Family Values
“Nurses
are often placed in situations where they are expected to be agents for
patients, physicians, and the organization simultaneously, all of which
may have conflicting needs, wants, and goals.” Marquis, p. 84.
You are the evening shift charge nurse of the postanesthesia care
unit (PACU). You have just admitted a 32-year-old woman who 2 hours ago
was thrown from a Jeep in which she was a passenger. She was rushed to
the emergency department and subsequently to surgery, where cranial
burr holes were completed and an intracranial monitor was placed. No
further cranial exploration was attempted because the patient sustained
extensive and massive neurologic damage. She will probably not survive
your shift. The plan is to hold her in the PACU for 1 hour and, if she
is till alive, transfer her to the intensive care unit (ICU).
Shortly after receiving the patent, you are approached by the
evening house supervisor, who says that the patient’s sister is pleading
to be allowed into the PACU. Normally, visitors are not allowed into
the PACU when patients are being held there only temporarily, but
occasionally exceptions are made. Tonight, the PACU is empty except for
this patient. You decide to ben the rules and allow the young woman’s
sister to come in. The visiting sister is near collapse; it is obvious
that she had been the driver of the Jeep. As the visitor continues to
speak to the comatose patient, her behavior and words make you begin to
wonder if she is indeed the sister.
Within 15 minutes, the house supervisor return and states, “I have
made a terrible mistake. The patient’s family just arrived, and they
say that the visitor we just allowed into the PACU is not a member of
the family, but it’s the patient’s lover. They are very angry and
demand that this woman not be allowed to see the patient.
You approach the visitor and confront her in a kindly manner
regarding the information that you have just received. She looks at you
with tears streaming down her face ans says, “Yes, it is true. Mary
and I have been together for 6 years. Her family disowned her because
of it, but we were everything to each other. She has been my life, and I
have been hers. Please, please let me stay. I will never see her
again. I know the family will not allow me to attend the funeral. I
need to say my goodbyes. Please let me stay. It is not fair that they
have the legal right to be family when I have been the one to love and
care for Mary.”
Instructions:
1_You must decide what to do. A-Recognize that your own value system will play a part in your decision.
B-List several alternatives that are available to you.Identify which ethical frameworks or principles most affected your decision making.
2-Decide whether this could cause you “moral distress” if you were the nurse taking care of this patient. Elaborate on why this is the case…
3- Answer the questions as thoroughly and concisely as possible.
- Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format)