Question

You are caring for a 17-year-old female patient with sickle cell disease who has been admitted for treatment of sickle cell crisis. Sickle cell disease is a genetic abnormality that affects hemoglobin in the red blood cells. In a sickle cell crisis weakened red blood cells clump together and impede blood flow, causing extreme pain. To prevent stroke and manage the pain of the crisis, your patient needs aggressive fluid and comfort management. At the change-of-shift report, you learn that, even though she is receiving pain medication around the clock, she continues to report acute pain at a level of 10 on a scale of 0 to 10. She complains about almost everything: her roommate, the food, even the intravenous line that delivers the fluids and pain medications. Her home is far from the hospital, and her family and friends are not able to visit. During shift report the nurse from the past shift describes the patient as manipulative. On the basis of her concern about a risk for addiction, she has declined to increase the dose of pain medication. 1. Describe this case in terms of the ethical principles that it raises. Refer to the nursing code of ethics to compose your response. 2. How could a values clarification exercise promote an ethical response to this case? 3. In trying to better understand sickle cell disease, you join a chat room online where people with sickle cell disease discuss their problems. Hoping to protect patient privacy, you use only your first name and the patient's first name. You mention the name of the hospital where you work. On the basis of your reading of the ANA White Paper on Social Media, describe benefits and risks of participating in social media in this situation.

Answer 1

Q. No. 1. Answer :

Ethical principles are beneficence, non maleficence, justice, fidelity, veracity, accountability.

These are the ethical principles according to nursing code of ethics.

According to this case follow beneficence,( do good) and and nonmaleficence means do not harm.

If the clients need more dose also we should not administer it leads to complications, so according to the prescription only we need to give medication.

So we are only accountable for patients autonomy and their health, up to the patients in our Hands.

Q. No 2. Answer :

In these case first we need to understand the problem if client.

And provide psychological support.

We have to give respect to the client words also that means autonomy of patient should be follow.

By clarification of values we can give solution for this problem.

Q. No. 3 Answer :

Benefits like

* we can get the adequate information regarding that problems.

* we can clarify our doubts regarding the care and treatment of that disease.

* we can also provide solutions to others

Risks :

* there is a difficulty to maintain privacy and confidentiality regarding matter.

* some times disclosure of information will be taken place.

* it develops like a legal problems in some situations.