What Should the Nurse Do?

Ms. Stein, a 45-year-old female patient, presents to the emergency department with severe abdominal pain. She reports a history of chronic digestive issues and recently underwent elective surgery for gallbladder removal. Her vital signs upon arrival are within normal range, but she appears distressed. Ms. Stein discloses concerns about the surgeon’s decision-making process during her operation, raising ethical questions about the procedure’s necessity. She feels inadequately informed about potential complications and alternative treatments.

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You are caring for an older adult patient who has been newly diagnosed with type 2 diabetes mellitus. You are discharging the patient to home, and part of discharge instructions include educating the patient on the medications they will be taking at home.

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Mrs. Melton, a 52-year-old female patient, has presented to the medical-surgical unit with complaints of severe abdominal pain. She has a history of chronic kidney disease and diabetes. Her vital signs on admission include a blood pressure of 140/90 mm Hg, heart rate of 98 beats per minute, respiratory rate of 18 breaths per minute, and a temperature of 100.2°F. Mrs. Melton is visibly distressed and expresses concerns about her worsening abdominal pain. As a nurse, you need to consider the ethical principles outlined in the Code of Ethics in Nursing. Given her medical history, it is crucial to discuss the appropriate course of action with Mrs. Melton, ensuring that her autonomy is respected while considering beneficence and nonmaleficence. Additionally, the involvement of the hospital’s ethics committee may be necessary to address complex decision-making involving Mrs. Melton’s medical care.

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