NURS 6512 Lab Assignment Ethical Concerns

It is not uncommon for nurses advanced practice nurses to encounter situations where a patient’s wishes regarded their health are in conflict with the family’s wishes, professional experience, or evidence hence creating ethical dilemmas (Haahr et al., 2020). Therefore, it is important for an advanced practice nurse to make informed decisions that can positively impact the patient’s condition. The case considered in this assignment is for a 60-year-old man who was diagnosed with inclusive body myositis several years ago and is currently facing a rapid decline in his condition. While the patient prefers to be at home and get end-of-life care from there, the wife is of the opinion that her husband is admitted to the inpatient care setting.

Making a better decision regarding this case requires particular assessment information. Inclusive body myositis exposes the patients to falls; hence this patient is at risk of falling (Weihl, 2019). I would assess the patient’s quality of life and ability to undertake daily life activities. Assessing the proficiency of the home caregiving would be key in determining whether the partner can offer good care and give moral support.

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An appropriate response to this scenario requires that I consider ethics as an advanced practice nurse. Guided by nursing ethics, I would strive to educate the family and the patient to ensure that they have sufficient knowledge regarding the condition and how the family can help take care of the patient. After the assessment, I would also collaborate with the patient’s wife and other family members to help come up with an appropriate care plan which is likely to have a better impact on the patient’s condition. These actions are in accordance with the principles of beneficence and nonmaleficence, which involve doing the right and good thing for the patient and doing no harm (McDermott-Levy et al., 2018). I would also ensure that I treat the patient’s medical details with confidentiality.

References

Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing Ethics, 27(1), 258-272. https://doi.org/10.1177%2F0969733019832941

McDermott-Levy, R., Leffers, J., & Mayaka, J. (2018). Ethical principles and guidelines of global health nursing practice. Nursing Outlook, 66(5), 473-481. https://doi.org/10.1016/j.outlook.2018.06.013

Weihl, C. C. (2019). Sporadic inclusion body myositis and other rimmed vacuolar myopathies. CONTINUUM: Lifelong Learning in Neurology, 25(6), 1586-1598. Doi: 10.1212/CON.0000000000000790

NURS 6512 Lab Assignment Ethical Concerns