that you would like to check and why.
The patient is a complainer and should not be given more painkillers because she might get
"doped up." This is because the details are from observers rather than the actual patient; hence
the best approach would have been to assess the issue and learn why the patient was ever in pain.
Question to Peers: Do you think that the staff could have handled the issue better had they
References
ANA. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-
ethics-for-nurses/
life. https://doi.org/10.26226/morressier.59a3e8b3d462b8028d894143
Fulton, J. S., & Storey, S. H. (2020). Clinical nurse specialist comportment: Professional
Practice. https://doi.org/10.1891/9780826195449.0002
Katz, N. (2002). The impact of pain management on quality of life. Journal of Pain and
Olejarczyk, J. P., & Young, M. (2022, June 15). Patient rights and ethics - StatPearls - NCBI
Information. https://www.ncbi.nlm.nih.gov/books/NBK538279
Patton, R. M., Zalon, M. L., & Ludwick, R. (2018). Leadership for competencies for APRN:
Roles. https://doi.org/10.1891/9780826161536.0007